ICD-10-CM Chapter 9 Circulatory (Cardiovascular) System Coding Private Class
TLDRThis transcript from an AMCI coding class covers various aspects of cardiovascular coding, focusing on hypertension, acute myocardial infarction (AMI), and cerebrovascular accidents (CVA). The instructor emphasizes the importance of understanding the guidelines for coding these conditions, including the differentiation between types of hypertension and the sequence for coding AMI based on the reason for encounter and type of heart attack. The class also delves into coding scenarios to reinforce the application of guidelines and enhance proficiency in ICD10 CM coding.
Takeaways
- π The importance of being an ethical, precise, forensic, and certified coder was emphasized, highlighting the professional standards expected in the field.
- π΅ The session began with a brief musical interlude, setting the tone for the educational content to follow.
- π¬ A reminder about the copyright and ownership of various medical coding resources, such as AMA, CPC, and AMCI credentials, was provided to ensure proper usage and attribution.
- π The discussion focused on the circulatory system, specifically chapter nine of ICD-10-CM, which covers diseases of the heart and various cardiovascular conditions.
- π Participants were encouraged to follow along with their MCG manual, specifically chapter nine, to enhance their understanding and application of coding guidelines.
- π The process of looking up codes in the ICD-10-CM manual was demonstrated, emphasizing the importance of using the alphabetic index and tabular list for accurate coding.
- π©Ί Hypertension was discussed in detail, including its commonality, potential health risks, and the distinction between primary and secondary hypertension in coding.
- π§ Guidelines for coding hypertension with related conditions such as heart disease, CKD, and CVA were explained, highlighting the presumed causal relationships in certain scenarios.
- π The importance of following the correct sequencing order when coding for multiple conditions was stressed, as it affects the accuracy and validity of the medical records.
- π‘ The session concluded with a series of coding exercises and scenarios to test participants' understanding and application of the discussed guidelines and coding principles.
- π€ A discussion on the potential impact of AI on coding jobs revealed that while AI can assist with volume, it cannot replace the common sense and nuanced decision-making of human coders.
Q & A
What does AMCI stand for, and what are the characteristics of an AMCI world-class coder?
-AMCI stands for American Medical Coders Institute. An AMCI world-class coder is ethical, precise, forensic, and certified.
What is the significance of hypertension and how can it lead to serious health conditions?
-Hypertension is a common condition where the heart is working extra hard due to high blood pressure. It can lead to serious health conditions like congestive heart failure, coronary artery disease (CAD), and other cardiovascular issues.
What is the role of the MCG manual in coding scenarios?
-The MCG (Medical Group Management) manual is used as a guide for coding scenarios. It provides detailed information on ICD-10-CM coding and is used to strengthen guideline knowledge.
What is the difference between ICD-10-CM and ICD-10-PCS?
-ICD-10-CM (Clinical Modification) is used for diagnosis coding, while ICD-10-PCS (Procedure Coding System) is used for inpatient hospital procedure coding.
What are the key guidelines for coding hypertension with heart disease?
-The key guidelines for coding hypertension with heart disease include C9A for essential hypertension, C9A1 for hypertension with heart disease where a causal relationship is presumed, and C9A2 for hypertensive disease with CKD (chronic kidney disease).
How is a hypertensive crisis coded in ICD-10-CM?
-A hypertensive crisis is coded with the category I10 for hypertension, followed by the specific type of crisis (e.g., I16.0 for hypertensive emergency) and any applicable additional codes for associated conditions.
What is the importance of following the correct sequencing order when coding for ICD-10-CM?
-Following the correct sequencing order is crucial for accurate and compliant coding. It ensures that the primary diagnosis or reason for the encounter is captured first, followed by any secondary conditions or related diagnoses, as per the guidelines.
What is the role of the 'tap' lecture in the AMCI coding training?
-The 'tap' lecture is part of the AMCI coding training that teaches how to annotate or put guidelines next to the codes. It helps learners understand how to use the MCG manual effectively and improve their ICD-10-CM coding proficiency.
How does the coding for coronary artery disease (CAD) and atherosclerosis differ from coding for angina pectoris?
-Coding for coronary artery disease (CAD) focuses on the narrowing of the arteries due to plaque buildup. For angina pectoris, the documentation must specify the presence of chest pain (angina), and if the code already includes angina, an additional angina code is not necessary.
What is the significance of the 'C9A' guidelines in the context of coding for hypertension-related conditions?
-The 'C9A' guidelines are crucial for coding hypertension-related conditions as they provide specific instructions on how to code for different scenarios involving hypertension, such as when it is associated with heart disease, CKD, or both. These guidelines help ensure that the coding is accurate and reflects the presumed causal relationships when applicable.
Outlines
π΅ Introduction to AMCI World Class Coder
The video begins with a musical introduction and a reminder to the audience to check the sound quality of the speaker's microphone. The speaker then introduces the topic of the video, which is about being an AMCI (American Medical Certification Institute) world-class coder. The speaker emphasizes the importance of being an ethical, precise, forensic, and certified coder. The video continues with a discussion about copyright information related to the AMA (American Medical Association) and the use of specific credentials and trademarks owned by different organizations. The speaker then reviews the previous class's content, highlighting the learning outcomes and the topics covered, such as diabetes, pain, and coding scenarios. The goal for the current class is to focus on chapter nine of ICD-1 CM, which deals with diseases of the circulatory system, and to practice coding scenarios to improve proficiency in ICD-10 CM coding.
π ICD-10 CM Chapter Nine: Circulatory System
The speaker delves into the specifics of ICD-10 CM chapter nine, which covers diseases of the circulatory system. The discussion includes a detailed look at hypertension, its implications, and how it is coded in different scenarios. The speaker provides guidelines for coding hypertension with heart disease (C9A1), hypertension with chronic kidney disease (C9A2), and hypertension with both heart disease and CKD (C983). The speaker also addresses coding for hypertensive cerebral vascular disease (C9A4) and provides a walkthrough on how to look up hypertension-related diagnoses in the ICD-10 CM manual.
π§ Applying Guidelines for Hypertension Coding
The speaker continues the discussion on hypertension by applying coding guidelines to various scenarios. The focus is on understanding the sequencing of codes when dealing with comorbid conditions such as heart disease and CKD. The speaker emphasizes the importance of following the correct sequencing order as per the guidelines, which can help in eliminating incorrect code options. The discussion also touches on the difference between coding for transient hypertension (R03.0) and chronic hypertension (I10), and the significance of the reason for the encounter (RF) in determining the principal diagnosis.
π©Ί Case Scenarios for Hypertension Coding
The speaker presents a series of case scenarios to test the audience's understanding of hypertension coding guidelines. Each scenario involves a patient with hypertension and other conditions, and the audience is challenged to determine the correct ICD-10 CM codes based on the given information. The speaker provides the correct answers and explains the rationale behind each coding decision, reinforcing the importance of following guidelines and understanding the clinical context.
π‘ Importance of Coding Skills and Human Judgment
The speaker discusses the role of human judgment in coding, emphasizing that AI cannot replace the common sense and expertise of human coders. The speaker encourages the audience to trust their training and the guidelines provided by their MCG (Medical Group) manual. The speaker also provides a final thought on the importance of understanding the differences between categories of hypertension and how they are coded in ICD-10 CM.
π Acute Myocardial Infarction (AMI): Introduction
The speaker transitions from hypertension to acute myocardial infarction (AMI), commonly known as a heart attack. The speaker explains the causes of AMI, with a focus on the buildup of plaque that restricts blood flow. The discussion includes the different types of heart attacks, such as STEMI and NSTEMI, and how they are diagnosed using an ECG. The speaker provides a brief overview of the ECG and its significance in determining the presence of a myocardial infarction.
π ECG Interpretation and AMI Coding
The speaker continues with the topic of AMI by explaining how to interpret an ECG, focusing on the ST segment and its elevation or depression in STEMI and NSTEMI, respectively. The speaker provides a visual guide to help the audience understand the differences between a normal ECG, STEMI, and NSTEMI. The discussion then moves to the guidelines for coding heart attacks, emphasizing the importance of coding according to the type and location of the infarction. The speaker also introduces the concept of subsequent and old myocardial infarctions and their coding implications.
π§ Coding Exercises for Myocardial Infarctions
The speaker presents a series of coding exercises related to myocardial infarctions, challenging the audience to apply the guidelines and knowledge learned in the previous sections. Each exercise involves a patient scenario and requires the audience to determine the correct ICD-10 CM codes. The speaker provides the correct answers and explains the rationale behind each coding decision, reinforcing the importance of understanding the clinical context and following the correct sequencing order for coding myocardial infarctions.
π Summary of Myocardial Infarction Coding
The speaker summarizes the key points related to coding myocardial infarctions, including the differences between type one and type two AMIs, the coding implications of demand ischemia, and the categorization of myocardial infarctions associated with revascularization surgery. The speaker also provides a chart on how to code type one AMIs, emphasizing the importance of knowing the reason for the patient's visit and whether there was a previous AMI. The discussion concludes with a review of the duration of acute myocardial infarctions and the coding of subsequent and old myocardial infarctions.
π©Ή Case Scenario: Acute Posterolateral Myocardial Infarction
The speaker presents a case scenario involving a patient with an acute posterolateral myocardial infarction. The speaker guides the audience through the process of coding this scenario, emphasizing the importance of identifying the correct location of the infarction and whether the patient had a previous AMI. The speaker provides a step-by-step explanation of how to look up the code in the ICD-10 CM manual and how to verify the code using the tabular list. The correct ICD-10 CM code for the scenario is I21.29, which represents an acute STEMI of the posterior lateral wall.
π§ Testing MCI Guidelines for Myocardial Infarction Coding
The speaker presents a series of testing scenarios related to myocardial infarction coding, challenging the audience to apply the MCI guidelines and determine the correct ICD-10 CM codes. The scenarios involve patients with multiple myocardial infarctions and require the audience to consider the timing and sequencing of the codes. The speaker provides the correct answers and explains the rationale behind each coding decision, reinforcing the importance of understanding the guidelines and the clinical context of each scenario.
π©Ί Chronic Combined Heart Failure Coding
The speaker discusses the coding of chronic combined heart failure, providing the correct ICD-10 CM code for a patient with this condition. The speaker emphasizes the importance of coding for both systolic and diastolic heart failure when they coexist and provides a step-by-step explanation of how to determine the correct code based on the patient's clinical presentation and the guidelines. The correct ICD-10 CM code for the scenario presented is I50.42, which represents chronic combined systolic and diastolic heart failure.
π§ Coding Exercises for Cerebrovascular Accidents
The speaker presents coding exercises related to cerebrovascular accidents, also known as strokes. The exercises involve determining the correct ICD-10 CM codes based on patient scenarios that describe the type of stroke and its effects. The speaker provides the correct answers and explains the rationale behind each coding decision, highlighting the importance of understanding the difference between ischemic and hemorrhagic strokes and the guidelines for coding their sequelae.
π Summary and Final Thoughts on Coding
The speaker concludes the video with a summary of the key points discussed, including the importance of coding accurately for hypertension, myocardial infarctions, and cerebrovascular accidents. The speaker encourages the audience to keep coding and learning, emphasizing that persistence and practice are essential for success in the field of medical coding. The speaker also provides a motivational message, reminding the audience to keep moving forward even when faced with challenges.
Mindmap
Keywords
π‘AMCI world class coder
π‘ICD-10-CM
π‘Hypertension
π‘Cerebrovascular Accident (CVA)
π‘Cardiovascular System
π‘Coding Scenarios
π‘Guidelines
π‘Chronic Kidney Disease (CKD)
π‘Coronary Artery Disease (CAD)
π‘Myocardial Infarction (MI)
Highlights
The session focuses on AMCI world class coders and their ethical, precise, forensic, and certified nature.
The importance of hypertension awareness and its potential to lead to serious conditions like congestive heart failure is discussed.
The session covers the coding of diseases of the circulatory system, particularly hypertension, CVA, and AMI.
Guidelines for coding hypertension with heart disease and hypertension with CKD are explained.
The difference between coding for hypertension and hypertensive heart disease is clarified.
Instructions on how to use the MCG manual for coding scenarios are provided.
The lecture emphasizes the significance of following guidelines for proper ICD10 CM coding.
The importance of understanding the sequencing order in coding is highlighted.
The session provides a walkthrough on how to look up hypertension-related diagnoses in the ICD10 CM manual.
The lecture discusses the coding of coronary artery disease and atherosclerosis, including the use of combination codes.
The session includes a practical exercise on coding scenarios involving hypertension and other related conditions.
The lecture addresses the role of AI in coding and emphasizes the irreplaceable nature of human coders due to their common sense and ability to apply guidelines.
The session concludes with a discussion on acute myocardial infarction (heart attack) and its coding.
The difference between STEMI and NSTEMI heart attacks is explained, along with their coding implications.
The lecture provides a quick tutorial on reading ECG results to determine the type of myocardial infarction.
Guidelines for coding heart attacks based on type and location, as well as the duration of myocardial infarction, are detailed.
The session ends with an exercise on coding a patient's admission for an acute myocardial infarction involving the left circumflex coronary artery.
Transcripts
Browse More Related Video
2023 ICD 10 CM coding guidelines for chapter 9 diseases of circulatory system part 6
ICD 10 CM Chapter Specific Guidelines I. C9
ICD-10-CM BootCamp: Diseases of the Circulatory System
ICD 10 CM coding for a Heart Attack: STEMI vs NSTEMI for Beginners
AMCI ICD-10-CM Coding for Beginners- Part 3
2023 icd 10cm coding guidelines for chapter 13
5.0 / 5 (0 votes)
Thanks for rating: