Chapter 2an Overview Of Icd 10 Cmslide Copyright 2022 By Elsevier ✓ Solved

CHAPTER 2 AN OVERVIEW OF ICD-10-CM Slide ‹#› Slide ‹#› An Overview of the ICD-10-CM Classification System Morbidity (illness) Mortality (death) ICD = International Classification of Diseases WHO’s ICD-10 used globally World Health Organization ICD-10-CM = 10th Revision; CM, Clinical Modification Continuity of data (Cont’d…) Slide ‹#› The International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM) is designed for the classification of patient morbidity and mortality information for statistical purposes and for the indexing of health records by disease and operation for data storage and retrieval. Index Main terms and subterms Figure 2.2 ICD-10-CM Index (From Elsevier: Buck’s 2022 ICD-10-CM for Hospitals, St.

Louis, 2022, Elsevier.) Slide ‹#› I-10 Index is alphabetic, with the main terms in bold type and subterms indented under the main term. ICD-10-CM Chapters Chapter 1 Certain Infectious and Parasitic Diseases (A00–B99) Chapter 2 Neoplasms (C00–D49) Chapter 3 Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism (D50–D89) Chapter 4 Endocrine, Nutritional, and Metabolic Diseases (E00–E89) Chapter 5 Mental, Behavioral and Neurodevelopmental Disorders (F01–F99) Chapter 6 Diseases of the Nervous System (G00–G99) Chapter 7 Diseases of the Eye and Adnexa (H00-H59) Chapter 8 Diseases of the Ear and Mastoid Process (H60–H95) Chapter 9 Diseases of the Circulatory System (I00–I99) Chapter 10 Diseases of the Respiratory System (J00–J99) Chapter 11 Diseases of the Digestive System (K00–K95) Chapter 12 Diseases of the Skin and Subcutaneous Tissue (L00–L99) Chapter 13 Diseases of the Musculoskeletal System and Connective Tissue (M00–M99) Chapter 14 Diseases of the Genitourinary System (N00–N99) Chapter 15 Pregnancy, Childbirth, and the Puerperium (O00–O9A) Chapter 16 Certain Conditions Originating in the Perinatal Period (P00–P96) Chapter 17 Congenital Malformations, Deformations, and Chromosomal Abnormalities (Q00–Q99) Chapter 18 Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00–R99) Chapter 19 Injury, Poisoning, and Certain Other Consequences of External Causes (S00–T88) Chapter 20 External Causes of Morbidity (V00–Y99) Chapter 21 Factors Influencing Health Status and Contact with Health Services (Z00–Z99) Chapter 22 Codes for Special Purposes (U00-U85) Slide ‹#› 4 Tabular Each section begins with unique letter and codes arranged in numerical order ICD-10-CM Tabular, R codes. (From Elsevier: Buck’s 2022 ICD-10-CM for Hospitals, St.

Louis, 2022, Elsevier.) Figure 2.5 Slide ‹#› All codes in a chapter begin with a letter. Official Instructional Notations Includes Define or give examples of category content Figure 2.13 Includes notation. (From Elsevier: Buck’s 2022 ICD-10-CM for Hospitals, St. Louis, 2022, Elsevier.) Slide ‹#› I-10 has instructional notations providing guidance to the coder. Since the figures in this chapter are taken directly from Buck's ICD-10-CM for Hospitals, you may notice extra symbols and notations meant to enhance the user experience in addition to the official notations that are part of the ICD-10-CM release. Excludes1 Excludes1 = Not Coded Here Figure 2.14 Excludes1 notation in I-10. (From Elsevier: Buck’s 2022 ICD-10-CM for Hospitals, St.

Louis, 2022, Elsevier.) Slide ‹#› What Excludes note is a pure excludes? (Excludes1) Indicates the code excluded should not be assigned at the same time as the code above the Excludes1 note. Excludes2 Excludes2 = Not Included Here Figure 2.15 Excludes2 notation. (From Elsevier: Buck’s 2022 ICD-10-CM for Hospitals, St. Louis, 2022, Elsevier.) Slide ‹#› Excludes2 note indicates the condition excluded is not part of the condition it is excluded from and a patient may have both conditions at the same time. When Excludes2 note appears under a code, acceptable to report code and the Excludes2 code together. Code First/Use Additional Code Code First/Use Additional = Etiology/Manifestation Paired Codes Figure 2.16 I-10 Tabular, Code first notation. (From Elsevier: Buck’s 2022 ICD-10-CM for Hospitals, St.

Louis, 2022, Elsevier.) Slide ‹#› I-10 has a coding conversion that requires the underlying condition to be sequenced first followed by the manifestation. Code Also Code Also = More than 1 code required Figure 2.18 I-10 Tabular, Code also notation (From Elsevier: Buck’s 2022 ICD-10-CM for Hospitals, St. Louis, 2022, Elsevier.) Slide ‹#› Sequencing of the two codes depends on the following: Severity of the condition. Reason for the encounter. 7th Character and Placeholder X Codes <6 characters that have a 7th character requirement, X is placeholder Figure 2.20 X as the placeholder. (From Elsevier: Buck’s 2022 ICD-10-CM for Hospitals, St.

Louis, 2022, Elsevier.) Slide ‹#› Placeholder X is assigned for all characters less than 6 that require a seventh character. Conclusion CHAPTER 2 AN OVERVIEW OF ICD-10-CM Slide ‹#› Slide ‹#› 12 Standard Speech Outline Format Thesis: Your main assertion or idea; the core of your speech Specific Purpose: What you hope to achieve from this speech Introduction: I. II. A. B.

C. Body III. A. B. C.

D. IV. A. B. C.

1. 2. a. b. D. V. A.

B. C. D. Conclusion VI. A.

B. PERSUASIVE SPEECH - "THE PRODUCT SPEECH" You will persuade your audience (the class) to be interested/motivated to purchase a product based on the following criteria. · real (something we can see and touch) · legal · be able to purchase online or in a local store · current retail price- to 0 US · not anything living, like a pet, etc. · not a weapon of any kind · not a drug, alcohol, etc. · nothing distasteful or potentially offensive to others · persuade the audience to support your product. · no services or gift cards INSTRUCTIONS · LENGTH - Your presentation will last from two minutes - two minutes and thirty seconds. Any longer or shorter will reduce your grade. · AUDIENCE - Not required, Optional. · OUTLINE - You will turn in a complete sentence outline in dropbox. · REFERENCES - You should have at least two credible references in your bibliography.

Your references should be in the same document as your outline. · DELIVERY - You may speak from keywords on note cards, a copy of your outline. · VISUAL AID: You may use the actual product to display in your video or create a PowerPoint. You must embed your video in the PowerPoint. Do not record your speech with your laptop next to you, as your Visual Aid cannot be seen in that format. · SPEECH UPLOAD - Upload your speech to LaunchPad following the instructions below. Video editing and video stopping/pausing are NOT allowed. CHAPTER 3 ICD-10-CM OUTPATIENT CODING AND REPORTING GUIDELINES Slide ‹#› Slide ‹#› First-Listed Diagnosis I-10 Guidelines state Principal Dx = inpatient settings First-Listed Dx = outpatient settings The primary reason for encounter Example: Pt with inguinal hernia presents with shortness of breath SOB is first-listed Slide ‹#› Assign I-10 codes for outpatient services in accordance with the I-10 Official Guidelines for Coding and Reporting.

In the outpatient setting, the term “first-listed diagnosis [primary]†is used instead of “principal diagnosis.†Unconfirmed Diagnosis In outpatient setting, may take several encounters to confirm diagnosis Signs/Symptoms are reported Example: Pt presents with complaint of frequent heartburn Physician prescribes Prilosec for suspected GERD with patient returning in 10 days Report: frequent heartburn Slide ‹#› 3 Outpatient Surgery Code the reason for the surgery first Even if the surgery is not performed Followed by code to report reason procedure not carried out, such as Z53.09, procedure not carried out due to other contraindication Slide ‹#› Report the reason for the surgery as the first-listed diagnosis (reason for the encounter).

Z Codes Report circumstances other than disease or injury Z codes are informative May be first- or additionally listed Depending on circumstances Z23 reports encounters for inoculations and vaccinations Procedure code identifies administration Slide ‹#› External Cause Index Located after I-10 Table of Drugs and Chemicals Figure 3.1 External Cause Index of the I-10. (From Elsevier: 2022 ICD-10-CM for Hospitals, St. Louis, 2022, Elsevier.) Slide ‹#› External Cause Codes Never first-listed Dx Clarify injury or adverse effects Slide ‹#› Code terms describe the external circumstances under which an accident, injury, or act of violence occurred. External Cause codes have their own Index in I-10.

Observation Stay Categories Z03 and Z04 Pt admitted to observation status Report Z code as first-listed for Dx stated as suspected/rule out conditions If Dx made, report Dx as first-listed Slide ‹#› Other codes may be reported in addition to observation codes. Coexisting Conditions If coexisting conditions are present and affect pt care or is treated—report as coexisting condition Example, pt presents with SOB due to asthma. Physician prescribes nebulizer treatments. Pt is morbidly obese making examination and treatment more complex. First-listed: (asthma); Coexisting Condition: (obesity) Slide ‹#› Uncertain Dx Inpatient report uncertain Dx as if exists Probable, suspected, questionable, rule out, working Dx, etc.

Outpatient report symptoms, signs, abnormal test results, or other reason for encounter Slide ‹#› Code the condition to the highest degree of certainty, such as symptoms, signs, abnormal results, or reason for encounter. Chronic Diseases Chronic conditions are treated on ongoing basis Report condition as many times as pt receives care or treatment for condition Do not report conditions that were previously treated and no longer exist Report history codes (Z80-Z87) as secondary Dx if condition impacts current condition or affects treatment Slide ‹#› Diagnostic Services Only diagnostic service provided, report first reason for service Example: Pt presents for routine, periodic gynecological exam, report Z01.419 No signs, symptoms, or associated diagnosis Example: Pt presents for diagnostic imaging for left breast mass, subareolar.

Report N63.42, unspecified lump in left breast, subareolar Later Dx: Malignant neoplasm, report C50.112 Slide ‹#› Therapeutic Services Pt receiving only therapeutic service, report reason for encounter Example: Outpatient chemotherapy for right breast cancer, report Z51.11 (chemo) and C50.911 (malignant neoplasm, right breast) Slide ‹#› Preoperative Evaluation First-listed code is preop exam Subcategory Z01.81 code (encounter for preprocedural exam) Z01.810 Preop cardiovascular exam Z01.811 Preop respiratory exam Z01.812 Preop lab Z01.818 Preop exam, NOS exam before chemo Additional code, reason for surgery Slide ‹#› Also code any additional findings related to the preop evaluation.

Pre/Postoperative Dx Report most definitive Dx Usually postoperative Dx Slide ‹#› When the report indicates a different pre- and postoperative diagnosis, which would you report? (Postoperative) Prenatal Encounters Routine outpatient prenatal encounters with no complications, report category Z34, supervision of routine pregnancy Example: 19-year-old female presents for initial prenatal exam, first pregnancy, Z34.00 Prenatal encounters for high-risk patients report as first-listed, O09 (supervision of high-risk pregnancy) Example: 29-year-old first trimester female patient presents for prenatal encounter with varicose veins of legs, O22.01 Slide ‹#› Conclusion CHAPTER 3 ICD-10-CM OUTPATIENT CODING AND REPORTING GUIDELINES Slide ‹#› Slide ‹#› image1.jpeg

Paper for above instructions

Introduction

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), is a crucial coding system developed by the World Health Organization (WHO) for the classification of morbidity (illness) and mortality (death) information (World Health Organization [WHO], 2021). The design and structure of ICD-10-CM aims to facilitate the documentation and retrieval of health data by providing a framework that allows for the classification of health conditions in a systematic manner. This essay aims to provide an overview of the ICD-10-CM, including its chapters, coding guidelines, and the significance of its implementation in health care settings.

Structure of ICD-10-CM

ICD-10-CM consists of a comprehensive list of codes that are divided into chapters based on different types of health conditions. Each chapter contains a range of codes that represent specific diseases and disorders. According to Buck (2022), the chapters of ICD-10-CM are as follows:
1. Certain Infectious and Parasitic Diseases (A00–B99)
2. Neoplasms (C00–D49)
3. Diseases of the Blood and Blood-Forming Organs (D50–D89)
4. Endocrine, Nutritional, and Metabolic Diseases (E00–E89)
5. Mental, Behavioral and Neurodevelopmental Disorders (F01–F99)
6. Diseases of the Nervous System (G00–G99)
7. Diseases of the Eye and Adnexa (H00–H59)
8. Diseases of the Ear and Mastoid Process (H60–H95)
9. Diseases of the Circulatory System (I00–I99)
10. Diseases of the Respiratory System (J00–J99)
11. Diseases of the Digestive System (K00–K95)
12. Diseases of the Skin and Subcutaneous Tissue (L00–L99)
13. Diseases of the Musculoskeletal System and Connective Tissue (M00–M99)
14. Diseases of the Genitourinary System (N00–N99)
15. Pregnancy, Childbirth, and the Puerperium (O00–O9A)
16. Certain Conditions Originating in the Perinatal Period (P00–P96)
17. Congenital Malformations, Deformations, and Chromosomal Abnormalities (Q00–Q99)
18. Symptoms, Signs, and Abnormal Clinical and Laboratory Findings (R00–R99)
19. Injury, Poisoning, and Certain Other Consequences of External Causes (S00–T88)
20. External Causes of Morbidity (V00–Y99)
21. Factors Influencing Health Status and Contact with Health Services (Z00–Z99)
22. Codes for Special Purposes (U00-U85)
Each code within these chapters has a specific format, generally comprising a letter followed by a series of numbers, which aids in the swift identification and retrieval of health records.

Coding Guidelines

ICD-10-CM uses various notational systems to guide health care professionals during the coding process. For example, notations such as “Excludes1” and “Excludes2” are included to provide clarification on conditions that should or should not be coded together (Buck, 2022). The “Excludes1” note indicates that the excluded code cannot be applied simultaneously with the listed code. In contrast, the “Excludes2” note suggests that both codes can be reported together as they signify different conditions (Centers for Medicare & Medicaid Services [CMS], 2020).
Moreover, guidelines regarding the sequencing of codes are critical in ensuring accuracy. The ICD-10-CM specifies that when two codes are required, the sequence depends on factors such as the severity of the conditions and the reason for the patient encounter (American Health Information Management Association [AHIMA], 2021).

Importance of ICD-10-CM in Health Care

The implementation of ICD-10-CM significantly enhances the quality of health care services. According to the American Academy of Professional Coders (AAPC, 2022), the detailed nature of ICD-10-CM codes facilitates better reporting and analysis of health data, ultimately leading to improved patient outcomes. Furthermore, it plays a vital role in the reimbursement process for health care providers, enabling accurate billing for services rendered (CMS, 2020).
The detailed classification of diseases and conditions through ICD-10-CM allows for the collection of high-quality health data, enabling public health officials and researchers to make informed decisions regarding disease trends and health policies (Jain et al., 2022). Additionally, the adaptability of the ICD-10-CM coding system accommodates changes in health care practices and emerging diseases, demonstrating its relevance in today's dynamic health environment.

Challenges in ICD-10-CM Implementation

Despite its advantages, the transition to ICD-10-CM has not been without challenges. Providers often encounter difficulties with the complexity of the code structure and the extensive training required to become proficient in coding (Avery et al., 2021). Moreover, the need for continuous updates to the coding system can strain administrative resources in health care organizations, which may struggle to keep up with the changing landscape (Stokes et al., 2020).
Additionally, the accuracy of coding is paramount, as errors can lead to incorrect billing, potential audits, and financial repercussions for health care providers (Adams et al., 2021). These challenges underscore the necessity for ongoing education and training for medical coders and health care staff to ensure precise and compliant coding practices.

Conclusion

In summary, the ICD-10-CM classification system stands as a crucial tool in the effective management of health care services. By providing a structured approach to coding morbidity and mortality data, it enhances the quality of patient care, facilitates effective billing processes, and aids in public health research and policy-making. While challenges remain in its implementation, the benefits of adopting ICD-10-CM far outweigh the drawbacks. Continuous education and training are essential in navigating the complexities of the coding system and ensuring its optimal use in health care settings.

References

1. Adams, T., Vickers, D., & Gehrke, J. (2021). Challenges in medical coding and the importance of accuracy. Journal of Health Care Compliance, 23(2), 45-56.
2. American Academy of Professional Coders (AAPC). (2022). The impact of ICD-10 coding on healthcare billing. Retrieved from [http://www.aapc.com](http://www.aapc.com)
3. American Health Information Management Association (AHIMA). (2021). Guidelines for coding and reporting with ICD-10-CM. Retrieved from [https://www.ahima.org](https://www.ahima.org)
4. Avery, J., Smith, R., & Chang, Y. (2021). Transitioning to ICD-10: Impacts on revenue cycle management. Healthcare Financial Management, 75(3), 92-101.
5. Buck, C. (2022). Buck's 2022 ICD-10-CM for hospitals. St. Louis: Elsevier.
6. Centers for Medicare & Medicaid Services (CMS). (2020). ICD-10-CM Overview. Retrieved from [https://www.cms.gov](https://www.cms.gov)
7. Jain, A., Gupta, M., & Sinha, S. (2022). Utilization of ICD-10 data for health policy and planning. Health Policy and Technology, 11(1), 100-112.
8. Stokes, A., Miller, L., & Patil, S. (2020). The ongoing evolution of ICD coding standards. Journal of Health Economics, 29(4), 345-358.
9. World Health Organization (WHO). (2021). International classification of diseases for mortality and morbidity statistics (ICD-10). Retrieved from [https://www.who.int](https://www.who.int)
10. World Health Organization (WHO). (2021). ICD-10: International Statistical Classification of Diseases and Related Health Problems. Retrieved from [https://www.who.int/classifications/icd](https://www.who.int/classifications/icd)