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PRODUCED BY AND FOR MEMBERS OF THE DEPARTMENT OF SURGERY August 2015 | Archived Issues

FDA Warns of Gilenya Risk, Name Confusion, Looks Into GBCA Use

Pharmacy Focus

The U.S. Food and Drug Administration has issued warnings regarding the multiple sclerosis drug Gilenya and about reports of confusion between the names of the antidepressant Brintellix and anti-clotting drug Brilinta. Also, the agency is investigating the risk of brain deposits following repeated use of gadolinium-based contrast agents for magnetic resonance imaging.


Mark Your Calendar


Surgery Grand Rounds

Click the "read more" to see information about upcoming Surgery Grand Rounds.


Grand Rounds

Click here to view a schedule of all upcoming grand rounds.


Education Schedule

Click the PDF link below to see the Department of Surgery's education schedule.

Education Schedule - August 2015 (PDF)


Surgery Scheduling

Click the "read more" for hours and contact information for surgery scheduling.

Share Your News

Know an interesting colleague we should profile? A story we should tell? Submit your ideas, meetings and events for consideration.

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More Details About Oct. 1 Transition to ICD-10

Less than six weeks remains until Cedars-Sinai changes its coding classification system from ICD-9 to ICD-10. Until the transition is complete on Oct. 1, updates and requests for assistance will continue, with the goal of ensuring a seamless transition and mitigating negative impact on the organization.

Helping Cedars-Sinai meet this goal will be the information gathered during the nearly two years of its dual coding system, which uses both ICD-9 and ICD-10.

There are two parts of the ICD-10 system. ICD-10-CM is utilized to classify diagnosis codes. ICD-10-PCS is utilized to classify hospital procedure codes. Each is composed of three to seven characters. The Current Procedural Terminology code set will continue to be used for professional claims and outpatient surgery codes.

Providers will not need to know how to use ICD-PCS code, but coders will rely on physician and provider documentation to derive an accurate ICD-10-PCS code to classify a procedure performed. The dual coding project has shown where Cedars-Sinai coders are having difficulty producing an accurate code because of the need for more information in ICD-10 than in ICD-9.

One area that has been widely problematic for the group is "Infusions and Transfusions." This procedure requires "Body Part" to be defined as to an accurate anatomical location. Simply put, which vein was the line placed in?

Coding professionals are asking all healthcare professionals involved in administering this procedure to be sure to define and document the vein location. Without this information, the procedure cannot be accurately coded to reflect the patient services and the acuity of care.

Within CS-Link™, many system changes designed to support the ICD-10 transition have already been introduced to end users, such as the expanded list of clinical terms, the diagnosis calculator and display of ICD-10 codes.

On Oct. 1, several visual changes will appear within CS-Link. For detailed information about these and other changes — including frequently asked questions, job aids and an e-learning module — please visit CS-Link Central.

The federal Centers for Medicare and Medicaid Services has released a concise guide to ICD-10 resources. The guide focuses on quick references and key steps you can take to get ready for the Oct. 1 transition. Resources include:

To see the guide, click the PDF link below.

ICD-10 Resources (PDF)

For resources and project updates, visit the Cedars-Sinai ICD-10 Watch page on the Intranet. For any other ICD-10 questions, email askicd10@cshs.org or call the Help Desk at 310-423-6428. Enterprise Information Services staffs the Help Desk 24 hours a day, seven days a week.

Previously in Medical Staff Pulse:

ICD-10 Readiness: Oct. 1 Change Is Coming Soon (July 31, 2015)

Resources Available to Prepare for Move to ICD-10 (Aug. 29, 2014)

Switch to ICD-10 Delayed; Preparation Continues (April 25, 2014)

Physicians and Office Staff — Not Just Coders — Need to Prepare for ICD-10(Sept. 27, 2013)