ICD-9-CMCoding I Common Course Outline

Transcription

1 ICD-9-CMCoding I Common Course Outline Course Information Organization South Central College Revision History Course Number HC 1920 Department Health Careers Total Credits 3 Description This course is the first in the introduction of the coding rules and conventions for coding diseases and procedures and in-depth study of ICD-9-CM. This system is used in all health care facilities for diagnosis and in hospitals for coding of procedures. Types of Instruction Instruction Type Contact Hours Credits Lecture 32 2 Lab 32 1 Prerequisites HC 1000 or enrolled; HC 2930 or enrolled Exit Learning Outcomes Core Abilities A. Professionalism B. Critical Thinking Competencies 1. Define medical diagnosis a. Provide examples of medical diagnosis b. Illustrate the coding system application 2. Define medical procedures a. Outline medical procedures encountered in the various health care settings b. Relate the procedure to the process of coding 3. Define what is coding a. Outline the necessity of coding for reimbursement b. Compare coding systems to other non-medical use of numbers 4. Introduce the ICD-9-CM manual

2 a. Illustrate the examples of how the book is to be used and its impact on reimbursement b. Apply the examples for the students to become acquainted with the system 5. Define ICD-9-CM coding conventions a. Illustrate the conventions in the glossary and the coding manual b. Apply the conventions to case problems 6. Define NOS/NEC guidelines a. Outline the NOS/NEC guidelines within the coding system b. Demonstrate through case problems hwo they are utilized 7. Define the appendices in ICD-9-CM a. Illustrate the location in the manual and how they are utilized in the coding b. Apply the learning objective to case problems 8. Define the concepts of main term, subterm, and carry-over line a. Illustrate each concept through examples in the manual b. Allow the student to apply the objective through case examples 9. Define abbreviations, eponyms, and symbols used in ICD-9-CM a. Illustrate each through case problem example b. Define the differences in each volume of ICD-9-CM 10. Describe the three volumes of ICD-9-CM a. Illustrate the three volumes and how they relate to coding and their specificity to the health care facility where care is provided b. Apply through case problems to achieve the objective 11. Define the terms chapter, section, subcategory, subclassification a. Provide the definition if each and relate it to the specific code assignmemt b. Define how it is used each volume of ICD-9-CM 12. Define the concept of coding specificity a. Illustrate each example in ICD-9-CM through case problems b. Apply the concept through student interaction to their own experiences with health care they have received 13. Define coding conventions of exclusion/inclusion notes a. Describe how they effect code assignment b. Demontrate he importance of each through case problem examples 14. Discuss the use of modifiers in ICD-9-CM a. Distinguish between non-essential and essential modifiers b. Illustrate through case problem examples the importance of each 15. Define UHDDS

3 a. Discuss the importance of principal diagnosis, procedure, and additional diagnosis b. Apply the objective through case problem examples 16. Define circumstances of admission as it relates to the principal diagnosis a. Illustrate through case problem examples how it effects the selection of the principal diagnosis b. Differentiate between inpatient and outpatient diagnosis 17. Define the medical record as a source document a. Discuss present on admission indicator b. Define admit diagnosis and complications/co-morbidity 18. Outline the basic coding steps a. Locate the code entry in the alphabetical index b. Verify the code in the tabular list 19. Define mandatory multiple coding and combination coding a. Illustrate the difference between each utilizing case examples b. Define underlying disease and manifestation 20. Describe late effects a. Locate the late effect codes b. Apply the codes to case examples 21. Describe coding of procedures and operations a. Apply the concept to UHDDS b. Demonstrate the coding conventions in volume three of ICD-9-CM 22. Define use of supplementary coding classifications a. Locate V codes and E codes in the volume of ICD-9-CM b. Apply the codes to case examples 23. Describe coding of syptoms, signs, and ill-defined conditions a. Describe signs and symptoms as principal diagnosis b. Apply the concepts to case problems 24. Describe coding of infectious and parasitic disease a. Outline the coding rules for each disease entity b. Apply the concept to case examples 25. Define endocrine and immunlogical disorders a. Outline the coding rules for each body system and apply the rules to coding examples b. Define rules for coding diabetes and complications with dual classification of the underlying disease and manifestations

4 26. Define mental health disorders in coding in ICD-9-CM and DSM a. Outline the coding rules for mental health b. Apply the rules to case problems 27. Discuss coding of blood disorders a. Define blood disorders as it relates to anemia and blood transfusions b. Apply the coding rules through case problem examples 28. Discuss coding of nervous/sense organ disorders and diseases a. Define encounters for pain management and post-operative pain b. Review epilepsy and seizure disorders 29. Describe respiratory coding a. Define combination and dual classification coding of diseases b. Outline principal diagnosis of respiratory failure through case examples 30. Define digestive disorder coding a. Review the digestive bleeding disorders as it relates to the diagnosis b. Discuss coding examples of procedural coding of laparoscopies 31. Describe urinary system coding a. Define the relationship of infections of the genitourinary tract and coding b. Describe chronic kidney disease and coding of hypertension 32. Define coding of diseases of the skin.subcutaneous systems a. Define dermatitis and drug reactions b. Review coding of skin infections and cellulitis 33. Discuss diseases of the muscloskeletal and connective tissue a. Review coding of arthritis, back disorders, and pain b. Discuss coding of pathological versus traumatic fractures 34. Define coding of pregnancy, childbirth, and puerperium a. Discuss characteristics of complications of pregnancy and puerperium b. Apply the objective to case problem examples 35. Define abortion and ectopic pregnancy a. Differentiate between the types of abortion and ectopic/molar pregnancies b. Define complications of abortion/ectopic/molar pregnancies 36. Define congenital anomalies and coding the newborn chart a. Describe the relationship of coding the mother and newborns chart b. Define the concept of relationship of age of patient and anomalies

5 37. Define the coding of perinatal conditions a. Define classification of births b. Describe complications newborns and maternal conditions affecting the fetus/newborn 38. Describe coding of circulatory system disorders a. Differentiate between heart disease and hypertension b. Describe coding of myocardial infarctions and cerebrovascular disorders 39. Define coding of neoplasms a. Describe benign versus malignant neoplasms in ICD-9-CM b. Discuss morphology and histology coding and the appendix for cancer registry 40. Define coding of injuries and burns a. Describe the coding of current and late effects of injuries and burns b. Discuss the use of E codes for injuries and burns 41. Define the coding of poisoning and adverse effects a. Outline the difference of poisoning and adverse effects through case problem examples b. Discuss late effects of poisoning and adverse effects 42. Define the coding of complications of surgery and medical care a. Differentiate between post-operative conditions and post-operative complications b. Discuss status post care following surgery and medical care 43. Discuss ICD-10-CM and ICD-10-PCS a. Outline the objectives for proposed change in coding systems b. Apply the new system proposed changes through work-book examples of case problems