ICD-9 FAQ

Mapping ICD9 Codes For Dates Prior to Oct. 1

MacPractice currently has some additional tools for ICD9/ICD10 to help give you more control over your claims and coding.

This includes sending ICD9 Claims for dates of service prior to October 1st despite having the software preference set to use ICD10. The claim creation window allows the overriding any claim to ICD9 when being generated, however there are two possible scenarios that factor into this.

The Charge Window Already Contains ICD9 Codes

You need to tell the claim creation window to use ICD9 on the claim. If this is indeed the case, you can skip to Overriding For ICD9 on this page to see how to override the claim to ICD9.

Changes Aren’t Entered Into The Ledger Yet.

Because Preferences > Coding > Billing Diagnosis is set to ICD10, MacPractice is going to prompt for ICD10 in the charge window for Dx codes. You can still put ICD10 into the charge window, but force the claim to submit in ICD9.

Once you've entered your ICD10 codes into the charge window, press the 'Map Diagnoses' button.

From here, MacPractice is going to prompt you to map the entered ICD10 codes over to ICD9. Since ICD10 codes can be very specific, often it will already list a recommended ICD9 code. If you do not agree with this choice, you can select 'Choose Other' and pick the ICD9 code of your choosing. Once you have mapped your codes over, click the Done button. You will notice that the Diagnosis codes in the charge window are now in blue text. This signifies that they have been properly mapped.

Overriding For ICD9

In the claim creation window you will notice an override called 'Diagnosis Code System'. This will allows you to override the claim to ICD9.

Click on the drop down and select ICD9. You will notice under the Procedures sub-tab, that ICD9 is listed under the "Claim Diagnosis." This is why the Charge Diagnosis column still shows as 10, but it's showing 9 for the claim diagnosis.

From here you can finish creating the claim. This will successfully make a primary or secondary claim with ICD9 Dx codes.

You can always also check out www.macpractice.com/icd10 for a video guide of these features in action.