Cheryl Ericson, MS, RN, CCDS, CDIP, AHIMA Approved ICD 10 CM/PCS Trainer Clinical Documentation Program Manager for ezdi.

Size: px
Start display at page:

Download "Cheryl Ericson, MS, RN, CCDS, CDIP, AHIMA Approved ICD 10 CM/PCS Trainer Clinical Documentation Program Manager for ezdi."

Transcription

1 A Venture of Cheryl Ericson, MS, RN, CCDS, CDIP, AHIMA Approved ICD 10 CM/PCS Trainer Clinical Documentation Program Manager for ezdi HIPAA Code Sets HIPAA legislation required use of the International Classification of Diseases, 9th Edition, Clinical Modification, (ICD 9 CM), Volumes 1 and 2 as updated and distributed by the Department of Health and Human Services (HHS), for the following conditions: Diseases. Injuries. Impairments. Other health related problems and their manifestations. Causes of injury, disease, impairment, or other healthrelated problems. 2 1

2 HIPAA Code Sets Section 1104 of the Patient Protection and Affordable Care Act (Affordable Care Act) established new requirements for administrative transactions Migration from ICD 9 CM to ICD 10 CM/PCS originally scheduled for October 1, 2013 delayed until October 1, 2015 Both ICD 9 CM and ICD 10 CM/PCS have been in a code freeze since 2011 As a result there have been essentially no updates to either ICD 9 CM or ICD 10 CM/PCS except for those associated with technology 3 ICD 10 CM The ICD stands for the International Classification of Diseases, which was developed by the World Health Organization (WHO) for international use in regards to classifying health conditions for the purpose of morbidity and mortality The 10 represents the code set as the 10 th revision of ICD, which was initially adopted by WHO members in 1994 WHO plans to release the 11 th revision in 2017 The CM denotes that the version used in the U.S. is clinically modified for use in the U.S. so it varies from that used by other nations 4 2

3 Cooperating Parties In order to adapt the ICD code set for use in the United States, Health and Human Services enlisted the services of the following organizations, who serve as the cooperating parties The American Health Information Management Association (AHIMA) The American Hospital Association (AHA) The Centers for Medicare and Medicaid (CMS) The National Center for Health Statistics (NCHS) The guidelines state, Only this set of guidelines, approved by the Cooperating Parties, is official. ICD 10 CM Official Guidelines for Coding and Reporting FY 2016 Page 1 of Cooperating Parties Not only do the cooperating parties influence modifications to the code sets, but they also are able to set professional standards within the industry as it relates to coded data AHIMA issues practice briefs on a variety of topics on HIM topics that include coding and querying AHA issues Coding Clinic, a publication that provide advice to promote consistent coding practices by answering questions from professionals as well as providing education regarding the use of new and/or revised codes as they are introduced 6 3

4 AHA Coding Clinic Although the mechanics of coding will remain the same under ICD 10 CM the nuances of coding under the new system has yet to be fully explored due to limited opportunities to perform dual coding by many organizations Coding Clinic is a publication by the American Hospital Association (AHA), who is a cooperating party, for the purpose of promoting accurate and consistent code assignment through providing advice about use of ICD 10 CM/PCS Various Coding Clinics are used routinely by coders when applying codes and sequencing diagnoses 7 General Coding Guidelines The official guidelines for coding and reporting (OCG) are a set of rules developed to accompany and complement the official coding conventions and instructions of the ICD code set They expand and clarify the coding and sequencing instructions found within the code manual Adherence to these guidelines when assigning ICD 10 CM/PCS codes is REQUIRED by HIPAA In regards to hospice services, CMS accepts only HIPAA approved ICD 10 CM/PCS codes (depending on the date of service) Medicare Claims Processing Manual Chapter 11: Processing Hospice Claims 8 4

5 FY 2016 ICD 10 CM/PCS ICD 10 PCS and GEMs.html Conventions for ICD 10 CM 10 5

6 Hospice Guidelines Understanding the coding conventions is important because the Medicare Claims Process Manual for Processing Hospice Claims states, Hospices may not report diagnosis codes that cannot be used as the principal diagnosis according to ICD 10 CM Coding Guidelines or require further compliance with various ICD 10 CM coding conventions, such as those that have principal diagnosis code sequencing guidelines. Medicare Claims Processing Manual Chapter 11: Processing Hospice Claims Key Coding Conventions The conventions for the ICD 10 CM are the general rules for use of the classification independent of the guidelines These conventions are incorporated within the Alphabetic Index and Tabular List of the ICD 10 CM as instructional notes The ICD 10 CM is divided into The Alphabetic Index, an alphabetical list of terms and their corresponding code, The Tabular List, a structured list of codes divided into chapters based on body system or condition. ICD 10 CM Official Guidelines for Coding and Reporting FY 2016 Page 7 of

7 ICD 10 CM Tabular List The Tabular List contains 21 chapters The axis of classification can be The body/organ system Circulatory system Respiratory system Etiology or nature of the disease process Infections and parasitic disease Location/Site (topography) Trauma/injuries Neoplasms 13 Body Systems Associated with Most Common Hospice Diagnoses The body system associated with the most common hospice diagnoses are: Neoplasm Nervous Mental, behavioral and neurodevelopmental diseases Circulatory Respiratory Digestive (hepatobiliary) Renal Signs, symptoms and ill defined conditions 7

8 Hospice Guidelines According to the Medicare Claims Processing Manual, the principal diagnosis listed for hospice services is the diagnosis most contributory to the terminal prognosis Hospices may not report ICD 10 CM Z codes as the principal diagnosis on hospice claims Z codes are used to identify factors influencing health status and contact with health services They are reported when circumstances other than a disease, injury or external cause classifiable to categories A00 Y89 are recorded as 'diagnoses' or 'problems Medicare Claims Processing Manual Chapter 11: Processing Hospice Claims ICD 10 CM Alphabetic Index Example The alphabetic index guides the coder to the correct location in the tabular list In the alphabetic index, terms are listed alphabetically for quick reference 8

9 Tabular List Example ICD 10 CM In the tabular list, terms are listed in alphanumeric order 17 Assigning a Neoplasm Code Neoplasm codes are assigned differently from other types of conditions because the neoplasm table located in the Alphabetic Index must be referenced The table for neoplasm gives the code numbers for neoplasms by anatomical site ICD 10 CM Official Guidelines for Coding and Reporting FY 2016 Page 25 of

10 Assigning a Neoplasm Code For each site there are six possible code numbers according to whether the neoplasm in question is Malignant The type most likely associated with a hospice patient Benign In situ Of uncertain behavior Of unspecified nature ICD 10 CM Official Guidelines for Coding and Reporting FY 2016 Page 25 of The Histology of Neoplasms: Malignancy Malignancy is synonymous for cancer and/or neoplasm A term for diseases in which abnormal cells divide without control and can invade nearby tissues Malignant cells can also spread to other parts of the body through the blood and lymph systems Metastasis is the spread of cancer from one part of the body to another. A tumor formed by cells that have spread is called a metastatic tumor or a metastasis. The metastatic tumor contains cells that are like those in the original (primary) tumor terms?expand=i 20 10

11 The Histology of Neoplasms: Malignancy There are several main types of malignancy Carcinoma is a malignancy that begins in the skin or in tissues that line or cover internal organs Sarcoma is a malignancy that begins in bone, cartilage, fat, muscle, blood vessels, or other connective or supportive tissue Leukemia is a malignancy that starts in blood forming tissue, such as the bone marrow, and causes large numbers of abnormal blood cells to be produced and enter the blood Lymphoma and multiple myeloma are malignancies that begin in the cells of the immune system Central nervous system cancers are malignancies that begin in the tissues of the brain and spinal cord terms?expand=i 21 Staging/Grading Cancer ICD 10 CM doesn t capture codes for the associated cancer stage, but metastasis can be captured Grading systems (as determined by a staging system) are different for each type of cancer The objective of a grading system is to provide information about the probable growth rate of the tumor and its tendency to spread They are used to help plan treatment and determine prognosis because staging describes the extent or severity of a person s cancer based on knowledge of how cancer progresses The severity of the patient s condition must be captured by reporting additional diagnoses 22 11

12 ICD 10 CM Diagnoses Codes ICD-10 CM codes consist of three to seven alphanumeric characters The first character is a letter (alpha) U is the only letter not currently in use O is used for Obstetrics (pregnancy, childbirth and the puerperium) and resembles a zero 0 I is used for circulatory and resembles a one 1 The second character is ALWAYS a number The remaining characters can be letters or numbers 23 ICD 10 CM Diagnoses Codes Diagnosis codes are to be used and reported at their highest number of characters available Diagnoses are preferred over symptoms when applicable Minimize use of unspecified codes ICD 10 CM diagnosis codes are composed of codes with 3, 4, 5, 6 or 7 characters... A three character code is to be used only if it is not further subdivided. A code is invalid if it has not been coded to the full number of characters required for that code, including the 7th character, if applicable ICD 10 CM Official Guidelines for Coding and Reporting FY 2016 Page 12 of

13 The Format of an ICD 10 CM Code ICD 10 CM codes can have a few as three and as many as seven characters Additional characters usually provide more specificity Hospices are required to use full diagnosis codes including all applicable digits... up to seven digits for ICD 10 CM Disease with basic location 5 th character added laterality 4 th character added complication of ulcer Medicare Claims Processing Manual Chapter 11: Processing Hospice Claims 6 th character refined location 25 ICD 10 CM Code Specificity: Laterality Much of the increase in the volume of codes for ICD 10 CM is due to the capture of laterality For bilateral body sites, the final character of the code usually indicates laterality 0 or 9 = unspecified 1 = right 2 = left A diagnosis code is only used once on a claim so if a bilateral code is not available the code for the right and the code for the left are used ICD 10 CM Official Guidelines for Coding and Reporting FY 2016 Page 15 of

14 Example of ICD 10 CM Laterality Codes The same number of characters can be assigned even if the laterality isn t specified because unspecified is usually an option in addition to left or right so the code can still be reported if the affect side is unknown 27 ICD 10 CM Specificity and Default Codes Precise documentation is required to assign the most accurate code (which is usually reflected as additional characters within the code) as many diagnosis codes are differentiated by Acuity Anatomical specificity Laterality The presence or absence of an associated manifestation A default code represents the condition most commonly associated with the main term or can be the unspecified code for the condition 28 14

15 ICD 10 CM Default Codes Default 29 Unspecified Diagnoses When sufficient clinical information isn t known or available about a particular health condition to assign a more specific code, it is acceptable to report the appropriate unspecified code (e.g., a diagnosis of pneumonia, but not the specific type), which may be the default code Unspecified codes should be reported when they are the codes that most accurately reflect what is known about the patient s condition at the time of that particular encounter It would be inappropriate to select a specific code that is not supported by the medical record documentation or conduct medically unnecessary diagnostic testing in order to determine a more specific code. ICD 10 CM Official Guidelines for Coding and Reporting FY 2016 Page 16 of

16 Provider Education: Educate providers to always document in terms of ACUITY for all diagnoses to avoid the reporting of default codes Is it a new condition = acute Be aware the provider often use the term acute to equal severe It is unlikely a chronic condition is acute, but it could be acute on chronic or decompensated Documentation elements should include how the patient currently deviates from baseline Neither coding guidelines nor Coding Clinic define the term acute or subacute or chronic 31 Conventions: 7 th Character & Placeholder Certain ICD 10 CM categories have applicable 7th characters, but none of these are associated with the top hospice diagnoses The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct The 7th character must always be the 7th character in the data field If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters ICD 10 CM Official Guidelines for Coding and Reporting FY 2016 Page 8 of

17 7 th Character Extension Characters in ICD 10 CM encounter specificity These codes are five characters so a valid code requires use of a placeholder in the sixth character location M48.40XA so the A represents an initial encounter 33 Words that Link Conditions Throughout the code set there are occasions where a relationship between two conditions needs to be established so a combination code can be reported Some times the relationship is loose where the conditions coexist The term with is sufficient to support this type of relationship Sometimes the relationship must demonstrate causeand effect where one condition lead to another condition The phrase due to or similar phrasing is necessary 34 17

18 Combination Codes A combination code is a single code used to classify: Two diagnoses Usually the word with is sufficient to support use of these types of combination codes A diagnosis with an associated secondary process (manifestation) Sometimes the word with will be sufficient and other times a cause and effect relationship will be required The alphabetic index alphabetic index can clarify what type of association is required A diagnosis with an associated complication A cause and effect relationship is required in or due to ICD 10 CM Official Guidelines for Coding and Reporting FY 2016 Page 14 of Combination Codes Including a Symptom The alphabetic index has the following options with hepatitis: The alphabetic index includes the term with ascites 36 18

19 Late Effects Coding Guidelines A late effect is the residual effect (condition produced) after the acute phase of an illness or injury has terminated most often associated with a CVA/stroke There is no time limit when a late effect code can be used The residual may be apparent early, such as in cerebrovascular accident cases The residual effect may occur months or years later, such as that due to a previous injury The key is provider documentation linking the residual effect to its cause with as much specificity as possible in terms of the initial event for proper code assignment ICD 10 CM Official Guidelines for Coding and Reporting FY 2016 Page 14 of Sequela (Late Effects) Coding of sequela generally requires two codes sequenced in the following order: The condition or nature of the sequela is sequenced first The sequela code is sequenced second The code for the acute phase of an illness or injury that led to the sequela is never used with a code for the late effect For the guidelines specific to cerebrovascular disease, see Section I.C.9. Sequelae of cerebrovascular disease ICD 10 CM Official Guidelines for Coding and Reporting FY 2016 Page 14 of

20 Late Effects of Cerebrovascular Disease Coding Guidelines Category I69 is used to indicate conditions classifiable to categories I60 I67 = acute cerebrovascular disease as the causes of sequelae (neurologic deficits) themselves classified elsewhere These late effects include neurologic deficits that persist after initial onset of cerebrovascular disease These deficits may be present from the onset or may arise at any time after the onset of the cerebrovascular condition ICD 10 CM Official Guidelines for Coding and Reporting FY 2016 Page 42 of Sequela of Cerebrovascular Disease Require provider documentation to link 40 20

21 Top Hospice Diagnoses: LHIMA Alzheimer s Disease/dementia/senile degeneration of the brain Cancers Coronary artery disease (CAD) Cardiomyopathy Cirrhosis of the liver/liver failure Chronic pulmonary heart disease Chronic obstructive pulmonary disease (COPD) End stage renal disease (ESRD) Acute pericarditis Heart failure Heart disease, unspecified Malnutrition Stroke/hemiplegia/unspecified late effects Parkinson s Disease/essential and other specified form of tremor Medicare Hospice Data Trends: The frequency of some hospice terminal diagnoses has changed over time Relatively fewer cancer patients as a percentage of total hospice patients Percentage of all Medicare hospice patients with a terminal diagnosis of cancer dropped from 52.8% in 1998 to 31.1% in 2008 Lung cancer has been recognized as the most common diagnosis among Medicare hospice patients every year since 1998 The percentage of Medicare hospice patients with lung cancer dropped from 16% in 1998 to 9% in 2008 Medicare_Hospice_Data_Top_20_2008.pdf 21

22 Medicare Hospice Data Trends: The frequency of some hospice terminal diagnoses has changed over time In 2006 non Alzheimer s dementia became the most common diagnosis among Medicare hospice patients A notable increase in the number of neurologically based diagnoses Increase in non specific diagnoses such as Debility, Not Otherwise Specified, and Adult Failure to Thrive Non cancer diagnoses are associated with a longer LOS as the national average LOS has increased by 48% between 1998 and 2008 Medicare_Hospice_Data_Top_20_2008.pdf Hospice Guidelines Although non specific diagnoses were growing in frequency, they have since been addressed by the Medicare Claims Processing Manual As of the 11/2014 version Hospices may not report the following conditions as principal hospice diagnoses on the hospice claim: Debility Failure to thrive Dementia codes classified as unspecified Medicare Claims Processing Manual Chapter 11: Processing Hospice Claims 22

23 Summary The next presentation will address documentation requirements specific to those diagnoses common to the respondents of the LHIMA survey based on scenarios, if provided. Thank You Questions??? 23

DIAGNOSIS CODING ESSENTIALS FOR LONG-TERM CARE:

DIAGNOSIS CODING ESSENTIALS FOR LONG-TERM CARE: DIAGNOSIS CODING ESSENTIALS FOR LONG-TERM CARE: THE BASICS Preferred Clinical Services for Leading Age Florida August 26-27, 2015 WHAT IS ICD-10-CM? International Classification of Diseases, 10 th Revision,

More information

ICD-10-CM - Session 2. Cardiovascular Conditions, Neoplasms and Diabetes

ICD-10-CM - Session 2. Cardiovascular Conditions, Neoplasms and Diabetes ICD-10-CM - Session 2 Cardiovascular Conditions, Neoplasms and Diabetes Agenda General coding guidelines Acute myocardial infarction Hypertension Cerebrovascular accidents and sequelae Neoplasm and history

More information

Optum360 Learning: Detailed Instruction for Appropriate ICD-10-CM Coding

Optum360 Learning: Detailed Instruction for Appropriate ICD-10-CM Coding Optum360 Learning: Detailed Instruction for Appropriate Coding An educational guide to the structure, conventions, and guidelines of coding 2017 Contents Section 1: Introduction...1 Documentation...7 Documentation

More information

ICD-10-CM Official Guidelines for Coding and Reporting 2011 Page 2 of 111

ICD-10-CM Official Guidelines for Coding and Reporting 2011 Page 2 of 111 Narrative changes appear in bold text Items underlined have been moved within the guidelines since the 2010 version Italics are used to indicate revisions to heading changes The Centers for Medicare and

More information

ICD-10-CM Official Guidelines for Coding and Reporting 2014

ICD-10-CM Official Guidelines for Coding and Reporting 2014 Appendix VII ICD-10-CM Official Guidelines for Coding and Reporting 2014 Narrative changes appear in bold text Items underlined have been moved within the guidelines since the 2013 version Italics are

More information

ICD-10-CM Official Guidelines for Coding and Reporting 2016

ICD-10-CM Official Guidelines for Coding and Reporting 2016 ICD-10-CM Official Guidelines for Coding and Reporting 2016 Narrative changes appear in bold text. Items underlined have been moved within the guidelines since the 2014 version. Italics are used to indicate

More information

OVERVIEW. Comparing ICD-9-CM and ICD-10-CM. Addendum: Transition to ICD-10. Structure of ICD-9-CM. Overview

OVERVIEW. Comparing ICD-9-CM and ICD-10-CM. Addendum: Transition to ICD-10. Structure of ICD-9-CM. Overview : Transition to ICD-10 ADDENDUM Transition to ICD-10 OVERVIEW On October 1, 2015, the U.S. health care system transitioned to the International Classification of Diseases, 10th Revision (ICD-10). This

More information

o an alphabetical list of terms and corresponding code Tabular List

o an alphabetical list of terms and corresponding code Tabular List ICD-10 Coding Guidelines Coding Guidelines Conventions General Guidelines Eye Chapter Specific 18 total 18 total 1 total Coding Guidelines 1. The Alphabetic Index and Tabular List Conventions for ICD-10-CM

More information

ICD-10-CM For Long-Term Care

ICD-10-CM For Long-Term Care ICD-10-CM For Long-Term Care June 2015 Karen L. Fabrizio, MBA RHIA CHTS-CP CPRA AHIMA Approved ICD-10-CM Trainer Objectives Review code structure; Review format of ICD-10-CM Volumes 1 and 2 Review coding

More information

ICD- 10- CM General Coding Guidelines and Mapping

ICD- 10- CM General Coding Guidelines and Mapping PECAA Professional Eye Care Associates of America ICD- 10- CM General Coding Guidelines and Mapping Introduction The International Classification of Diseases, 10 th revision, Clinical Modifications (ICD-

More information

ICD-10-CM Official Guidelines

ICD-10-CM Official Guidelines FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 ICD-10-CM Official Guidelines for Coding and Reporting FY2018 *Note: These FY2018 guidelines are the most

More information

Appropriate Use of 7 th Character in ICD 10 CM

Appropriate Use of 7 th Character in ICD 10 CM Appropriate Use of 7 th Character in ICD 10 CM Jameel Ahmed RHIA,CCS Corporate, Group HIM Manager SEHA - Abu Dhabi Health Services Co SEHA: Abu Dhabi Healthservices 18,000 Employees 12 Hospitals 57 Ambulatory

More information

Navigating the Challenges of Hospice Coding. Coding has never been so important for the hospice industry.

Navigating the Challenges of Hospice Coding. Coding has never been so important for the hospice industry. Navigating the Challenges of Hospice Coding Coding has never been so important for the hospice industry. Presentation team: Dawn B. Cheek RN, BSN Clinical Consulting Manager, McBee Associates, Inc. Elizabeth

More information

ICD-10-CM. International Classification of Diseases, 10th Revision, Clinical Modification

ICD-10-CM. International Classification of Diseases, 10th Revision, Clinical Modification ICD-10-CM International Classification of Diseases, 10th Revision, Clinical Modification ICD-10 stands for the International Statistical Classification of Diseases and Related Health Problems, 10 th revision

More information

ICD-10-CM Recertification Prep: Proper Prepping Isn t as Bad as You Think

ICD-10-CM Recertification Prep: Proper Prepping Isn t as Bad as You Think ICD-10-CM Recertification Prep: Proper Prepping Isn t as Bad as You Think Julie Orton Van, CPC, CPC-P, CEMC Product Manager Coding Solutions 2015 AAPC HEALTHCON, Las Vegas NV Publisher s Notice: Although

More information

4. ICD-10-PCS is used to code and classify data from hospital inpatient records only. a. diagnosis

4. ICD-10-PCS is used to code and classify data from hospital inpatient records only. a. diagnosis 1. The International Classification of Diseases (ICD) is published by the World Health Organization (WHO) and is used to classify data from death certificates. a. disease b. morbidity c. mortality d. procedure

More information

ASSIGNMENT 5-1 REVIEW QUESTIONS

ASSIGNMENT 5-1 REVIEW QUESTIONS ASSIGNMENT 5-1 REVIEW QUESTIONS Part I Fill in the Blank on ICD-9-CM 1. primary, principal 2. Systematized Nomenclature of Human and Veterinary Medicine (SNOMED) International. 3. International Classification

More information

ICD-10-CM Foundation Training

ICD-10-CM Foundation Training ICD-10-CM Foundation Training 1 Objectives What is ICD-10? Benefits of ICD-10 ICD-10 Impacts Important Facts about ICD-10 Where to Get More Information Codebook Structure Conventions Overview Code Structure

More information

ICD-10-CM Official Guidelines for Coding and Reporting FY 2019 (October 1, September 30, 2019)

ICD-10-CM Official Guidelines for Coding and Reporting FY 2019 (October 1, September 30, 2019) (October 1, 2018 - September 30, 2019) Narrative changes appear in bold text Items underlined have been moved within the guidelines since the FY 2018 version Italics are used to indicate revisions to heading

More information

A chapter by chapter look at the ICD-10-CM code set Coding Tip Sheet

A chapter by chapter look at the ICD-10-CM code set Coding Tip Sheet Coding Tip Sheet Chapter 1 - Certain Infectious and Parasitic Diseases Terminology changes: The term Sepsis (ICD-10-CM) has replaced the term Septicemia (ICD-9-CM) Urosepsis is a nonspecific term and is

More information

ICD-10-CM Countdown: Are You Ready?

ICD-10-CM Countdown: Are You Ready? ICD-10-CM Countdown: Are You Ready? Prevalence of conditions Number of codes be converted Number of new patients per month Number of bills sent each month Scope of the Implementation ICD-10-CM Official

More information

About Your Faculty. National Alliance of Medical Auditing Specialists (NAMAS) ICD-10-CM CM Introduction. Take a Deep Breath!

About Your Faculty. National Alliance of Medical Auditing Specialists (NAMAS) ICD-10-CM CM Introduction. Take a Deep Breath! National Alliance of Medical Auditing Specialists (NAMAS) ICD-10-CM CM Introduction Presented by: John Burns, CPC, CPMA, CPC-I, CEMC Approved NAMAS Instructor ICD-10 Ambassador & AHIMA Approved ICD-10

More information

Tracking of disease processes Classification of causes of mortality Medical research Evaluation of hospital service utilization

Tracking of disease processes Classification of causes of mortality Medical research Evaluation of hospital service utilization 1 2 Learning Objectives Explain the reasons and importance of coding diagnoses. Describe the importance of matching the correct diagnostic code to the appropriate procedural code. Differentiate between

More information

ICD-9-CM Official Guidelines for Coding and Reporting

ICD-9-CM Official Guidelines for Coding and Reporting Narrative changes appear in bold text Items underlined have been moved within the guidelines since April 2005 The guidelines include the updated V Code Table The Centers for Medicare and Medicaid Services

More information

ICD-9-CM Official Guidelines for Coding and Reporting

ICD-9-CM Official Guidelines for Coding and Reporting Narrative changes appear in bold text Items underlined have been moved within the guidelines since November 15, 2006 The guidelines include the updated V Code Table The Centers for Medicare and Medicaid

More information

Top 10 ICD-10 Coding Errors (and how to fix them!) Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus

Top 10 ICD-10 Coding Errors (and how to fix them!) Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus (and how to fix them!) Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus Top 10 ICD-10 Coding Errors (and how to fix them!) Top 10 Primary Diagnoses In ICD-10 ICD-10 Codes

More information

ICD What Are You Waiting For? Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus Software

ICD What Are You Waiting For? Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus Software ICD-10... What Are You Waiting For? Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus Software ICD-10... What Are You Waiting For? What is it? International classification

More information

ICD 10 CM Coding and Documentation

ICD 10 CM Coding and Documentation ICD 10 CM Coding and Documentation Adult Day Health Care Council Karen L. Fabrizio, RHIA, CHTS CP, CPRA April 10, 2014 Presented by: Karen Fabrizio, RHIA CHTS CP CPRA is an AHIMA Approved ICD 10 CM/PCS

More information

ICD-10. An Introduction

ICD-10. An Introduction ICD-10 An Introduction ICD-10 Worldwide Other countries have been using ICD-10 for many years. Coding professionals there were better prepared with: Human Anatomy and Physiology Understanding of disease

More information

3/20/2017. CONNECTING THE LATEST GUIDANCE FY2017 FOR ICD-10 MATTERS Kyla D. Harrison, RN, BSN, HCS-D, COS-C Visiting Nurse Association of Kansas City

3/20/2017. CONNECTING THE LATEST GUIDANCE FY2017 FOR ICD-10 MATTERS Kyla D. Harrison, RN, BSN, HCS-D, COS-C Visiting Nurse Association of Kansas City CONNECTING THE LATEST GUIDANCE FY2017 FOR ICD-10 MATTERS Kyla D. Harrison, RN, BSN, HCS-D, COS-C Visiting Nurse Association of Kansas City Coding needs met in many different ways: 1. Fulltime Coders HCS-D

More information

FY 2017 ICD-10-CM Code Updates

FY 2017 ICD-10-CM Code Updates FY 2017 ICD-10-CM Code Updates Webinar I Presented by: Melanie Endicott, MBA/HCM, RHIA, CHDA, CDIP, CCS, CCS-P, FAHIMA AHIMA- Approved ICD-10-CM/PCS Trainer Senior Director, HIM Practice Excellence, AHIMA

More information

ICD-9-CM Official Guidelines for Coding and Reporting Effective October 1, 2010 Page 2 of 105

ICD-9-CM Official Guidelines for Coding and Reporting Effective October 1, 2010 Page 2 of 105 Narrative changes appear in bold text Items underlined have been moved within the guidelines since October 1, 2009 The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health

More information

Copyright 2011 South Carolina Health Information Management Association. All rights reserved.

Copyright 2011 South Carolina Health Information Management Association. All rights reserved. 1. The Alphabetic Index and Tabular List The ICD-10-CM is divided into the Alphabetic Index, an alphabetical list of terms and their corresponding code -the Alphabetic Index consists of the following parts:

More information

Official Coding Guidelines

Official Coding Guidelines ICD-9-CM Official Guidelines for Coding and Reporting Effective October 1, 2008 The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments

More information

ICD-10-CM 101 9/19/2016

ICD-10-CM 101 9/19/2016 Presented by Cathy Jennings, BS, CPC, CPC-I, CEDC, CHONC AHIMA Approved ICD-10-CM/PCS Trainer Managing Consultant October 5, 2016 Disclaimer The speaker has no financial relationship to any products or

More information

ICD-10-CM Coding Conventions & Guidelines

ICD-10-CM Coding Conventions & Guidelines ICD-10-CM Coding Conventions & Guidelines Presenter: Gail Harrington, RHIT, CCS, CIRCC AVP, Coding Compliance RegionalCare Hospital Partners 2011 ICD-10-CM is available at http://www.cdc.gov/nchs/icd/icd10cm.htm

More information

Neoplasms/Lymphoma/Leukemia

Neoplasms/Lymphoma/Leukemia Neoplasms/Lymphoma/Leukemia Session Guidelines This is a 15 minute webinar session for CNC physicians and staff CNC holds webinars monthly to address topics related to risk adjustment documentation and

More information

Special Thanks. What is ICD-10-CM? CDQ Education Department. Coding on the River Executive Committee. Seth Canterbury Stacey Dingman Wanda Brown

Special Thanks. What is ICD-10-CM? CDQ Education Department. Coding on the River Executive Committee. Seth Canterbury Stacey Dingman Wanda Brown Special Thanks CDQ Education Department Seth Canterbury Stacey Dingman Wanda Brown Coding on the River Executive Committee Virginia Outlaw What is ICD-10-CM? Clinical modification of the WHO s ICD-10 morbidity/mortality

More information

Chapter 2 Neoplasms C00-D49 November 11, Chapter 2: Neoplasms Category: C00-D49 Official Coding Guidelines: Section 1.C.2, p.

Chapter 2 Neoplasms C00-D49 November 11, Chapter 2: Neoplasms Category: C00-D49 Official Coding Guidelines: Section 1.C.2, p. Chapter 2: Neoplasms Category: C00-D49 Official Coding Guidelines: Section 1.C.2, p. 22 1 C00 C75 Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphoid, hematopoietic

More information

ICD-10-CM: The Sage Continues

ICD-10-CM: The Sage Continues ICD-10-CM: The Sage Continues UHIMA Kathy DeVault, MSL, RHIA, CCS, CCS-P, FAHIMA UASI Kathy.devault@uasisolutions.com Objectives Review quality documentation Discuss use of unspecified codes Discuss opportunities

More information

CENTRAL TEXAS COLLEGE SYLLABUS FOR HITT 1341 CODING AND CLASSIFICATION SYSTEMS. Semester Hours Credit: 3

CENTRAL TEXAS COLLEGE SYLLABUS FOR HITT 1341 CODING AND CLASSIFICATION SYSTEMS. Semester Hours Credit: 3 I. INTRODUCTION CENTRAL TEXAS COLLEGE SYLLABUS FOR HITT 1341 CODING AND CLASSIFICATION SYSTEMS INSTRUCTOR: Semester Hours Credit: 3 OFFICE HOURS: A. Fundamentals of coding rules, conventions, and guidelines

More information

FY 2017 ICD-10-CM Guideline Updates. Melanie Endicott, MBA/HCM, RHIA, CHDA, CDIP, CCS, CCS-P, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer

FY 2017 ICD-10-CM Guideline Updates. Melanie Endicott, MBA/HCM, RHIA, CHDA, CDIP, CCS, CCS-P, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer FY 2017 ICD-10-CM Guideline Updates Melanie Endicott, MBA/HCM, RHIA, CHDA, CDIP, CCS, CCS-P, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer How to Review Guideline Changes 1. Download the FY 2017 ICD-10-CM

More information

Transitioning to ICD-10-CM: General Coding Guidelines & Mapping

Transitioning to ICD-10-CM: General Coding Guidelines & Mapping Transitioning to ICD-10-CM: General Coding Guidelines & Mapping 2 Introduction 1975 - International Classification of Diseases, 9th revision was originated 1979 - The United States began using ICD-9 1990

More information

presented by the APMA Coding Committee LIVE: January 9, pm ET

presented by the APMA Coding Committee LIVE: January 9, pm ET Welcome to the APMA ICD-10 is Here Webinar Series presented by the APMA Coding Committee LIVE: January 9, 2014 8pm ET 1 Tonight s Webinar: ICD-10-CM Timelines / Rules / Basics 2 Welcome to the APMA ICD-10-CM

More information

Classification of Neoplasms

Classification of Neoplasms Classification of Neoplasms ICD-10 Chapter 2, Neoplasms Codes C00-D48 Notes at beginning of Chapter 2 Classified by behaviour and site Correct use of Alphabetic index required Main terms Modifiers Table

More information

3/14/2012. the Tabular List, a chronological list of codes divided into chapters based on body system or condition.

3/14/2012. the Tabular List, a chronological list of codes divided into chapters based on body system or condition. the Tabular List, a chronological list of codes divided into chapters based on body system or condition. 1. The Alphabetic Index and Tabular List The ICD-10-CM is divided into the Alphabetic Index, an

More information

This proposal represents a significant improvement over the previous version.

This proposal represents a significant improvement over the previous version. May 9, 2018 VIA ELECTRONIC MAIL Donna Pickett, MPH, RHIA ICD-10 Coordination and Maintenance Committee National Center for Health Statistics 3311 Toledo Road Hyattsville, Maryland 20782 Dear Ms. Pickett:

More information

Disclosures. Conventions vs. Guidelines. Guidelines. ICD-10 Conventions, Guidelines, Pointers and Pitfalls

Disclosures. Conventions vs. Guidelines. Guidelines. ICD-10 Conventions, Guidelines, Pointers and Pitfalls Disclosures ICD-10 Conventions, Guidelines, Pointers and Pitfalls Everything here is strictly my opinion only and does not reflect the opinion of my employer nor of ASOA. Tamim Qaum MD, CPE, COE, CASC,

More information

ICD-10 RSPMI Provider Education April 16, Cathy Munn MPH RHIA CPHQ Sr. Consultant

ICD-10 RSPMI Provider Education April 16, Cathy Munn MPH RHIA CPHQ Sr. Consultant ICD-10 RSPMI Provider Education April 16, 2014 Cathy Munn MPH RHIA CPHQ Sr. Consultant Agenda Status of ICD-10 Transition Who, What, Where, When & Why Industry Update Impact of the Change Providers Payers

More information

University of Bristol - Explore Bristol Research

University of Bristol - Explore Bristol Research Hunt, L., Ben-Shlomo, Y., Whitehouse, M., Porter, M., & Blom, A. (2017). The Main Cause of Death Following Primary Total Hip and Knee Replacement for Osteoarthritis: A Cohort Study of 26,766 Deaths Following

More information

WSMA WSMOS Preparing for ICD-10

WSMA WSMOS Preparing for ICD-10 WSMA WSMOS Preparing for ICD-10 Michelle M. Lott, CPC, CPMA Health Insurance Coding Specialist, WSMA Bob Perna, MBA, FACMPE Senior Director, WSMA Practice Resource Center Phone: 206.441.9762 800.552.0612

More information

HP Enterprise Services International Classification of Diseases, 10th Edition (ICD-10) Presentation

HP Enterprise Services International Classification of Diseases, 10th Edition (ICD-10) Presentation HP Enterprise Services International Classification of Diseases, 10th Edition (ICD-10) Presentation Presenter: (HP Enterprise Services) 09/2012 2012 Hewlett-Packard Development Company, L.P. The information

More information

Icd-10 code for metastatic small cell cancer

Icd-10 code for metastatic small cell cancer P ford residence southampton, ny Icd-10 code for metastatic small cell cancer A term for diseases in which abnormal cells divide without control and can invade nearby tissues. Malignant cells can also

More information

Course Outline Introduction to ICD-10 Coding Course

Course Outline Introduction to ICD-10 Coding Course Course Outline Introduction to ICD-10 Coding Course Module 1 An Introduction to Clinical Coding History and Background of the International Classification of Diseases and Related Health Problems Features

More information

Integrating ICD-10s in SmarTrack

Integrating ICD-10s in SmarTrack Paul Russell BSN, RN Midas+ Solutions Educator Objectives Discuss change from ICD-9 to ICD-10 Define Indicator using ICD-10 Create a Worklist using ICD-10 2 2016 Midas+ Symposium May 23-25 Tucson, AZ 1

More information

ICD-10 THE BASICS. Agenda 8/3/2015

ICD-10 THE BASICS. Agenda 8/3/2015 ICD-10 THE BASICS All Rights Reserved Agenda Intro ICD-9 vs. ICD-10 ICD Basics (9 & 10) Understanding ICD 10: the book Assigning a code Interesting nomenclature Coding Tips Examples Summary 1 ICD-9 vs.

More information

Introduction to ICD-9 Code Selection. Laura Sullivan, CPC Coordinator Corporate Compliance Auditing & Education Summer 2010

Introduction to ICD-9 Code Selection. Laura Sullivan, CPC Coordinator Corporate Compliance Auditing & Education Summer 2010 Introduction to ICD-9 Code Selection Laura Sullivan, CPC Coordinator Corporate Compliance Auditing & Education Summer 2010 1 Legal Stuff The information provided here is personal opinion only and should

More information

Updates and Clarifications to the Hospice Policy Chapter of the Benefit Policy Manual. Compliance for Hospice Providers Revised September 2014

Updates and Clarifications to the Hospice Policy Chapter of the Benefit Policy Manual. Compliance for Hospice Providers Revised September 2014 Compliance Update National Hospice and Palliative Care Organization Regulatory & Compliance www.nhpco.org/regulatory Updates and Clarifications to the Hospice Policy Chapter of the Benefit Policy Manual

More information

COUNTDOWN TO ICD-10. Transitioning from ICD-9 to ICD-10 4/6/2015. April 7, Suzy Harvey, RN Managing Consultant

COUNTDOWN TO ICD-10. Transitioning from ICD-9 to ICD-10 4/6/2015. April 7, Suzy Harvey, RN Managing Consultant COUNTDOWN TO ICD-10 Transitioning from ICD-9 to ICD-10 April 7, 2015 Suzy Harvey, RN Managing Consultant sharvey@bkd.com Deborah Lake, RN Senior Managing Consultant ddlake@bkd.com 1 TO RECEIVE CPE CREDIT

More information

Agenda. ICD-10 CM ICD-10 PCS Prior Auth Guidelines Claims Processing

Agenda. ICD-10 CM ICD-10 PCS Prior Auth Guidelines Claims Processing ICD-10 OVERVIEW Agenda ICD-10 CM ICD-10 PCS Prior Auth Guidelines Claims Processing ICD 10 goes live All HIPAA-covered entities, including health plans, clearinghouses, and healthcare providers must adopt

More information

"ICD-10 For Clinical Staff" February 21, 2014 by Paula Digby, CPC, CCS, CPCI, AHIMA Approved ICD-10-CM/PCS Instructor. Disclaimer

ICD-10 For Clinical Staff February 21, 2014 by Paula Digby, CPC, CCS, CPCI, AHIMA Approved ICD-10-CM/PCS Instructor. Disclaimer Slide 1 1 Slide 2 Disclaimer The information contained in this presentation is provided to assist the attendee in understanding the reimbursement process. It is intended to assist healthcare providers

More information

Welcome to Navigating ICD-10

Welcome to Navigating ICD-10 A nonprofit independent licensee of the Blue Cross Blue Shield Association Welcome to Navigating ICD-10 This presentation provides general background information and resources to help your office or facility

More information

ICD-10 Back Up The Truck. Andrea Romero, RHIT, CCS, CPC NMHIMA Leadership Conference April 10, 2014

ICD-10 Back Up The Truck. Andrea Romero, RHIT, CCS, CPC NMHIMA Leadership Conference April 10, 2014 ICD-10 Back Up The Truck Andrea Romero, RHIT, CCS, CPC NMHIMA Leadership Conference April 10, 2014 ICD-10 IS DELAYED AGAIN Classification Structure ICD-9-CM Infectious and Parasitic Diseases (001 139)

More information

Coding For Dementia & Other Unspecified Conditions

Coding For Dementia & Other Unspecified Conditions Coding For Dementia & Other Unspecified Conditions Judy Adams, RN, BSN, HCS-D, HCS-O AHIMA Approved ICD-10-CM Trainer Transmittal 3022 CMS released Transmittal 3022, Hospice Manual Update for Diagnosis

More information

PAHCS CEUniversity ICD-10-CM 2015

PAHCS CEUniversity ICD-10-CM 2015 PAHCS CEUniversity ICD-10-CM 2015 THIS PACKET CAN ONLY BE USED 1 TIME FOR CEU You will receive.5 ceu for each 5 correct answers If you achieve 3.5 ceu s you will also be considered ICD-10 proficient ICD-10-CM

More information

ICD-10-CM: What Does Your Coder Really Need To Know Part I. Your Speaker A SHORT HISTORY LESSON

ICD-10-CM: What Does Your Coder Really Need To Know Part I. Your Speaker A SHORT HISTORY LESSON ICD-10-CM: What Does Your Coder Really Need To Know Part I IAHHC 2014 ANNUAL COFERENCE Wednesday, May 7, 2014 1:00 p.m.-2:30 p.m. Copyright 2014 FR&R Healthcare Consulting Inc. 1 Your Speaker Bonny Kohr,

More information

Medicare Update or Planning for ICD-10. Maureen Brooks February 20, 2014

Medicare Update or Planning for ICD-10. Maureen Brooks February 20, 2014 Medicare Update or Planning for ICD-10 Maureen Brooks February 20, 2014 Partial Code Freeze October 1, 2013 a partial update to include new technology and new diseases published October 1, 2014 no update

More information

ICD-10-CM Coding and Documentation for Long Term Care

ICD-10-CM Coding and Documentation for Long Term Care ICD-10-CM Coding and Documentation for Long Term Care June 3, 2014 Chris Hoskins, MA, RHIA, CTR, CHC Karen Fabrizio, RHIA CHTS-CP AHIMA Approved ICD-10-CM/PCS Trainers Objectives Review 2014 Coding Guidelines

More information

Meet the Presenter. Welcome to PMI s Webinar Presentation. ICD-10-CM Code Updates - Effective October 1. On the topic:

Meet the Presenter. Welcome to PMI s Webinar Presentation. ICD-10-CM Code Updates - Effective October 1. On the topic: Welcome to PMI s Webinar Presentation Brought to you by: Practice Management Institute pmimd.com Meet the Presenter On the topic: Tom Stevens, CMC, CMIS, CMOM, CCS-P, CPC ICD-10-CM Code Updates - Effective

More information

ICD-10 Physician Education. General Surgery

ICD-10 Physician Education. General Surgery ICD-10 Physician Education General Surgery 1 Training Objectives ICD-9 to ICD-10 Comparison Documentation Tips Additional Educational Opportunities Questions 2 ICD-9 to ICD-10 Comparison Code Structure

More information

Making ICD-10 Have a Place in Your Audit

Making ICD-10 Have a Place in Your Audit Making ICD-10 Have a Place in Your Audit Presented by Evan M. Gwilliam, DC MBA BS CPC CCPC NCICS CCCPC CPC-I MCS-P CPMA Chief Product Officer New Auditing Challenges Auditors can no longer identify common

More information

Icd 10 code for breast cancer stage 2

Icd 10 code for breast cancer stage 2 Icd 10 code for breast cancer stage 2 The Borg System is 100 % Icd 10 code for breast cancer stage 2 Approximate Synonyms. Angiosarcoma of bilateral female breasts; Angiosarcoma of left female breast;

More information

ICD-9-CM Volumes 1 and 2 Diagnosis Coding for Outpatient Facilities. Chapter 4. Chapter Outline

ICD-9-CM Volumes 1 and 2 Diagnosis Coding for Outpatient Facilities. Chapter 4. Chapter Outline ICD-9-CM Volumes 1 and 2 Diagnosis Coding for Outpatient Facilities Chapter 4 1 Introduce students to Chapter Outline 1. Medical terms associated with ICD-9-CM coding 2. Format of ICD-9-CM code book 3.

More information

ICD-10 Physician Education. Palliative Care SIP

ICD-10 Physician Education. Palliative Care SIP ICD-10 Physician Education Palliative Care SIP 1 Training Objectives ICD-9 to ICD-10 Comparison Documentation Tips Additional Educational Opportunities Questions 2 ICD-9 to ICD-10 Comparison Code Structure

More information

Chapter 10: Diseases of the Respiratory System J 00-J99

Chapter 10: Diseases of the Respiratory System J 00-J99 Chapter 10: Diseases of the Respiratory J 00-J99 J00 J06 Acute upper respiratory infections J10 J18 Influenza and pneumonia J20 J22 Other acute lower respiratory infections J30 J39 Other diseases of upper

More information

New Codes. Diagnosis Description

New Codes. Diagnosis Description Diagnosis Code Description New Codes 259.5 Androgen insensitivity syndrome 276.50 Volume depletion, unspecified 276.51 Dehydration 276.52 Hypovolemia 278.02 Overweight 287.30 Primary thrombocytopenia,

More information

Learning Objectives. Guidance Hierarchy. AHA Coding Clinic Update

Learning Objectives. Guidance Hierarchy. AHA Coding Clinic Update 1 AHA Coding Clinic Update Nelly Leon Chisen, RHIA Director, Coding and Classification Executive Editor, Coding Clinic American Hospital Association Chicago, IL Learning Objectives At the completion of

More information

ICD-9 to ICD-10 Crosswalk Adult Codes

ICD-9 to ICD-10 Crosswalk Adult Codes ICD- to ICD- Crosswalk Adult Codes On October 1, 2015, the Centers for Medicare & Medicaid Services (CMS) transitioned to the new International Classification of Diseases, th Revision System (ICD-), which

More information

WELCOME to a PMI WEBINAR PRESENTATION

WELCOME to a PMI WEBINAR PRESENTATION WELCOME to a PMI WEBINAR PRESENTATION PMI presents: Nancy Maguire on the topic: Primary Care and ICD-10-CM Diagnosis Coding Welcome to Practice Management Institute s Webinar and Audio Conference Training.

More information

ICD-10-CM Are you Prepared? Disclaimers for Presentation. Disclaimers for Presentation 5/13/2014. What is ICD-10-CM/PCS

ICD-10-CM Are you Prepared? Disclaimers for Presentation. Disclaimers for Presentation 5/13/2014. What is ICD-10-CM/PCS AOA Third Party Center Coding Experts Are you Prepared? Rebecca H. Wartman O.D. Optometry s Meeting 2014 With contributions from Doug Morrow O.D. & Harvey Richman O.D. Rebecca H. Wartman, O.D Douglas C.

More information

Cerebrovascular accident icd 10

Cerebrovascular accident icd 10 Cerebrovascular accident icd 10 Search 1-10-2017 Free, official coding info for 2018 ICD - 10 -CM I69.398 - includes detailed rules, notes, synonyms, ICD -9-CM conversion, index and annotation crosswalks,

More information

Icd 10 code pancreatic cancer

Icd 10 code pancreatic cancer Free, official coding info for 2018 ICD - 10 -CM C25.9 - includes detailed rules, notes, synonyms, ICD -9-CM conversion, index and annotation crosswalks, DRG grouping and. Free, official coding info for

More information

This Material is Copyright Protected

This Material is Copyright Protected Proper Utilization of ICD-10 Codes in the Chiropractic Office Mario Fucinari DC, CCSP, APMP, MCS-P, CPCO Certified Professional Compliance Officer (CPCO) Certified Medical Compliance Specialist (MCS-P)

More information

2018 Diagnosis Coding Fact Sheet

2018 Diagnosis Coding Fact Sheet The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Cordis Corporation concerning levels of reimbursement, payment,

More information

ICD-9-CMCoding I Common Course Outline

ICD-9-CMCoding I Common Course Outline ICD-9-CMCoding I Common Course Outline Course Information Organization South Central College Revision History 2008-2009 Course Number HC 1920 Department Health Careers Total Credits 3 Description This

More information

Using 3-Digit ICD-9-CM Codes with the Elixhauser Comorbidity Index

Using 3-Digit ICD-9-CM Codes with the Elixhauser Comorbidity Index Congestive Heart Failure 398.91 Rheumatic heart failure (congestive) 398 Other rheumatic heart disease 402.01, 402.11, 402.91 402 Hypertensive heart disease 404.01, 404.03, 404.11, 404.13, 404.91, 404.93

More information

ICD-10 Diagnosis Coding for Patient-Driven Payment Model

ICD-10 Diagnosis Coding for Patient-Driven Payment Model ICD-10 Diagnosis Coding for Patient-Driven Payment Model Maureen McCarthy, BS, RN, RAC-MT, QCP-MT, DNS-MT, RAC-MTA President/CEO Celtic Consulting www.celticconsulting.org 1 Maureen McCarthy, RN, BS, RAC-MT,

More information

THE SCIENCE OF DIAGNOSTIC CODING PART 2

THE SCIENCE OF DIAGNOSTIC CODING PART 2 THE SCIENCE OF DIAGNOSTIC CODING PART 2 Judy Adams, RN, BSN, HCS-D, HCS-O Adams Home Care Consulting, Inc. Presented for: Hospice Fundamentals June 28, 2013 Objectives: Part 2 of 2 part series Identify

More information

Advanced ICD 9 CM Guidelines Misused or Forgotten. Disclaimer

Advanced ICD 9 CM Guidelines Misused or Forgotten. Disclaimer Advanced ICD 9 CM Guidelines Misused or Forgotten Jill Young, CPC, CEDC, CIMC Young Medical Consulting, LLC East Lansing, MI 1 Disclaimer This material is designed to offer basic information for coding

More information

Meet the Presenter. Welcome to PMI s Webinar Presentation. Understanding the ICD- 10-CM Guidelines. On the topic:

Meet the Presenter. Welcome to PMI s Webinar Presentation. Understanding the ICD- 10-CM Guidelines. On the topic: Welcome to PMI s Webinar Presentation Brought to you by: Practice Management Institute pmimd.com Meet the Presenter On the topic: Understanding the ICD- 10-CM Guidelines Libby Purser, CHI, CMC, CMIS, CMOM,

More information

3. Correct coding practice is to select the code with the greater number of characters available.

3. Correct coding practice is to select the code with the greater number of characters available. Final Exam Part I: Chapters 1 6, Understanding the Fundamentals 1. ICD-10 codes are issued by the World Health Organization (WHO), and updates are published by the Centers for Medicare & Medicaid Services

More information

INDIANA HEALTH COVERAGE PROGRAMS

INDIANA HEALTH COVERAGE PROGRAMS INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Note: Due to possible changes in Indiana Health Coverage Programs (IHCP) policy or national coding updates, inclusion of a code on the code tables

More information

S2 File. Clinical Classifications Software (CCS). The CCS is a

S2 File. Clinical Classifications Software (CCS). The CCS is a S2 File. Clinical Classifications Software (CCS). The CCS is a diagnosis categorization scheme based on the ICD-9-CM that aggregates all diagnosis codes into 262 mutually exclusive, clinically homogeneous

More information

9/27/2011. Improving Revenue Capture: Best Practices in Coding, Documentation and Charge Capture. Educational Breakout Session PRESENTERS

9/27/2011. Improving Revenue Capture: Best Practices in Coding, Documentation and Charge Capture. Educational Breakout Session PRESENTERS Educational Breakout Session Improving Revenue Capture: Best Practices in Coding, Documentation and Charge Capture Becker s ASC Conference, Breakout Session, October 29, 2011 PRESENTERS Yvonda Moore Director

More information

0301 Anemia Others. Endocrine nutritional and metabolic disorders Others Vascular dementia and unspecified dementia

0301 Anemia Others. Endocrine nutritional and metabolic disorders Others Vascular dementia and unspecified dementia Certain infectious and parasitic diseases 0101 Intestinal infectious diseases 0102 Tuberculosis 0103 Infections with a predominantly sexual mode of transmission 0104 Viral infections characterized by skin

More information

FirstCare Health Plans (FirstCare) is on track to be ICD-10 ready by the October 1, 2015 deadline.

FirstCare Health Plans (FirstCare) is on track to be ICD-10 ready by the October 1, 2015 deadline. Overview In July 2014, the U.S. Department of Health & Human Services (HHS) issued a rule finalizing October 1, 2015 as the new compliance date for health care providers, health plans, and health care

More information

Building Blocks of ICD-10-CM. Norma A. Panther, CPC, CPC-I, CIRCC, CEMC, CCS-P, ICDCT- CM, ICDCT-PCS, CHC

Building Blocks of ICD-10-CM. Norma A. Panther, CPC, CPC-I, CIRCC, CEMC, CCS-P, ICDCT- CM, ICDCT-PCS, CHC Building Blocks of ICD-10-CM Norma A. Panther, CPC, CPC-I, CIRCC, CEMC, CCS-P, ICDCT- CM, ICDCT-PCS, CHC Objectives Comparison of ICD-9 & ICD-1Ø 5 digits vs. 7 Alphanumeric New conventions, such as: Excludes

More information

Chapter 10 Respiratory System J00-J99. Presented by: Jesicca Andrews

Chapter 10 Respiratory System J00-J99. Presented by: Jesicca Andrews Chapter 10 Respiratory System J00-J99 Presented by: Jesicca Andrews 1 Respiratory System 2 Respiratory Infections A respiratory infection cannot be assumed from a laboratory report alone; physician concurrence

More information

Validating and Grouping Diagnosis

Validating and Grouping Diagnosis Validating and Grouping Diagnosis DataSci Consulting CMS SAS User Group Conference, 2007 Grouping Grouping Grouping Goals Cover basic concepts about diagnoses and codes Share some examples Provide useful,

More information

Who is Using ICD-10-CM?

Who is Using ICD-10-CM? Conventions and Guidelines You Need to Know Presented by Brenda Edwards, CPC, CPMA, CPB, CPC-I, CEMC, CRC Who is Using ICD-10-CM? 1 Objectives of Presentation Review new conventions and chapter specific

More information