IMO Problem (IT) Terminology 2015 Regulatory 1 Release Now Available

Tuesday, June 2nd, 2015

New Release Adds Coverage of Enterovirus 68, Ebola Exposure, New SNOMED CT® Concepts, ICD-9-CM Code Re-Maps, Post-Coordination Workflow Improvements, Bi-Lateral Modifiers  and CQM Value Sets

The ICD-10-CM packaging for the latest release of IMO Problem (IT) Terminology is now available. In this release, we have made a significant number of adjustments to improve the user experience. IMO is working hard to make clinical documentations as easy as possible for clinicians because we place a great deal of importance on capturing and preserving true clinical intent.
Frank Naeymi-Rd, PhD, Chairman and Chief Executive Officer of IMO said: “IMO is committed to delivering important updates as shown by the addition of terms related to Enterovirus 68 and Exposure to Ebola. The ability of IMO to provide critical, “just-in-time” updates shows why it is so important for our channel partners and clients to take advantage of our real-time terminology services.”  He added: “it should also be noted that IMO issues 10 releases annually for IMO Problem (IT), ensuring that the most current terms and maps are always available.”
Here are a few highlights:
SNOMED Editions
There are over 110 new SNOMED-CT™ concepts now covered. The release corresponds to SNOMED™ International Edition 2014 July release and US Edition 2014 March release. 
Enterovirus 68
In recent weeks, a large number of patients in many regions of the United States have been diagnosed with illness, particularly respiratory illness, due to enterovirus 68. In order to allow our customers to record these emerging conditions on patient records, IMO has added two new terms to Problem IT Terminology, which will be available in the ICD-10-CM Regulatory 1 packaging and in R1.1 release for both ICD-9-CM and ICD-10-CM support, as follows:

  • infection due to enterovirus 68
  • respiratory infection due to enterovirus 68

Also, continued spread of the Ebola epidemic in West Africa has increased the potential for exposures within IMO-served countries. IMO has for a long time had specific terminology to identify Ebola infections which could have specifically been used to trigger best practice rules. In the R1.1 release two additional terms will be available:

  • exposure to Ebola virus
  • personal contact with individual with Ebola virus infection

ICD-9-CM code remaps from IMO hyperprecoordinated (HPC) terms
Our review and adjustment of ICD-9-CM from "specific" terms is scheduled to be finalized by 2015 R1.3. In this Regulatory release, a full review has been completed on the primary and secondary mappings in these areas:

  • Asthma
  • Diabetes
  • Pregnancy

Post-coordination workflow improvement
Further remodeling adjustments and enhancements, such as new partially-coordinated terms, have been made to improve post-coordination workflows. These partially-coordinated terms will allow a user to start to navigate in the workflow at an intermediate term and arrive at a diagnosis with a billable ICD-10-CM code instead of always having to start at the root term.
The list below provides some examples, but is not comprehensive.
Partially-coordinated terms in the concept area of Gout:

  • gout of knee
  • gout of ankle
  • gout of foot
  • gout of hand
  • gout of wrist
  • chronic gout

Partially-coordinated terms in the concept area of Diabetes mellitus:

  • type 1 diabetes mellitus
  • type 2 diabetes mellitus
  • diabetes mellitus with ophthalmic manifestations
  • diabetes mellitus with skin complications

Partially-coordinated terms in the concept area of Sinusitis:

  • frontal sinusitis
  • maxillary sinusitis
  • pansinusitis
  • acute sinusitis
  • chronic sinusitis

“Bilateral" Modifiers
There are some IMO terms where a “bilateral” modifier option would be clinically reasonable, but IMO had not previously provided that option (and there is no corresponding ICD-10-CM term).  We received substantial feedback from our customers that these options would be useful clinically.  As a result, we have begun to add “bilateral” modifier options where clinically valid, even when not required for ICD-10-CM coding.  Some options, such as those below, are included in this release, and others will be added in subsequent releases.

  • Carpal tunnel syndrome
  • Osteoarthritis of knee
  • Pain in joint concepts

Removal of mappings to "limited status" SNOMED CT concepts
Due to changes in SNOMED-CT™ International designations of "active" concepts with the RF2 format, IMO has removed all mappings to "limited status" SNOMED-CT™concepts. As IMO’s previous SNOMED™ mapping policies did not allow "preferred primary" mappings to these codes, this removal only affects secondary “non-preferred” mappings, thus we expect little impact to implementations leveraging IMO’s SNOMED™ maps.
CQM value sets
IMO Problem (IT) Terminology reflects full "same as" conceptual coverage for all active SNOMED™ problem/diagnosis/finding codes included in the April update of the CQM Value Sets. As with all IMO mappings to SNOMED™, these particular mappings can be seen in the ICD9_SNOMEDCT_IMO and ICD10_SNOMEDCT_US_IMO tables.
For more information or assistance, please contact IMO Customer Support at 847/613.6655 or email us at