ICD-10-CM BASICS Episode 1 (ICD-10-CM Book Layout)

The Medical Coding Guy
11 Sept 202026:34
EducationalLearning
32 Likes 10 Comments

TLDRIn this informative video, the 'Medical Coding Guy' introduces viewers to the basics of ICD-10-CM coding. He explains the importance of understanding the ICD-10-CM book layout, conventions, and guidelines for coding and reporting. The video covers how to navigate and use the alphabetic index for locating codes, with examples such as coding for migraine, family history of anemia, and personal history of childhood abuse. It also touches on the tables of neoplasms, drugs and chemicals, and sets the stage for further discussion on external causes of injuries and specific chapter guidelines in subsequent episodes.

Takeaways
  • πŸ“š ICD-10-CM stands for International Classification of Diseases, 10th Revision, Clinical Modification, which is a coding system used in healthcare.
  • πŸ—“οΈ ICD-10-CM was implemented in the US on October 1, 2015, but implementation dates vary by country.
  • 🧠 The video series aims to educate viewers on navigating and understanding ICD-10-CM coding through multiple episodes.
  • πŸ“– The ICD-10-CM coding book has a specific layout, including coding conventions, guidelines, and an alphabetic index.
  • πŸ” The Alphabetic Index is used to find codes based on the first four characters of a term, arranged alphabetically.
  • πŸ“Š The Tabular List is another crucial part of the ICD-10-CM book, which provides more detailedεˆ†η±» of codes.
  • πŸ“ˆ Examples of specific tables within the ICD-10-CM book include Tables of Neoplasms, Tables of Drugs and Chemicals, and Index of External Causes of Injuries.
  • πŸ“Œ When coding for neoplasms, it's important to distinguish between malignant primary, malignant secondary, benign, and uncertain/unspecified behavior.
  • πŸ›‘ It's essential to verify codes found in the Alphabetic Index with the Tabular List for accuracy.
  • πŸ“ The video provides practical examples of how to use the ICD-10-CM book, such as coding for migraines, family history of anemia, and personal history of childhood abuse.
  • πŸ”— The video creator offers additional practice questions and resources for further learning and application of ICD-10-CM coding.
Q & A
  • What does ICD-10-CM stand for?

    -ICD-10-CM stands for International Classification of Diseases, 10th Revision, Clinical Modification.

  • When was ICD-10-CM implemented in the United States?

    -ICD-10-CM was implemented in the United States on October 1, 2015.

  • What is the purpose of the Alphabetic Index in ICD-10-CM coding?

    -The Alphabetic Index is used to locate the ICD-10-CM codes for diagnoses, symptoms, procedures, and other terms by listing them in alphabetical order.

  • How does one find a code for a personal history of alcohol dependence using the ICD-10-CM Alphabetic Index?

    -To find the code for a personal history of alcohol dependence, one would look under the main term 'personal history' in the Alphabetic Index, then locate 'alcohol dependence' which is coded as F10.21.

  • What is the Tabular List in ICD-10-CM and why is it important to check it after using the Alphabetic Index?

    -The Tabular List provides a more detailed classification of codes based on the Alphabetic Index. It is important to check the Tabular List because it may provide additional codes or confirm the appropriateness of the code selected from the Alphabetic Index.

  • What is the difference between a malignant primary and malignant secondary neoplasm?

    -A malignant primary neoplasm is the original site of the cancer, whereas a malignant secondary neoplasm refers to cancer that has metastasized to a new location in the body.

  • How is a benign neoplasm different from a malignant one?

    -A benign neoplasm is a non-cancerous tumor that does not spread to other parts of the body, whereas a malignant neoplasm is cancerous and has the potential to invade nearby tissues or spread to other parts of the body.

  • What is the ICD-10-CM code for a patient presenting with a personal history of anemia?

    -The ICD-10-CM code for a patient with a personal history of anemia is Z83.2.

  • What is the ICD-10-CM code for a patient with a primary malignancy in the abdominal cavity?

    -The ICD-10-CM code for a primary malignancy in the abdominal cavity is C76.2.

  • How do you find the code for a suicide attempt using absinthe according to the ICD-10-CM Tables of Drugs and Chemicals?

    -To find the code for a suicide attempt using absinthe, you would look up 'absinthe' in the Tables of Drugs and Chemicals and then find the code for 'self-harm' which is T51.0x2.

  • What is the ICD-10-CM code for a poisoning assault by applying ricin to an apple?

    -The ICD-10-CM code for a poisoning assault by applying ricin is T62.2x3.

Outlines
00:00
πŸ“š Introduction to ICD-10-CM Coding

This paragraph introduces the topic of ICD-10-CM coding, highlighting the role of the speaker as a certified professional and AAPC approved education provider. The speaker, known as the 'Medical Coding Guy', expresses the challenge of learning ICD-10-CM due to the thickness of the book. The video aims to guide viewers through multiple episodes on ICD-10-CM basics, navigation, and proper use of the code book. The speaker emphasizes the importance of subscribing to the channel for ongoing educational content and introduces the first episode, which focuses on understanding the ICD-10-CM book layout and navigation.

05:01
πŸ” Navigating the ICD-10-CM Alphabetic Index

This section delves into the specifics of using the ICD-10-CM Alphabetic Index. The speaker explains the process of locating codes for various medical conditions such as migraines, family history of anemia, and personal history of childhood abuse. The importance of understanding the structure of the ICD-10-CM book is emphasized, including the coding conventions and guidelines. The speaker provides practical examples of how to search for terms and find the appropriate codes, stressing the need to verify the final diagnosis using the tabular index in addition to the Alphabetic Index.

10:04
πŸ“Š Understanding Tables of Neoplasms

The speaker introduces the concept of neoplasms and how they are categorized in the ICD-10-CM Tables of Neoplasms. The paragraph explains the different types of neoplasms, including malignant primary, malignant secondary, benign, in situ, uncertain behavior, and unspecified behavior. The speaker provides a detailed walkthrough of how to use the tables to find codes for specific neoplasms, such as primary malignancy in the abdominal cavity and secondary malignancy of the spleen. The examples given illustrate the process of locating the correct body part and determining the type of neoplasm to assign the appropriate code.

15:05
πŸ’Š Tables of Drugs and Chemicals

This paragraph focuses on the ICD-10-CM Tables of Drugs and Chemicals, which are used to classify disorders related to substances like poisoning, adverse effects, and underdosing. The speaker clarifies the different types of poisoning, including accidental, intentional self-harm, and assault. The section provides examples of how to use the tables to find codes for specific scenarios, such as a suicide attempt using absinthe or ingesting decongestants. The speaker emphasizes that the final diagnosis should also be verified using the tabular index, which will be discussed in later episodes.

20:07
🍏 External Causes of Injuries

The final paragraph of the script introduces the topic of external causes of injuries, which will be covered in more detail in the next episode. The speaker provides a brief example of how to use the ICD-10-CM coding system to classify an injury caused by poisoning, specifically the fictional scenario of Snow White being poisoned by an apple laced with ricin. The speaker concludes the episode by thanking the viewers and encouraging them to follow the series for further guidance on ICD-10-CM coding.

Mindmap
Keywords
πŸ’‘ICD-10-CM
ICD-10-CM stands for International Classification of Diseases, 10th Revision, Clinical Modification. It is a standardized coding system used in the United States for reporting medical diagnoses and procedures. The video focuses on teaching viewers how to navigate and use the ICD-10-CM coding manual effectively, which is crucial for medical professionals, auditors, and those studying or working in the healthcare field.
πŸ’‘Coding Conventions
Coding conventions refer to the standardized rules and guidelines for using the ICD-10-CM coding system. These conventions ensure consistency and accuracy in the documentation and reporting of medical diagnoses. The video discusses the importance of following these conventions to properly use the ICD-10-CM book and to avoid errors in medical coding.
πŸ’‘Alphabetic Index
The Alphabetic Index is a section in the ICD-10-CM manual that lists medical terms alphabetically. It is used to find the appropriate code for a specific diagnosis by searching for the main term of the condition. The video provides examples of how to use the Alphabetic Index to locate codes for various medical conditions, such as migraines and personal history of anemia.
πŸ’‘Tabular List
The Tabular List is another critical component of the ICD-10-CM manual, organized by categories and codes rather than alphabetically. It provides a more detailed classification of diseases and conditions. After finding a preliminary code in the Alphabetic Index, medical coders must refer to the Tabular List to confirm or refine the code according to specific guidelines.
πŸ’‘Neoplasms
Neoplasms refer to abnormal growths or tumors that can be benign (non-cancerous) or malignant (cancerous). In the context of ICD-10-CM, neoplasms have specific coding categories based on whether they are primary, secondary, in situ, or have uncertain behavior. The video explains how to use the Tables of Neoplasms to identify and code different types of neoplasms based on their characteristics and location.
πŸ’‘Drugs and Chemicals
The Tables of Drugs and Chemicals in the ICD-10-CM manual are used to classify conditions related to the use of drugs and exposure to chemicals. These tables help coders identify codes for poisoning, adverse effects, and underdosing based on the specific substance involved. The video provides examples of how to navigate these tables to find the appropriate code for scenarios involving drug-related incidents.
πŸ’‘External Causes of Injuries
External Causes of Injuries refer to the circumstances that lead to an injury, such as accidents, assaults, or other external factors. The ICD-10-CM manual has a specific section dedicated to coding these causes, which is essential for injury reporting and analysis. The video mentions that future episodes will cover the Index of External Causes of Injuries in more detail.
πŸ’‘Medical Coding
Medical coding is the process of converting medical diagnoses, procedures, and other healthcare information into standardized code formats, such as ICD-10-CM. This is critical for healthcare documentation, billing, and data analysis. The video is centered around teaching viewers the skills necessary for accurate medical coding, which is a fundamental aspect of healthcare administration and reimbursement.
πŸ’‘Certified Professional Coder (CPC)
A Certified Professional Coder (CPC) is a medical coding professional who has passed a certification exam and meets the requirements set by the American Academy of Professional Coders (AAPC). The video's presenter identifies himself as a CPC, emphasizing his expertise and qualifications in teaching ICD-10-CM coding.
πŸ’‘Education Provider
An education provider is an individual or institution that offers educational content, training, or courses. In the context of the video, the presenter is an AAPC-approved education provider, meaning he is authorized by the AAPC to teach courses related to medical coding and the ICD-10-CM system.
πŸ’‘Medical Terminology
Medical terminology refers to the specialized language used in the healthcare field, which includes technical terms for diseases, procedures, and medical conditions. The video assumes a basic understanding of medical terminology and builds upon it to teach the specifics of ICD-10-CM coding.
Highlights

Introduction to ICD-10-CM coding, a critical skill for healthcare professionals.

The ICD-10-CM coding system was implemented in the US on October 1, 2015, marking a significant change in medical documentation.

Explaining the structure of the ICD-10-CM coding book, which is essential for accurate and efficient coding.

Navigating the alphabetic index to find the correct ICD-10-CM codes for various medical conditions.

Using the ICD-10-CM guidelines for coding and reporting to ensure proper documentation and compliance.

Locating ICD-10-CM codes for specific conditions like migraines and anemia using the alphabetic index.

Understanding the difference between malignant, benign, and uncertain behavior neoplasms for accurate coding.

Identifying the correct ICD-10-CM code for personal history of conditions such as alcohol dependence.

Exploring the tables of neoplasms to determine codes for primary malignancies, secondary malignancies, and other neoplasm types.

Discussing the tables of drugs and chemicals, which are crucial for coding substance-related disorders and poisonings.

Coding scenarios involving self-harm and poisoning, emphasizing the importance of context in ICD-10-CM coding.

The necessity of cross-referencing codes found in the alphabetic index with the tabular index for final diagnosis confirmation.

Practical examples of ICD-10-CM coding, such as coding for a patient with a family history of anemia or personal history of childhood abuse.

The role of the ICD-10-CM coding system in international disease classification and its global significance.

The importance of understanding ICD-10-CM conventions and guidelines for accurate medical billing and reimbursement.

The significance of the ICD-10-CM coding system in improving the quality of healthcare data and patient care.

Transcripts
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