Who is Using ICD-10-CM?
|
|
- Roland Russell
- 6 years ago
- Views:
Transcription
1 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
2 Objectives of Presentation Review new conventions and chapter specific guidelines Conventions Excludes1 Excludes2 Etiology/Manifestation Chapter Specific Guidelines HIV Episode of care (7 th characters) Sepsis Fracture care (7 th characters) Anemia with malignancy External Causes Hypertension with heart failure and/or chronic kidney disease 2
3 Excludes1 Not coded here! Code excluded should never be used at the same time as the code above the Excludes1 note Two conditions cannot occur together Example: H92.2 Otorrhagia Excludes1 traumatic otorrhagia-code to injury Excludes2 Not included here Acceptable to use both the code and the excluded code together, when appropriate Example: An acute exacerbation of a chronic condition J32 Chronic sinusitis Excludes2 acute sinusitis (J01.-) 3
4 Etiology/Manifestations Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology Underlying condition is coded first followed by manifestation use additional code for etiology code first for manifestation in diseases classified elsewhere (never first listed) Example: F02.8-Dementia in other diseases classified elsewhere Code first the underlying physiological condition, such as: Parkinson s disease (G20) 4
5 HIV Code only confirmed cases Confirmation does not require documentation of positive serology or culture for HIV; provider s diagnostic statement is sufficient Patient admitted for HIV-related condition B20 HIV virus followed by additional diagnosis codes for all reported HIVrelated conditions Patient admitted for unrelated condition Unrelated condition is primary followed by B20 and all other HIV-related conditions Asymptomatic HIV is coded as Z21 Used for patient without any documentation of symptoms is listed as being HIV positive or known HIV HIV positive Do not use if AIDS is used of patient is treated for any HIV-related illness or conditions (use B20) HIV Inconclusive HIV serology Assign R75 when there is no definitive diagnosis Previously diagnosed HIV related illness Patients with any known prior diagnosis of an HIV-related illness are coded to B20 ICD B20 HIV in pregnancy Pregnancy codes (Chapter 15) codes take sequencing priority Symptomatic is coded as O98.7- followed by B20 and codes for HIVrelated illnesses Asymptomatic is coded O98.7- and Z21 V08 Encounters for testing To determine HIV status, use Z11.4 and additional codes for any associated high risk behavior Counseling and reporting negative results is coded with Z71.7 Z R X O98.7- V73.89 Z11.4 V65.44 Z71.7 ICD-10 5
6 HIV Sequencing Scenario HIV related condition is being treated HIV patient is treated/admitted for unrelated condition New diagnosed or previous admissions for HIV conditions HIV positive, Known HIV, HIV test positive AIDS or any HIV related illness Previously diagnosed HIV-related illness Inconclusive HIV serology HIV during pregnancy First Listed Code B20 Unrelated condition Irrelevant Z21 B20 B20 R75 O98.7- Encounter for HIV testing Z11.4 Patient returns to be given test results (negative) Z Sepsis Progression Bacteremia Organism in blood Septicemia More specific and systemic infection Sepsis, with SIRS due to infection Indicates progression into sepsis but no acute organ dysfunction Severe Sepsis With septic shock and acute organ dysfunction Multiple organ dysfunction Death 12 6
7 Sepsis Assign appropriate code for underlying systemic infection If type of infection or causal organism is not further specified use A41.9 R65.2-Severe sepsis should not be assigned unless severe sepsis or an associated acute organ dysfunction is documented Query provider for: Negative or inconclusive blood cultures Urosepsis is used-it is a non-specific term Sepsis with organ dysfunction not indicated as associated with sepsis Do not assign R65.2- Severe sepsis Acute organ dysfunction must be associated with severe sepsis Query provider if unclear Severe Sepsis Severe sepsis requires a minimum of 2 codes Systemic infection coded first with R65.2- Severe sepsis coded second. If causal organism is not documented, use A41.9 Code also for associated acute organ dysfunction Because of complex nature, provider may need queried for sequencing Septic shock generally refers to circulatory failure associated with severe sepsis, therefore Represents a type of acute organ dysfunction because it associated with severe sepsis Systemic infection is coded first followed by R65.21 (severe sepsis with septic shock) OR T81.12 (postprocedural septic shock). Septic shock cannot be assigned as a principal diagnosis (R65.2-) Code also any other acute organ dysfunctions 7
8 Severe Sepsis Sequencing severe sepsis Underlying systemic infection is principal diagnosis followed by appropriate code from R65.2- Severe sepsis develops during an encounter-the underlying infection first followed by R65.2- Query provider if documentation is unclear whether severe sepsis was present on admission With localized infection Code underlying systemic infection first followed by code for localized infection Severe sepsis R65.2- would follow when documented Sepsis Due to Postprocedural Infection Code assignment is based on providers documentation of relationship between infection and procedure T80.2- Infection following infusion, transfusion and therapeutic injection, T81.4- Infection following a procedure, T88.0- Infection following immunization, O86.0- Infection of obstetric surgical wound is coded first followed by code for specific infection Severe sepsis is assigned from R65.2- and any acute organ dysfunction would also be coded Postprocedural infection has occurred and resulted in severe sepsis and postprocedural septic shock, code the precipitating complication first followed by R65.21 Severe sepsis with septic shock and a code for systemic infection 8
9 Sepsis/Severe Sepsis Associated with Noninfectious condition Sepsis/severe sepsis is documented as associated with a noninfectious condition (burn, injury), code the noninfectious condition first followed by code for resulting infection. If severe sepsis is present, assign R65.2- R65.1-Systmic inflammatory response syndrome (SIRS) is not coded for these cases Sepsis and Sequencing A41.9 Type of infection not further specified Negative or inconclusive blood cultures R65.2 Sepsis/Severe Sepsis w/localized infection Only assigned when severe sepsis or associated acute organ dysfunction is documented Requires minimum of 2 codes Underlying systemic infection Severe sepsis R65.2- If causal organism not identified-a41.9 with additional codes for acute organ dysfunction Underlying systemic infection followed by Localized infection AND R65.2 if severe sepsis present List localized infection first followed by sepsis code(s) if admitted with localized infection and sepsis/severe sepsis doesn t develop until after admission Septic Shock (circulatory failure associated w/severe sepsis) Systemic infection followed by R65.21 Severe sepsis with septic shock ort81.12 Postprocedural septic shock AND Other acute organ dysfunction(s) 18 9
10 Anemia With Malignancy Changes from ICD-9! Anemia associated with malignancy-treatment for anemia Malignancy is sequenced first followed by appropriate code for anemia Anemia associated with chemotherapy, immunotherapy-treatment for anemia Anemia is sequenced first followed by neoplasm and adverse effect (T45.1X5-) Anemia associated with radiotherapy-treatment for anemia Anemia is sequenced first followed by neoplasm code and Y84.2 Radiological procedure and radiotherapy as cause of abnormal reaction Neoplasm With Complications Management of a complication associated with neoplasm, treatment is directed at complication- it is coded first followed by neoplasm except: Anemia associated with malignancy Treatment is only for anemia Anemia associated with chemotherapy, immunotherapy and radiation therapy Treatment is only for anemia Management of anemia associated with adverse effect of radiotherapy Management of dehydration due to malignancy Dehydration being treated Primary DX Malignancy Anemia Anemia Dehydration Anemia Secondary DX Malignancy followed by T45.1X5 Adverse effects of antineoplastic drugs Neoplasm followed by Y84.2 Radiological procedure and radiotherapy as cause of abnormal reaction Malignancy 20 10
11 Hypertension Hypertension table is deleted I10 is the only code used to report benign or malignant hypertension That doesn t mean documentation can simply state hypertension. Still need the details I10 Essential hypertension (primary) I11 Hypertensive heart disease Use additional code to identify type of heart failure (I50.-) I12 Hypertensive chronic kidney disease Use additional code to identify stage of CKD (N18.1-N18.6, N18.9) I13 Hypertensive heart and chronic kidney disease Use additional code to identify type of heart failure (I50.-) Use additional code to identify stage of CKD (N18.1-N18.6, N18.9) Hypertension With Heart Failure Guidelines are similar to ICD-9 Causal relationship must be stated (due to) or implied (hypertensive) I11.0 Hypertensive heart disease with heart failure Use additional code to identify type of heart failure (I50.-) I11.9 Hypertensive heart disease without heart failure 11
12 I50 Heart Failure I50.1 Left ventricular failure I50.2- Systolic (congestive) heart failure I50.3- Diastolic (congestive) heart failure I50.4- Combined systolic and diastolic (congestive heart failure) Acute (congestive) heart failure Chronic (congestive) heart failure Acute on chronic (congestive) heart failure I50.9 Heart failure, unspecified Hypertension With CKD Assume a relationship between hypertension and chronic kidney disease (CKD) Primary code I12.- hypertensive CKD I12.0 Hypertensive CKD with stage 5 CKD or ESRD I12.9 Hypertensive CKD with stage 1-4 CKD * Use code from N18.- to identify stage of CKD for I12.0 or I
13 N18 Chronic Kidney Disease N18.1 Chronic kidney disease, stage 1 N18.2 Chronic kidney disease, stage 2 N18.3 Chronic kidney disease, stage 3 N18.4 Chronic kidney disease, stage 4 N18.5 Chronic kidney disease, stage 5 Use N18.6 when stage 5 requires chronic dialysis N18.6 Chronic kidney disease, stage 6 Use additional code to identify dialysis status (Z99.2) N18.9 Chronic kidney disease, unspecified Hypertensive Heart and CKD Includes hypertension, heart disease and CKD Includes note at I13 specifies conditions included at I11 and I12 are included together in I13 For patients with both acute renal failure and chronic CKD requires additional code for acute renal failure I13.0 Hypertensive heart and CKD with heart failure and stage 1-4 CKD, or unspecified CKD I13.10 Hypertensive heart and chronic kidney disease without heart failure and stage 1-4 CKD or unspecified CKD I13.11 Hypertensive heart and chronic kidney disease without heart failure and stage 5 or end stage renal disease I13.2 Hypertensive heart and chronic kidney disease with heart failure and stage 5 or end stage renal disease 13
14 Episode of Care (7 th Characters) Used mostly with Chapter 19 (S00-T88) A=Initial encounter Think ACTIVE treatment Surgical treatment Emergency department encounter Evaluation and treatment by a new physician Episode of Care (7 th Characters) D=Subsequent encounter After patient has received active treatment and is receiving routine care during the healing or recovery phase Cast change or removal Removal of external/internal fixation device Medication adjustment Other aftercare and follow up visits following treatment of condition 14
15 Episode of Care (7 th Characters) S =Sequela (late effect) Complications or conditions that arise as a direct result of a condition Example-scar formation after a burn scar is the late effect from the burn S is added to injury code, not late effect Late effect is sequenced first followed by injury Fracture Care (7 th characters) Initial Encounter A closed fracture B open fracture type I or II C open fracture type IIIA, IIIB, IIIC Subsequent Encounter D closed fracture with routine healing E open fracture type I or II with routine healing F open fracture type IIIA, IIIB, IIIC with routine healing G closed fracture with delayed healing H open fracture type I or II with delayed healing J open fracture type IIIA, IIIB, IIIC with delayed healing K closed fracture with nonunion M open fracture type I or II with nonunion N open fracture type IIIA, IIIB, IIIC with nonunion P closed fracture with malunion Q open fracture type I or II with malunion R open fracture type IIIA, IIIB, IIIC with malunion 15
16 Initial Fracture Treatment Traumatic fractures are coded using the appropriate seventh character extension for initial encounter while the patient is receiving active treatment for the fracture A (closed), B (open), C (open) Examples of active treatment are: surgical treatment, emergency department encounter, and evaluation and treatment by a new physician The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion Subsequent Fracture Treatment Subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase D,E,F (routine healing), G,H,J (delayed healing), K,M,N (nonunion), P,Q,R (malunion) Examples of aftercare are: cast change or removal, removal of external or internal fixation device, medication adjustment, and follow-up visits following fracture treatment 16
17 External Causes There is no national requirement for mandatory ICD-10-CM external cause code reporting. Unless a provider is subject to a state-based external cause code reporting mandate or these codes are required by a particular payer, reporting of ICD-10-CM codes in Chapter 20, External Causes of Morbidity, is not required. In the absence of a mandatory reporting requirement, providers are encouraged to voluntarily report external cause codes, as they provide valuable data for injury research and evaluation of injury prevention strategies. External Causes (V, W, X, Y) Never used as the primary diagnosis Can be used with any code in A00-T88.9, Z00-Z99 Use for each encounter for which the injury or condition is being treated Most codes require 7 th character for episode of care (A, D, S) 7 th character should match those of the associated condition or injury Use as many as needed to fully describe cause, intent, place of occurrence and activity and status of patient 17
18 External Cause-Type of Accident Transportation Slip, trip, stumble, fall Exposure to inanimate objects (sports equipment, sharp objects, machinery, firearms) and animate objects (contact with animals, insects, marine life, spiders, snakes, alligators) Accidental non-transport drowning and submersion Exposure to temperatures and pressures, smoke, fire and flames, forces of nature Intentional self-harm Assault Legal intervention, war and military operations, terrorism External Cause-Place of Occurrence Identifies the place of occurrence of the external cause Use with an activity code Recorded only at the initial encounter for treatment Specific location (single-family home, apartment, mobile home, institution, dorm, military base, prison, reform school, cultural building, hospital, religious institution, public building, sports area, farm) No 7 th characters are used for Y92 18
19 External Cause-Activity (Y93) Describes activity of the patient at time of occurrence Only used once at initial treatment Only use one code from Y93 Do no apply to poisonings, adverse effects, sequela External Cause-Status (Y99) Used in conjunction with external cause codes to indicate the status of the person at the time of the event Y99.0 Civilian activity done for income or pay Y99.1 Military activity Y99.2 Volunteer activity Y99.8 Other Hobby, leisure, off-duty military, student activity 19
20 Example The chain gang was on detail cleaning the prison pool and were given a 10 minute break. Rufus was clowning around for the other inmates when he decided to show off his dance moves. As he danced around the pool, he thought it would be really funny to dance on the diving board. Well, he lost his balance and cut his left forearm on the diving board and did a belly flop into the pool. S51.812A Laceration of left forearm without foreign body W21.4XXA Striking against diving board W16.512A Jumping or diving into a swimming pool striking water surface (belly flop) Y Swimming-pool of prison as the place of occurrence of the external cause Y93.41 Activity, dancing Conclusion ICD-10 is coming-in fact, it s almost here-55 days!!! ICD-10 is a new code set, not a new concept We were all beginners at one point-this code set takes us back to a new beginning for diagnosis coding Know the book Look up in Alphabetic Index Verify in Tabular Index Check Official Guidelines for further guidance 20
21 Thank You! 21
Diagnosis Coding Problematic Areas: Coding & Sequencing
Diagnosis Coding Problematic Areas: Coding & Sequencing OBJECTIVES Guideline information Sepsis, Severe Sepsis, Septic Shock HIV Diabetes Under/Over-dosing Hypertension Ulcers Burns INCLUDES, USE ADDITIONAL
More informationICD-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 informationICD-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 informationICD-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 informationCopyright 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 informationOfficial 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 informationICD-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 informationICD-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 informationICD-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 informationICD-10-CM Tabular List of Diseases and Injuries
ICD-10-CM Tabular List of Diseases and Injuries Chapter 1. Certain Infectious and Parasitic Diseases (A00 B99) Chapter Specific Guidelines with Coding Examples The chapter specific guidelines from the
More informationICD-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 information3/14/2012. 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 informationICD-10-CM Tabular List of Diseases and Injuries
ICD-10-CM Tabular List of Diseases and Injuries Chapter 1. Certain Infectious and Parasitic Diseases (A00 B99) Chapter Specific Guidelines with Coding Examples The chapter specific guidelines from the
More informationMeet 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 informationTop 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 informationICD-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 informationA 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 informationFY 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 informationType of Accident or Manner of Injury Deaths One Year Odds Lifetime Odds. All External Causes of Mortality, V01-Y89, *U01, *U03b 181,586 1,643 21
Odds of Death Due to Injury, United States, 2006 Type of Accident or Manner of Injury Deaths One Year Odds Lifetime Odds All External Causes of Mortality, V01-Y89, *U01, *U03b 181,586 1,643 21 Deaths Due
More informationExternal Cause Coding. Corrie Alvarez, CPC, CPMA, CEDC, CPC-I
External Cause Coding Corrie Alvarez, CPC, CPMA, CEDC, CPC-I Agenda Quick Review of ICD-10 Injury Coding Guidelines for Coding External Causes Overview External Cause Coding Five Coding Scenarios Chapter
More informationAppropriate 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 informationDIAGNOSIS 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 informationNew 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 informationICD-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 informationCoding ICD (Clinical Modification Revisions 9 and 10)
Coding ICD (Clinical Modification Revisions 9 and 10) Book contains two major sections: The Tabular List and the Index. Never code directly from the index. All codes taken from the index must be verified
More informationICD-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 informationICD-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 informationICD-10 CM Training. Orthopaedic
ICD-10 CM Training Orthopaedic ICD-10-CM Compliance Dates ICD-10-CM will be valid for dates of service on or after October 1, 2015 Outpatient dates of service of October 1, 2015 and beyond. Inpatient hospital
More information3/20/2017. 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 informationICD- 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 informationPAHCS 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 informationICD-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 informationThis way to ICD 10 1
This way to ICD 10 1 Quick Review We currently report diagnoses with ICD 9 codes Effective with date of service 10 1 14 we must report services using ICD 10 diagnosis codes Many more codes to choose from
More informationICD 10 CM. What does it mean to YOU? It s all about specificity
ICD 10 CM What does it mean to YOU? It s all about specificity ICD TIMELINE ICD-9 Published by WHO in 1978 ICD-10 Endorsed by WHO in 1990 ICD-10-CM draft released in 1995 ICD-10 Used for mortality in the
More informationAdvanced 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 informationASSIGNMENT 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 informationICD-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 informationChapter 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 informationICD-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 informationTable of Contents. Chapter 1. Certain Infectious and Parasitic Diseases (A00-B99)...1 Guidelines for Assigning Codes From This Chapter...1.
Table of Contents Chapter 1 Chapter 2 Chapter 3 Chapter 4 Chapter 5 Chapter 6 Certain Infectious and Parasitic Diseases (A00-B99)...1...1 Neoplasms (C00-D49)...4...4 Diseases of the Blood and Blood-Forming
More informationICD-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 informationICD-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 informationUPDATES, 2018 NTDS PILOT (PROPOSED CHANGES TO 2020 NTDB DATA DICTIONARY) AND TQIP PROCESS MEASURES. Lita Holdeman, BS, CSTR AOTR Education Chair
UPDATES, 2018 NTDS PILOT (PROPOSED CHANGES TO 2020 NTDB DATA DICTIONARY) AND TQIP PROCESS MEASURES Lita Holdeman, BS, CSTR AOTR Education Chair Disclaimer Notice: All information provide to you at any
More informationFY 2017 Updates to the ICD-10- CM and ICD-10-PCS Official Guidelines for Coding and Reporting
FY 2017 Updates to the ICD-10- CM and ICD-10-PCS Official Guidelines for Coding and Reporting Nelly Leon-Chisen, RHIA Director, Coding and Classification American Hospital Association Guidelines Accompany
More informationICD-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 informationo 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 informationICD-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 informationAbout 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 informationTechnicians & Nurses Program
ASCRS ASOA Symposium & Congress Technicians & Nurses Program May 6-10, 2016 New Orleans ICD-10 Implementation: Tips and Pearls for Technicians Financial Disclosure The instructor acknowledges a financial
More informationMeet 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 informationOptum360 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 informationICD-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 informationDIABETES CODING AND DOCUMENTATION COMPLIANCE
BC ADVANTAGE AUDIO SERIES: DIABETES CODING AND DOCUMENTATION COMPLIANCE 1 Presented by: Darlene Boschert, RHIA, CPC, CPC-H, CPC-I Providing LOW-COST educational resources for Medical office Professionals
More informationFrom: International Classification of External Causes of Injuries (ICECI), Version 1.2, July 2004, pp 10-14
From: International Classification of External Causes of Injuries (ICECI), Version 1.2, July 2004, pp 10-14 Relationship between ICECI and ICD-10 The ICECI is desig to have a role complementary to the
More informationTracking 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 information9/1/2015. Studies (AHIMA)
9/1/2015 IC CD 10 Coding Supplemental Case Studies Amy Franklin, RN, RAC MT, ICD 10 CM/PCS Trainer (AHIMA) 1. DM Case Study 62 y.o. Mr. X has DM with insulin in use, DM Neuropathy and DM Renal insufficiency.
More informationWomen s Imaging ICD-10-CM
Women s Imaging ICD-10-CM Clinical Documentation Guides Brought to you by www.codingstrategies.com The Resource for Physician and Outpatient Coding, Compliance & ICD-10-CM OTHER CLINICAL DOCUMENTATION
More informationICD-10-CM Coding Tips
ICD-10-CM Coding Tips for clients of: www.teamtsi.com 800.765.8998 Content developed and presented by: 3030 N. Rocky Point Drive, Suite 240 Tampa, FL 33607 800.275.6252 www.polaris-group.com ICD-10-CM
More informationMore of Chapter 19 ICD 10 CM Injuries 7 th Characters, Aftercare, Follow up and Sequelae. Wednesday, December 2, :00 pm CST
More of Chapter 19 ICD 10 CM Injuries 7 th Characters, Aftercare, Follow up and Sequelae Wednesday, December 2, 2015 12:00 pm CST 1 Disclaimer This audio conference is designed to provide accurate and
More informationLearning 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 informationSimilarities and Differences between ICD9CM & ICD10 CM
Similarities and Differences between ICD9CM & ICD10 CM Subject ICD9 CM ICD10 CM Minimum number of digits/characters Maximum number of digits/characters 3 3 5 7 Number of chapters 17 21 Supplemental Classification
More information"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 informationIntroduction 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 informationICD-10 Service Line Overview Musculoskeletal
ICD-10 Service Line Overview Musculoskeletal ICD-10 incorporates much greater clinical detail and specificity as well as updated terminology to be consistent with current clinical practices. ICD-10-CM
More informationICD-10 Service Line Overview Surgical
ICD-10 Service Line Overview Surgical ICD-10 incorporates much greater clinical detail and specificity as well as updated terminology to be consistent with current clinical practices. ICD-10-CM and ICD-10-PCS
More informationICD-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 informationIMPLEMENTING THE EXTERNAL CAUSE MATRIX FOR INJURY MORBIDITY NORTH CAROLINA EMERGENCY DEPARTMENT DATA JANUARY 2015 MAY 2015/JANUARY 2016 MAY 2016
IMPLEMENTING THE EXTERNAL CAUSE MATRIX FOR INJURY MORBIDITY NORTH CAROLINA EMERGENCY DEPARTMENT DATA JANUARY 2015 MAY 2015/JANUARY 2016 MAY 2016 A Report on the Transition to ICD-10-CM Prepared by Katherine
More informationErrata. Basic ICD-9-CM Coding, 2006 Edition AC200505K
Errata Basic ICD-9-CM Coding, 2006 Edition AC200505K Last minute updates in the coding of percutaneous transluminal coronary angioplasty (chapter 10 of book) and encounters for chemotherapy (chapter 23
More informationCheryl Ericson, MS, RN, CCDS, CDIP, AHIMA Approved ICD 10 CM/PCS Trainer Clinical Documentation Program Manager for ezdi.
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
More informationChapter 21 Factors influencing health status and contact with health services Categories Z00-Z99 Official Coding Guidelines: Section 1.c.21. p.
Chapter 21 Factors influencing health status and contact with health services Categories Z00-Z99 Official Coding Guidelines: Section 1.c.21. p. 75 6/10/2010 1 Z00 Z13 Persons encountering health services
More informationQuestion: Copyright My Coding Coach All Rights Reserved
My Coding Coach 1 Caution!!! You are entering the knowledge portal. Only proceed if you are prepared to expand your clinical knowledge and grasp of complex scenarios. No coding books are required for the
More informationMaking 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 informationICD-10 Overview. EPF PR-ICD-10 Overview for Providers
ICD-10 Overview EPF-042513-PR-ICD-10 Overview for Providers 050913 Overview & ICD-10-PCS Sonia Lopez, BSHM, CPC Director of Claims Implementation Date ICD-10 Code Count Comparison Compare ICD-9 to ICD-10
More informationICD-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 informationChapter 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 informationICD-10 for Beginners Four-Part Series
ICD-10 for Beginners Four-Part Series www.jluhealth.com 1 ICD-10-CM: Introduction to Coding Fundamentals PRESENTER: Joan L. Usher, BS, RHIA, ACE AHIMA Approved ICD-10-CM Trainer JLU HEALTH RECORD SYSTEMS
More informationFY 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 informationFactors Influencing Health
Factors Influencing Health 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 informationHighlights of the NEW 2017 Codes ICD-10- CM
Highlights of the NEW 2017 Codes ICD-10- CM Maine HIMA September 22, 2016 ICD-10-CM o 1943 New Codes o 422 Revised Codes o 305 Deleted Codes Overall Picture o Which revisions apply most to your facility?
More informationICD 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 informationWelcome to a PMI WEBINAR PRESENTATION
Welcome to a PMI WEBINAR PRESENTATION PMI presents: Nancy Maguire on the topic: ICD-10 Diagnosis Coding for Orthopedics Welcome to Practice Management Institute s Webinar and Audio Conference Training.
More informationICD-10-CM: Working Through Documentation
ICD-10-CM: Working Through Documentation Kim Reid, CPC, CPC-I, CEMC, CPMA Introduction Basic Structure of ICD-10 Documentation Productivity Review actual notes 1 Basic Structure ICD-10-CM has many changes
More informationICD-10 Part VIII- Common Ocular Infections and Injuries
1. Where would you begin when locating a diagnosis code for a tear duct obstruction a) Always begin with the Tabular Listing under the H section b) Always begin with the last code you used c) Begin in
More informationSupplementary Table1: Rates per 100,000 population for injury related GP events, ED attendances and inpatient admissions, in Wales.
Supplementary Table1: Rates per 100,000 population for injury related GP events, ED attendances and inpatient admissions, in Wales. Age Injury Related GP Events 1 01/01/2013-31/12/2013 (Rate per 100,000
More informationAugust 2017 Lunch and Learn Fractures and External Causes
August 2017 Lunch and Learn Fractures and External Causes Housekeeping Items All attendees are muted to eliminate background noise Questions will be addressed at the end of the session via Questions queue
More informationICD-10-CM & ICD-10-PCS CODING ROUNDTABLES. Emergency Room Scenarios
ICD-10-CM & ICD-10-PCS CODING ROUNDTABLES Emergency Room Scenarios THANK YOU TO OUR CODING ROUNDTABLE SPONSOR CHANNEL PUBLISHING! ICD-10-CM: Diagnosis Coding Chapter 19 Injury, poisoning and certain other
More informationThis 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 informationRisk Adjustment Documentation & Coding Improvement Reference Information for 2017
Risk Adjustment Documentation & Coding Improvement Reference Information for 2017 In today s quality and patient-centered health care environment, the importance of accurate, specific and thorough medical
More informationWELCOME 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 informationCLINICAL DOCUMENTATION IMPROVEMENT FOS & BSOF Coding and Reimbursement Conference January 12-13, 2018
CLINICAL DOCUMENTATION IMPROVEMENT FOS & BSOF Coding and Reimbursement Conference January 12-13, 2018 1 Definition: Clinical Documentation Improvement The process of improving documentation to better reflect
More informationICD-10-CM TRAINING November 26, 2013
ICD-10-CM TRAINING November 26, 2013 Injuries, Poisonings, and Certain Consequences of External Causes of Morbidity Linda Dawson, RHIT AHIMA ICD-10-CM/PCS Trainer Seventh Character The biggest change in
More informationMapping ICD 9 CM to ICD 10: Lessons Learned
Mapping ICD 9 CM to ICD 10: Lessons Learned Gail I. Smith, MA, RHIA, CCS P Gail I. Smith Consulting 1 Topics Process for Decision Making Mapping and Decision Trees Documentation for Coding Decisions Root
More informationApril 10, 2008 VIA ELECTRONIC MAIL
VIA ELECTRONIC MAIL Donna Pickett, MPH, RHIA Medical Classification Administrator National Center for Health Statistics 3311 Toledo Road Room 2402 Hyattsville, Maryland 20782 Dear Donna: The American Health
More informationInjury, poisoning and certain other consequences of external causes (S00-T88)
Injury, poisoning and certain other consequences of external causes (S00-T88) Presented by Andy Bhatia, DPM Webinar 6: Thursday, April 17, 2014 1 APMA Educational Information: ICD-10 Webinars Register
More informationWhere Are You on the ICD-10-CM Radar Screen? Presented to the Indiana Medical Group Management Association
Where Are You on the ICD-10-CM Radar Screen? Presented to the Indiana Medical Group Management Association ICD-10 Final Rule On January 16, 2009, the U.S. Department of Health and Human Services (HHS)
More informationICD-10-CM. Anesthesia. Specialty Code Set Training. Module 5
ICD-10-CM Specialty Code Set Training Anesthesia 2014 Module 5 Disclaimer This course was current at the time it was published. This course was prepared as a tool to assist the participant in understanding
More informationMaking The Transition from ICD-9 to ICD-10 Coding Are You Ready?
Making The Transition from ICD-9 to ICD-10 Coding Are You Ready? Sherry Thomas, CCP, CCP-AS, CEO/Director of Education, Medical Staff SOS, Inc./PHIA, Louisville, KY Top 4 Things to Know for CE 1. Make
More informationICD-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 informationSEPSIS. Sepsis Dianna Foley, RHIA, CHPS. Sepsis Stats 3/3/2015
Sepsis Dianna Foley, RHIA, CHPS SEPSIS Sepsis Stats Sepsis 10 th leading cause of death in the U.S. Affecting 3 in every 1,000 people Accounting for 1-2 % of hospitalizations Severe Sepsis Approximately
More informationICD-10-CM Coding Tips
ICD-10-CM Coding Tips for clients of: www.teamtsi.com 800.765.8998 Content developed and presented by: 3030 N. Rocky Point Drive, Suite 240 Tampa, FL 33607 800.275.6252 www.polaris-group.com ICD-10-CM
More information