1. The three largest category changes in ICD-10 include definition changes, terminology changes and increased specificity. Increased specificity will be the most important category for ICD-10.
2. More than one-third of the ICD-10 code expansion is due to the addition of laterality. ICD-10 code examples include:
• M21.722: unequal limb length, left humerus
• M25.561: pain in right knee
• M25.562: pain in left knee
• S72.344A: nondisplaced spiral fracture of right femur shaft, initial encounter for closed fracture
3. Specific parameters to include when documenting factures are:
• Type
• Pattern
• Etiology
• Encounter of care
• Healing status, if subsequent encounter
• Localization
• Displacement
• Classification
• Any complications, whether acute or delayed
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