AMCI ICD-10-CM Coding for Beginners- Part 1
TLDRThe transcript introduces viewers to the ICD-10-CM coding system, its history, and structure. It outlines the process of looking up ICD-10-CM codes, emphasizing the importance of identifying the main term and understanding the alphabetic index and tabular list. The presentation also explains the significance of the seventh character in codes and demonstrates how to select and apply it. The session concludes with practical exercises to reinforce learning and prepare viewers for further study.
Takeaways
- 📚 ICD-10-CM is maintained by the National Center of Health Statistics and updated periodically, with the latest release in 2015.
- 🔍 The process of looking up an ICD-10-CM code involves three steps: consulting the alphabetic index, verifying the code in the tabular list, and reviewing all relevant guidelines.
- 📈 ICD-10-CM codes can range from three to seven characters in length, with more characters often indicating greater specificity.
- 🏥 The history of ICD-10 dates back to 1993, with the US clinically modifying the system in 1994 under the direction of the CDC.
- 🌐 Countries worldwide use ICD-10, but the US version, ICD-10-CM, is specific to diseases and conditions commonly found in the United States.
- 📋 The ICD-10-CM code structure includes a category code (first three characters), a subcategory code (fourth and fifth characters), and a code (sixth and seventh characters).
- 🚫 A red box or dot next to a code in the tabular list indicates that the code should not be used; instead, one should proceed to the next available code.
- 📝 The alphabetic index is the first point of contact when looking up diagnoses and is located at the front of the ICD-10-CM manual.
- 🔑 The tabular list, found in the middle of the ICD-10-CM manual, provides the formal page numbers and is where the actual code verification takes place.
- 📈 ICD-10-CM has an estimated 72,000 codes, with guidelines divided into four sections and an appendix, each focusing on different aspects of coding.
- 🛠️ The presentation also introduced AMCI's trademarked techniques for mastering ICD-10-CM, emphasizing the importance of understanding and applying the coding system effectively.
Q & A
What is the primary purpose of the presentation on ICD-10-CM?
-The primary purpose of the presentation is to discuss the history of ICD-10-CM, its code structure, demonstrate how to look up ICD-10-CM codes, provide scenarios and quizzes to test knowledge, and finally, demonstrate AMCI ICD-10-CM techniques.
How many characters can an ICD-10-CM code have?
-An ICD-10-CM code can have up to seven characters, but it can also be as short as three characters.
What are the three steps to looking up an ICD-10-CM code?
-The three steps to looking up an ICD-10-CM code are: 1) Look up the main term in the alphabetic index of the book, 2) Verify that code in the tabular list, and 3) Review all guidelines.
What does ICD-10 stand for, and which organization developed it?
-ICD-10 stands for International Classification of Diseases, and it was developed by the World Health Organization (WHO).
Which organization maintains the ICD-10-CM in the United States?
-The National Center for Health Statistics (NCHS) maintains the ICD-10-CM in the United States.
What is the significance of the red box or red dot found next to some codes in the ICD-10-CM manual?
-The red box or red dot indicates that the code should not be coded. Instead, the coder should go down one more category to find the appropriate code to use.
What is the term used for the first three characters of an ICD-10-CM code?
-The first three characters of an ICD-10-CM code are referred to as the category code, also known as the 'boss'.
What does the sixth character of an ICD-10-CM code represent?
-The sixth character of an ICD-10-CM code often provides information about the laterality, specifying the side of the body where the condition or disease is located.
What is a seventh character extender in ICD-10-CM coding?
-A seventh character extender provides additional information about the disease or condition. It is used when a code requires more specificity and is placed at the end of a six-character code.
How many chapters of specific coding guidelines are there in ICD-10-CM?
-There are 22 chapters of specific coding guidelines in ICD-10-CM.
What is the ICD-10-CM code for a condition described as a 'wet willie' assault?
-The ICD-10-CM code for a 'wet willie' assault is Y04.8, Xx.
Outlines
📚 Introduction to ICD-10-CM
This paragraph introduces the presentation on ICD-10-CM, a medical coding system. Mrs. J, the curriculum director at AMCI, sets the stage for the discussion on ICD-10-CM's history, structure, and coding techniques. The presentation aims to cover the basics of ICD-10-CM, including how to look up codes, understand the code structure, and apply AMCI's trademarked techniques. It also touches on the copyright and trademark information related to the content and the entities involved in maintaining ICD-10-CM.
🌟 Key Players and Facts in ICD-10-CM Development
This section delves into the key roles played by various organizations in the development of ICD-10-CM, including CMS, AHIMA, and the Department of Health and Human Services. It highlights fun facts about ICD-10-CM, such as the estimated 72,000 codes, the four sections and one appendix of guidelines, and the addition of a new chapter in 2021. The paragraph emphasizes the importance of understanding ICD-10-CM and its structure, including the alphabetic index and tabular list.
🔍 Steps to Look Up ICD-10-CM Codes
The paragraph outlines the three-step process for looking up ICD-10-CM codes: using the alphabetic index to find the main term, verifying the code in the tabular list, and reviewing all guidelines. It emphasizes the importance of understanding the structure of ICD-10-CM codes, which can be three to seven characters long, and the significance of each character's position in the code. The section also provides a brief history of ICD-10 and its clinical modification for the US.
📈 ICD-10-CM Code Structure and Specificity
This part of the script explains the structure of ICD-10-CM codes, detailing the meaning of category codes, subcategory codes, and the significance of the seventh character extender. It discusses the concept of specificity in coding, which can describe the severity, body part, and laterality of an illness. The paragraph also touches on the importance of following instructional notes, includes notes, and excludes notes found in the coding manual.
🚫 Red Box and Coding Guidelines
The paragraph highlights the importance of paying attention to the red box and red dot in the coding manual, which indicate that a code should not be used. It explains the need to go down one level in the code if a red box is present, and to ensure that the code is specific enough, requiring either six or seven characters. The section also provides a brief overview of how to handle seventh character extenders and the dual role of the extender boxes in the manual.
📝 Coding Exercises and Main Term Identification
This segment involves practical exercises in coding, focusing on how to identify the main term for looking up ICD-10-CM codes. It explains the hierarchy for selecting main terms, which prioritizes eponyms, diagnoses, and then the word part that is doing something. The paragraph provides examples of how to determine the main term and sub-term, and how to look up the corresponding ICD-10-CM code using the alphabetic index and tabular list.
🤓 Advanced Coding Scenarios
The paragraph presents more complex coding scenarios, including cases with multiple main terms and specific conditions like acute bleeding peptic ulcer and dementia with aggressive behavior. It emphasizes the importance of following the doctor's documentation order when selecting main terms and the need to use additional codes to identify infectious agents. The section also introduces the concept of sequencing codes, especially when dealing with infections and their associated conditions.
🎓 Conclusion and Future Learning
In conclusion, the paragraph recaps the key learnings from the session, including the history of ICD-10-CM, the structure of its codes, the process of looking up codes, determining main terms, and selecting seventh character extenders. It encourages coders to review and practice the material and sets the stage for part two, where more guidelines and coding conventions will be discussed.
Mindmap
Keywords
💡ICD-10-CM
💡Coding
💡Alphabetic Index
💡Tabular List
💡Seventh Character Extender
💡Main Term
💡Sub-Term
💡Red Box
💡Guidelines
💡 specificity
💡Category Code
Highlights
Introduction to ICD-10-CM coding and its history, including its development by the World Health Organization and the National Center for Health Statistics.
Explanation of the structure of an ICD-10-CM code, which can be three to seven characters long and includes category codes, subcategory codes, and codes with specificity.
Demonstration of the three-step process for looking up an ICD-10-CM code: using the alphabetic index, verifying the code in the tabular list, and reviewing all guidelines.
Discussion of the importance of understanding the ICD-10-CM code structure, including the significance of laterality and the number of characters in a code.
Overview of the history of ICD-10, including its establishment in 1993 and the clinical modification for the United States in 2015.
Explanation of the role of various organizations such as CMS, AHIMA, and the Department of Health and Human Services in the development and implementation of ICD-10-CM.
Discussion of the estimated 72,000 codes in ICD-10-CM and the organization of guidelines into sections and appendices.
Fun fact about ICD-10-CM: there is a code for almost any diagnosis, including a code for being assaulted by a wet willie (Y04.8, X X A).
Explanation of the layout of ICD-10-CM, including the preface, introduction, conversion tables, guidelines, index, tabular list, and specific coding guidelines chapters.
Importance of understanding the alphabetic index and tabular list in ICD-10-CM for accurate coding.
Description of the category code, also known as the 'boss,' which is the most important part of the ICD-10-CM code and contains key guidelines.
Explanation of subcategory codes and their role in describing the etiology, anatomical site, severity, and laterality of a disease.
Discussion of the use of red boxes and red dots in ICD-10-CM to indicate which codes should not be used and the need to look for additional codes.
Practical examples of coding scenarios, including hyperlipidemia, rhinitis, psoriasis, and hypertension, to demonstrate the coding process.
Introduction to seventh character extenders and their use in providing more specific information about a disease or condition.
Explanation of how to select the main term in a diagnosis for coding, following a hierarchy of eponyms, diagnoses, and word parts doing something.
Emphasis on the importance of coding only what is documented and not assuming or coding based on what might be happening.
Transcripts
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