Fewer changes this year signal that ICD-10 preparations are under way. It's that time again. At the end of this week you'll have 122 new, deleted, or revised ICD-9 codes to master. Make sure you're ready with this handy preparation list. The ICD-9 code set gets updated each year, but this year brings fewer changes than usual. Coders aren't seeing as many updates to ICD-9 for 2011 because resources are focusing on ICD-10 preparation, says certified coder Joan L. Usher with JLU Health Record Systems in Pembroke, Mass. Come 2013, you'll have a whole new diagnosis coding system. To get ready for the 2011 ICD-9 changes effective Oct. 1, take the following steps: • Purchase a new 2011 ICD-9-CM coding manual. An updated manual is your most important tool in your quest for coding accuracy. • Update cheat sheets and destroy the old ones. Remember, it's better not to use cheat sheets at all because you may miss some intricacy of coding. But if you must use them, make sure they are accurate. • Make sure your information systems vendor has updated your system with the new codes. • Create a list of patients whose cases will require code changes and when they are due. • Train staff on how to use new ICD-9 codes or reinforce training you've already provided.