This ICD-10-CM fundamentals series was designed to help the learner become familiar with the contents and application of the ICD-10-CM Official Guidelines for Coding and Reporting.
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This course is the starting point for learning to code ICD-10-CM and a great review for experienced coders. This interactive course does more than restate the general coding guidelines conventions by giving realistic examples of how the coding rules are applied in daily coding. Learn how to “live the guidelines” in this immersive course that will sharpen your code book skills and help you better understand the logic behind those long encoder pathways.
Objectives:
Lesson 1: Introduction to ICD-10-CM
Identify the four parts of the Alphabetic Index
Use the Alphabetic Index and Tabular List to locate codes in ICD-10-CM
Recognize valid ICD-10-CM codes
Lesson 2: Guidelines and Official Advice
Distinguish between provider and clinician
Rank official coding advice in order of priority
Identify reasons why understanding book logic is key to utilizing encoder and computer-assisted coding software
Lesson 3: Coding Conventions
Differentiate between NEC and NOS codes
Link conditions using the “with” convention
Apply inclusion notes and terms and excludes notes to coding scenarios
Lesson 4: General Coding Guidelines
Determine when to use single codes, combination codes, and multiple codes
Sequence codes for sequelae
Recognize conditions and other factors that can be coded based on non-provider clinician documentation
CE Credits:
AHIMA
This program has been approved for 2 continuing education units for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
Domain: Data Structure, Content, and Information Governance
AAPC
This program has the prior approval of the American Academy for Professional Coders (AAPC) for 2 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
I10 (Hypertension), N18.6 (End stage renal disease), I12.0 (Hypertension with ESRD), T42.4X2A (Rohypnol poisoning, intentional, initial encounter), I50.9 (Heart failure, unspecified), I50.23 (Decompensated systolic heart failure), E11.621 (Type 2 diabetes with foot ulcer), N39.0 (UTI), B96.20 (E. coli as cause of disease), E11.21 (Type 2 diabetes with nephropathy), G30.9 (Alzheimer’s disease), F02.811 (Dementia in Alzheimer’s disease), N08 (Disorder of kidney with other conditions), O69.1XX2 (Cord around neck, compression, fetus 2), T51.0X1A (Toxic effect of ethanol, accidental, initial), J44.1 (COPD with exacerbation), J44.0 (COPD with acute bronchitis), E11.9 (Type 2 diabetes, unspecified)
Topics Covered:
ICD-10-CM coding fundamentals, ICD-10-CM official guidelines, ICD-10-CM Cooperating Parties, ICD-10-CM Alphabetic Index, ICD-10-CM Tabular List, ICD-10-CM Excludes notes, ICD-10-CM combination codes, ICD-10-CM code updates, ICD-10-CM placeholder characters, medical coding sequencing rules, ICD-10-CM etiology and manifestation coding, ICD-10-CM “with” convention, medical coding for signs and symptoms, ICD-10-CM sequela coding, medical coding for complications of care, ICD-10-CM provider vs clinician documentation, ICD-10-CM Alphabetic Index coding hierarchy, ICD-10-CM coder training scenarios, ICD-10-CM medical coding audit tips, medical coding encoder vs code book logic, ICD-10-CM clinical scenarios for practice
Diagnostic Coding in the Inpatient Hospital Setting
This course is a must for the hospital inpatient coder! Join us for a practical journey through the inpatient coding guidelines as we explore the principal diagnosis selection, coding additional conditions, and assigning present on admission indicators. Loaded with coding scenarios demonstrating the real-time application of coding guidelines, this course is more than a cursory glance at the bible for coding advice.
Objectives:
Lesson 1: Selection of Principal Diagnosis
Identify two key factors in the definition of principal diagnosis
Identify the principal diagnosis when the original treatment plan is not carried out
Determine the principal diagnosis when the patient is admitted from the outpatient setting
Assign principal diagnosis to case scenarios
Lesson 2: Reporting Additional Diagnoses
Recognize criteria for reporting additional diagnoses
Define the MEAT acronym
Determine how to code uncertain diagnoses
Assign principal diagnosis to case scenarios
Lesson 3: Reporting Present on Admission Indicator
Identify why the present on admission indicator is important for reimbursement
Match POA indicators to their definitions
Determine the POA indicator for combination codes
Assign POA indicators to a case example
CE Credits:
AHIMA
This program has been approved for 2 continuing education units for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
Domain: Data Structure, Content, and Information Governance
AAPC
This program has the prior approval of the American Academy for Professional Coders (AAPC) for 2 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
I50.23 (Acute on chronic systolic heart failure), I11 (Hypertensive heart disease category), T86.33 (Heart-lung transplant complication), I33.0 (Acute infective endocarditis), K94.23 (Gastrostomy malfunction), K57.90 (Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding), C79.51 (Secondary malignant neoplasm of bone), C25.9 (Malignant neoplasm of pancreas, unspecified), N10 (Acute pyelonephritis), J44.1 (COPD with acute exacerbation), N99.71 (Accidental puncture and laceration of a genitourinary organ during a genitourinary system procedure), I49.9 (Cardiac arrhythmia, unspecified), J45.909 (Unspecified asthma, uncomplicated), L30.9 (Dermatitis, unspecified), Q90.9 (Down syndrome, unspecified), I48.91 (Unspecified atrial fibrillation), J45.901 (Unspecified asthma with acute exacerbation), Z87.74 (Personal history of corrected congenital malformations of heart and circulatory system), Q21.3 (Tetralogy of Fallot), E11.65 (Type 2 diabetes mellitus with hyperglycemia), I25.110 (Atherosclerotic heart disease of native coronary artery with unstable angina pectoris), A41.02 (Sepsis due to Methicillin resistant Staphylococcus aureus), J96.22 (Acute and chronic respiratory failure with hypercapnia), J13 (Pneumonia due to Streptococcus pneumoniae), A40.3 (Sepsis due to Streptococcus pneumoniae), J44.0 (COPD with acute lower respiratory infection), R65.20 (Severe sepsis without septic shock), J96.01 (Acute respiratory failure with hypoxia), K35.32 (Acute appendicitis with perforation and localized peritonitis), Z03.89 (Encounter for observation for other suspected diseases and conditions ruled out), Z53.31 (Laparoscopic surgical procedure converted to open procedure), I69.391 (Dysphagia following cerebral infarction), I11.0 (Hypertensive heart disease with heart failure), I50.22 (Chronic systolic heart failure), D62 (Acute posthemorrhagic anemia), E78.5 (Hyperlipidemia, unspecified), R07.89 (Other chest pain), Z98.890 (Other specified postprocedural states), Z90.49 (Acquired absence of other specified parts of digestive tract), U07.1 (COVID-19), J12.82 (Pneumonia due to coronavirus disease 2019), R21 (Rash and other nonspecific skin eruption), L23.89 (Allergic contact dermatitis due to other agents), L25.9 (Unspecified contact dermatitis), G30.9 (Alzheimer’s disease, unspecified), F02.811 (Dementia in other diseases classified elsewhere, unspecified severity, with agitation), E86.0 (Dehydration), N17.9 (Acute kidney failure, unspecified), E11.621 (Type 2 diabetes mellitus with foot ulcer), G20.C (Parkinsonism, unspecified), R10.9 (Unspecified abdominal pain), I10 (Essential hypertension)
Topics Covered:
ICD-10-CM inpatient coding guidelines, ICD-10-CM principal diagnosis selection, principal diagnosis definition, inpatient diagnosis sequencing, Section II ICD-10-CM guidelines, non-outpatient coding settings, source documentation for inpatient coding, legal medical record coding, provider documentation for coding, clinician documentation limitations, Uniform Hospital Discharge Data Set, UHDDS coding definitions, chief complaint coding, underlying cause of admission, DRG reimbursement, Medicare Inpatient Prospective Payment System, MS-DRG coding, APR-DRG coding, coding compliance risk, coding conventions precedence, code first notes, use additional code notes, multiple potential principal diagnoses, interrelated principal diagnoses, unrelated principal diagnoses, either/or diagnoses, circumstances of admission, symptom as principal diagnosis, signs and symptoms coding, original treatment plan not carried out, complications as principal diagnosis, uncertain diagnoses in inpatient coding, probable diagnosis coding, suspected diagnosis coding, admission from outpatient status, admission from outpatient surgery, inpatient rehabilitation coding, aftercare coding, subsequent encounter coding, additional diagnosis reporting, secondary diagnosis criteria, MEAT criteria, monitored evaluated assessed treated, past medical history coding, previous conditions coding, history codes, personal history codes, family history codes, abnormal findings coding, provider query for abnormal findings, present on admission indicators, POA reporting, hospital acquired conditions, HACs, never events, POA indicator Y, POA indicator N, POA indicator U, POA indicator W, POA exempt codes, POA for combination codes, POA for acute and chronic conditions, POA for obstetrical conditions, POA for perinatal conditions, POA for congenital conditions, inpatient coding case scenarios, ICD-10-CM Code Purple practice, ICD-10-CM Code Red assessment
Diagnostic Coding for Outpatient Services
An essential part of coding diagnoses for outpatient services is a thorough understanding of the guidelines. This course walks through different types of outpatient and office visit encounters, matching them to their coding guidelines, and helping you apply them in your daily coding. Whether you are coding for a facility as a surgical coder or for provider office visits, this is the course you need to ensure your claims are compliantly meeting medical necessity requirements.
Objectives:
Lesson 1: Reason for Visit, First-Listed Diagnosis, and Additional Diagnoses
Recognize the healthcare settings to which Section IV guidelines apply
Differentiate between reason for visit and first-listed diagnosis codes
Identify codeable documentation for outpatient encounters
Recognize when payer requirements for medical necessity conflict with coding guidelines
Lesson 2: Coding for Outpatient Surgery, Observation, and Emergency Department
Determine when a pathology report can be used for coding purposes
Select the first-listed diagnosis for observation services
Determine when to code signs and symptoms in the ED setting
Lesson 3: Coding for Ancillary Services and Office Visits
Determine the correct codes for encounters for physical examinations with and without abnormal findings
Assign codes for diagnostic ancillary services
Choose the correct code for orthopedic aftercare
Code for preoperative examinations
Lesson 4: What to Code When There is No Diagnosis
Differentiate between screening and diagnostic studies
Code for conditions that have been ruled out
Distinguish between aftercare and follow-up
CE Credits:
AHIMA
This program has been approved for 2 continuing education units for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
Domain: Data Structure, Content, and Information Governance
AAPC
This program has the prior approval of the American Academy for Professional Coders (AAPC) for 2 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
Z01.89 (Encounter for other specified special examinations), Z51 (Encounters for antineoplastic therapy category), Z01.8 (Other specified special examinations category), Z11.52 (Encounter for screening for COVID-19), Z20 (Contact with and suspected exposure to communicable diseases category), Z23 (Encounter for immunization), N99.71 (Accidental puncture and laceration of a genitourinary system organ or structure during a genitourinary system procedure), N40.1 (Benign prostatic hyperplasia with lower urinary tract symptoms), R33.8 (Other retention of urine), Z00.121 (Routine child health examination with abnormal findings), R62.0 (Delayed milestones), Z00.129 (Routine child health examination without abnormal findings), Z00.01 (Adult general medical examination with abnormal findings), G40.909 (Epilepsy, unspecified, not intractable, without status epilepticus), Z51.81 (Encounter for therapeutic drug level monitoring), Z47.89 (Encounter for other orthopedic aftercare), S83.511D (Sprain of anterior cruciate ligament of right knee, subsequent encounter), X50.9XXD (Overexertion and strenuous or repetitive movements, subsequent encounter), Z01.811 (Encounter for preprocedural respiratory examination), K21.9 (Gastro-esophageal reflux disease without esophagitis), Z01.818 (Encounter for other preprocedural examination), Z12.11 (Encounter for screening for malignant neoplasm of colon), R19.4 (Change in bowel habit), K57.30 (Diverticulosis of large intestine without perforation or abscess without bleeding), Z03.89 (Encounter for observation for other suspected diseases and conditions ruled out), Z39.2 (Encounter for routine postpartum follow-up), Z00.00 (Adult general medical examination without abnormal findings), E11.9 (Type 2 diabetes mellitus without complications), J35.01 (Chronic tonsillitis), K62.5 (Hemorrhage of anus and rectum), C50.912 (Malignant neoplasm of unspecified site of left female breast), C77.3 (Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes), R07.9 (Chest pain, unspecified), R06.02 (Shortness of breath), J18.9 (Pneumonia, unspecified organism), R91.8 (Other nonspecific abnormal finding of lung field), E03.9 (Hypothyroidism, unspecified), Z08 (Encounter for follow-up examination after completed treatment for malignant neoplasm), Z48.290 (Encounter for aftercare following bone marrow transplant), C95.91 (Leukemia, unspecified, in remission), Z09 (Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm), S72.142D (Displaced intertrochanteric fracture of left femur, subsequent encounter), W19.XXXD (Unspecified fall, subsequent encounter), Z96.642 (Presence of left artificial hip joint), Z47.1 (Aftercare following joint replacement surgery), S72.142A (Displaced intertrochanteric fracture of left femur, initial encounter), W19.XXXA (Unspecified fall, initial encounter), Z01.810 (Encounter for preprocedural cardiovascular examination), M17.11 (Unilateral primary osteoarthritis, right knee), I50.22 (Chronic systolic heart failure)
Topics Covered:
ICD-10-CM outpatient coding fundamentals, outpatient diagnostic coding guidelines, Section I ICD-10-CM guidelines, Section IV ICD-10-CM guidelines, non-inpatient healthcare coding, hospital outpatient coding, provider office coding, ambulatory surgery coding, emergency department coding, urgent care coding, observation services coding, reason for visit coding, first-listed diagnosis coding, final diagnosis coding, secondary diagnosis coding, chief complaint coding, medical necessity coding, payer policy coding, local coverage articles, coding guideline conflicts with payer policy, codeable documentation, provider documentation, clinician documentation, nonprovider documentation, medical record coding, coding from pathology reports, coding from radiology reports, coding from physician orders, lab report coding, uncertain diagnosis outpatient coding, inconclusive diagnosis coding, additional outpatient diagnoses, chronic condition coding, MEAT criteria, HCC coding, risk adjustment coding, overcoding prevention, outpatient surgery first-listed diagnosis, postoperative diagnosis coding, pathology diagnosis coding, anesthesia documentation coding, observation following outpatient surgery, emergency department reason for visit fields, signs and symptoms coding, routine physical examination coding, abnormal findings coding, diagnostic ancillary services coding, radiology encounter coding, laboratory encounter coding, therapeutic drug monitoring coding, cancer therapy encounter coding, chemotherapy coding, immunotherapy coding, radiation therapy coding, orthopedic aftercare coding, rehabilitation coding, injury aftercare coding, preoperative evaluation coding, preprocedural examination coding, COVID-19 screening coding, Z codes in outpatient coding, contact and exposure coding, vaccination encounter coding, screening examination coding, asymptomatic screening coding, observation for suspected condition ruled out, aftercare encounter coding, follow-up encounter coding, postpartum follow-up coding, obstetrical encounter coding, reproductive encounter coding, outpatient coding scenarios, ICD-10-CM Code Purple practice, ICD-10-CM Code Red assessment
Upon purchase, you will have a 6-month subscription to the course. This will allow you the opportunity to complete and review as often as you like for 6 months.
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