Translating DC: 03 into DSM-IV and ICD-9-CM Codes

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Translating DC 03R intoICD 9 CM Codes Florida s CrosswalkKathryn Shea LCSWThe Florida Center for Child and Family.
DevelopmentSarasota FLkathryn shea thefloridacenter ... Translating DC 03R to ICD 9Florida s experience.
Brief History of IMH DC 0 3 in Florida September 2000 Florida s Strategic Plan for InfantMental Health finalized and published This documentlaid the groundwork for services training researchand policy changes .
Task force worked on policy changes specific toCommunity Mental Health services for children agesbirth through five and their families Policy approved and published by ACHA Agency forHealth Care Administration Florida s Medicaid agency.
in May 2002 Translating DC 03R to ICD 9Florida s experience New policy recommended the use ofDC 0 3 for assessment diagnostic and treatment.
purposes but requiredICD 9 CM code for reimbursement purposes December 2001 in anticipation of new policy KathrynShea developed a Crosswalk between the DC 0 3and ICD 9 codes .
March 2001 Crosswalk accepted as a guideline byboth the State Alcohol Drug and Mental Health Office May 2006 Revised Crosswalk to correspond to newDC 0 3R and submitted to ACHA and SAMH forapproval Crosswalk approved June 2006 .
Translating DC 03R to ICD 9Florida s experience The Florida Center was part of the FloridaInfant Mental Health pilot project from 2000 2003 and had gained significant experience.
in assessment diagnosis of children birth toage three and their families Approval of the Crosswalk allowed ouragency to continue services to thesechildren families as well as over 550.
additional children families since end of pilot Translating DC 03R to ICD 9Florida s experience Development of the Crosswalk Impetus Change in Medicaid Community.
Mental Health Policy to specifically addresschildren ages birth through five and theirfamilies with mental health problems Context Policy recommended use of DC 0 3for assessment diagnostic purposes but still.
required use of ICD 9 CM for reimbursement The Bubble Bath Insight The Imperfect Crosswalk Translating DC 03R to ICD 9Florida s experience.
Whycrosswalk to ICD 9 CM and not Medicaid requires the ICD 9 CM code Easier for clinicians to crosswalk directly to Higher probability of reimbursement if codesare directly linked to required code.
ICD 9 CM has different varied codes that maybe more young child friendly Translating DC 03R to ICD 9Florida s experience Fall 2005 DC 0 3R published and released.
Summary of changes No longer includes Gender Identity Disorder Removed reactive attachment from ReactiveAttachment Deprivation Maltreatment Disorder of Renamed Traumatic Stress Disorder to Posttraumatic.
Stress Disorder Regulatory Disorders have been renamed RegulationDisorders of Sensory Processing Translating DC 03R to ICD 9Florida s experience.
Summary of changes Includes specific Anxiety Disorder subtypes in AnxietyDisorders of Infancy and Early Childhood Depression of Infancy and Early Childhood categoryincludes Major Depression and Depression NOS.
Descriptions of Sleep Behavior Disorders and EatingBehavior Disorders incorporate subtypes DC 0 3R recommends use of MultisystemDevelopmental Disorder be restricted to children lessthan 2 years of age.
Translating DC 03R to ICD 9Florida s experienceA crosswalk through the DC 03R diagnosisDC 0 3R diagnosis ICD 9 CM code refer to crosswalk handout .
Translating DC 03R to ICD 9Florida s experience Florida s Limitations Cannot bill for V codes on Axis I Florida Medicaid does not pay for community.
mental health services for treatment ofautism pervasive developmental delay non emotional or non behavioral baseddevelopmental disability or mentalretardation .
Translating DC 03R to ICD 9Florida s experience Implementation of the Crosswalk Approval from SAMH ACHA for use of theCrosswalk Special Thanks to Sandra Adams .
Sue Ross and Catherine Goldsmith Training on the Crosswalk increased use byclinicians across the state multiple settings The Florida Center uses primarily in childwelfare mental health services and outpatient.
mental health services Translating DC 03R to ICD 9Florida s experience Training Supervision Needs On going in clinical group supervision.
Case studies presentations in each groupsupervision Video taping of assessments treatment Peer review of assessments treatment Linking with State National IMH trainings.
Translating DC 03R to ICD 9Florida s experience Utilization within payors Medicaid has reimbursed for all assessmentsand treatment services billed for birth through.
three clients using DC 0 3 and R crosswalk Private insurance has reimbursed for 80 ofassessments treatment services billed forbirth through three clients Translating DC 03R to ICD 9.
Florida s experience The diagnostic dilemma The challenge does not lie in theuse of the crosswalk thechallenge lies in the controversy.
of diagnosing very young Translating DC 03R to ICD 9Florida s experience Evaluation of Crosswalk No formal evaluation or research done.
Is being used state wide forreimbursement purposes Mental Health services being provided thatotherwise would not have been The Florida Center has provided.
assessment treatment services to over550 children families since DC 03Crosswalk approved Translating DC 03R to ICD 9Florida s experience.
Lessons Learned Bubble Baths are really good things Having good relationships with folks atstate levels that can make things happenis a really good thing.
Supervision and Training needs to be ahigh priority yet fiscally difficult to do Translating DC 03R to ICD 9Florida s experience Promising Practices Next Steps.
Diagnostic Decision Tree looks very Recommend Zero to Three produce videotapes of assessment clinical discussion diagnosis crosswalk code would be veryhelpful similar to ICDL Training Videotapes.
on the DIR Model National data base on birth to three Axis I IIDiagnosis w MH diagnosis in primary Medicaid Documentation Medicaid Made Easy Simplify all you can.
Create check lists for each file of what when due Create forms that makes it easier for the workers but gives Medicaid the information it needs Conduct trainings frequently quarterly minimum The more the workers hear the same information .
the more it sinks in Conduct peer supervision of charts to ensurequality and accountability Medicaid DocumentationIt s not about quantity of writing .
It s about quality of writing andincorporating all aspects of serviceTitle: Translating DC: 03 into DSM-IV and ICD-9-CM Codes Author: kathryn.shea Last modified by: pwaxw60 Created Date: 12/3/2004 12:49:38 AM Document presentation format

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