ICD 10 Combination Codes

Professional Reimbursement Network
11 Jul 201905:58
EducationalLearning
32 Likes 10 Comments

TLDRClarice Warner, founder of Professional Reimbursement Network LLC, educates on ICD-10 combination coding. She explains that combination codes classify a diagnosis with an associated condition or complication. Clarice advises using the alphabetic index and tabular list for identification, emphasizing that combination codes simplify the coding process and reduce sequencing issues. She provides examples and highlights the importance of understanding disease processes. Clarice encourages the use of combination codes when available and shares tips for finding them in the alphabetic index. The video aims to help viewers become certified, marketable medical coders.

Takeaways
  • 📚 Clarice Warner is the founder and education director of the Professional Reimbursement Network LLC, focusing on medical coding education.
  • 🎓 Coding education is crucial for becoming a certified, marketable medical coder according to ICD-10-CM official guidelines.
  • 🔢 A combination code in ICD-10 is a single code used to classify a diagnosis with an associated secondary process, manifestation, or complication.
  • 🤔 Coders must determine if a single combination code captures all relevant patient conditions or if multiple codes are needed.
  • 📖 Combination codes can be identified by referring to sub term entries in the alphabetic index or by reading the inclusion and exclusion notes in the tabular list.
  • 🏥 The use of combination codes reduces the need for multiple codes and simplifies the sequencing process in medical coding.
  • 🧠 Understanding disease processes is essential when deciding whether to use a combination code.
  • 🌰 Examples of conditions that may use combination codes include acute cystitis with hematuria (N30.01) and toxic liver disease with chronic active hepatitis and ascites (K71.51).
  • 🚫 Do not use multiple codes when a clear combination code identifies all elements in the diagnosis.
  • 💡 Combination codes are commonly used with diagnoses like diabetes, coronary artery disease, pressure ulcers, and categories involving substances related to adverse effects or external causes.
  • 🔍 The alphabetic index provides helpful hints for using combination codes, such as terms like 'with,' 'due to,' or 'associated with,' which usually indicate the applicability of a combination code.
Q & A

  • What is a combination code in ICD-10-CM?

    -A combination code in ICD-10-CM is a single code used to classify a diagnosis with an associated secondary process, manifestation, or complication.

  • How can you identify combination codes?

    -You can identify combination codes by referring to the sub term entries in the alphabetic index or by reading the inclusion and exclusion notes in the tabular list.

  • When should you use a combination code?

    -You should use a combination code when it fully identifies the diagnostic conditions involved or when the alphabetic index directs you to do so.

  • What is the advantage of using combination codes in medical coding?

    -Using combination codes allows for the assignment of a single code, which reduces sequencing complexities and simplifies the coding process.

  • How does understanding disease processes help in coding with combination codes?

    -Understanding disease processes is crucial when considering whether a combination code is appropriate, as it helps in identifying conditions that occur together or have specific manifestations.

  • What is an example of a condition that requires a combination code?

    -An example is acute cystitis with hematuria, which can be classified using the combination code N30.01 after verifying its completeness in both the alphabetic index and the tabular list.

  • What conditions are typically associated with the use of combination codes?

    -Combination codes are most likely used with diagnoses such as diabetes, coronary artery disease, pressure ulcers, and categories involving substances related to adverse effects, poisoning, toxic effects, and underdosing, as well as external causes.

  • How can you find hints for using combination codes in the alphabetic index?

    -In the alphabetic index, look for terms such as 'with,' 'due to,' or 'in association with,' as these terms usually indicate that a combination code is applicable.

  • What is the importance of education in becoming a certified medical coder?

    -Education is key in becoming a certified medical coder as it provides the necessary information, tips, and strategies to understand and apply ICD-10-CM coding guidelines effectively.

  • What resources are available for someone interested in becoming a certified medical coder?

    -The Professional Reimbursement Network LLC, founded by Clarice Warner, offers educational resources, videos, and strategies for individuals interested in becoming certified medical coders.

  • How can one access more information on becoming a certified medical coder?

    -For more information on becoming a certified medical coder, one can visit the Professional Reimbursement Network LLC's channel, watch their educational videos, and follow the provided links for additional resources.

Outlines
00:00
📚 Understanding ICD-10 Combination Codes

This paragraph introduces viewers to the concept of ICD-10 combination codes used in medical coding. Clarice Warner, founder and education director of the Professional Reimbursement Network LLC, emphasizes the importance of coding education. She explains that combination codes classify a diagnosis or associated secondary condition with a primary diagnosis. Coders must determine if a single combination code captures all relevant conditions or if multiple codes are needed. Two methods for identifying combination codes are discussed: referring to sub term entries in the alphabetic index and reading inclusion and exclusion notes in the tabular list. Examples are provided to illustrate how to identify and apply combination codes, such as acute cystitis with hematuria (code N30.01) and toxic liver disease with chronic active hepatitis and ascites (code K71.51). The video encourages understanding disease processes and using combination codes when available, as they reduce the need for multiple codes and simplify the coding process.

05:02
🚀 Becoming a Certified Medical Coder

This paragraph addresses individuals interested in medical coding but unsure of where to begin. Clarice Warner offers guidance on the steps to become a certified and marketable medical coder. She invites viewers to visit a provided link (bit.ly/5stepscoder) for more information and encourages subscription to the channel for new content updates. The paragraph concludes with a call to action for viewers to engage by commenting and sharing the video with others who might benefit from the information. The message ends on a positive note, reminding viewers to stay connected, be safe, be kind, and to actively work towards their goals.

Mindmap
Keywords
💡ICD-10
ICD-10, or the International Classification of Diseases, 10th Revision, is a coding system used in healthcare to classify, track, and report diseases and health conditions. In the video, ICD-10 is central to the discussion on combination codes, which are specific codes used to classify multiple related health conditions under one code for efficient documentation and reporting in medical billing and record-keeping.
💡Combination Codes
Combination codes in ICD-10 are used to classify a primary diagnosis along with an associated secondary process, manifestation, or complication. They are beneficial in reducing the number of codes needed to describe a patient's conditions, thus simplifying the coding process and ensuring accurate billing. The video emphasizes the importance of using combination codes when they fully capture the relevant patient conditions.
💡Coding
Coding in the context of the video refers to the process of assigning standardized codes to diagnoses, procedures, and other healthcare services according to the ICD-10 system. This is crucial for medical record-keeping, insurance claims, and data analysis in healthcare. The video focuses on teaching viewers how to become proficient in medical coding, particularly with ICD-10 combination codes.
💡Medical Coder
A medical coder is a healthcare professional who assigns codes to diagnoses and procedures for the purpose of medical billing, record-keeping, and data analysis. The video script emphasizes the need for medical coders to understand combination codes within the ICD-10 system to accurately capture and report patient conditions.
💡Alphabetic Index
The Alphabetic Index is a part of the ICD-10 coding system that organizes terms in alphabetical order to help find the appropriate codes for diagnoses and procedures. It is a valuable tool for medical coders when searching for specific codes, including combination codes.
💡Tabular List
The Tabular List is another component of the ICD-10 coding system that presents codes in a structured, categorized format. It includes detailed inclusion and exclusion notes that help medical coders determine the correct codes to use, including combination codes.
💡Certification
In the context of the video, certification refers to the formal recognition of an individual's competence and expertise in medical coding. Obtaining certification is important for medical coders as it enhances their credibility and marketability in the healthcare industry.
💡Education
Education in this context refers to the process of learning and acquiring knowledge and skills, particularly in the field of medical coding. The video emphasizes the importance of education for becoming a successful and certified medical coder.
💡Inclusion and Exclusion Notes
Inclusion and exclusion notes are critical components of the ICD-10 coding system found in the Tabular List. They provide specific instructions on when to use certain codes and when not to, helping medical coders determine the appropriate codes for a given set of diagnoses or procedures.
💡Disease Processes
Disease processes refer to the natural progression of a disease or condition and how it affects the body. Understanding these processes is essential for medical coders when determining whether combination codes can be used to accurately represent the conditions being treated.
💡Adverse Effects
Adverse effects are unintended negative consequences that result from medical treatments or procedures. In the context of ICD-10 coding, combination codes can be used to document these effects in relation to specific substances or medications.
Highlights

Clarice Warner, founder and education director of the Professional Reimbursement Network LLC, emphasizes the importance of coding education.

A combination code in ICD-10 is used to classify a diagnosis with an associated secondary process, manifestation, or complication.

Coders must determine if a single combination code captures all relevant patient conditions or if multiple codes are needed.

Combination codes can be identified by referring to sub term entries in the alphabetic index or by reading the inclusion and exclusion notes in the tabular list.

The alphabetic index is the easiest way to identify combination codes, with helpful hints provided for locating them.

Combination codes should only be assigned when the tabular list fully identifies the diagnostic conditions involved or when the alphabetic index directs to.

Understanding disease processes is crucial when considering the use of combination codes.

An example of using a combination code is for acute cystitis with hematuria, where a single code (N30.01) is sufficient.

Combination codes reduce the need for multiple codes, simplifying the sequencing process.

Toxic liver disease with chronic active hepatitis and ascites is another example where a single combination code (K71.51) should be reported.

Coders must use combination codes when available, as per ICD-10 guidelines, and not use multiple codes when a combination code identifies all elements of the diagnosis.

Combination codes are commonly used with diagnoses like diabetes, coronary artery disease, and pressure ulcers, as well as with substances related to adverse effects and external causes.

The alphabetic index provides hints for using combination codes, such as terms like 'with', 'due to', or 'in association with', indicating the applicability of a combination code.

Clarice Warner encourages engagement and sharing of resources for those interested in medical coding and offers guidance on becoming a certified marketable medical coder.

The video provides a comprehensive review of ICD-10 combination coding, aiming to clarify its application and benefits for medical coders.

For those unsure about starting a career in medical coding, Clarice Warner offers a step-by-step guide to becoming a certified marketable medical coder through her resources.

The video concludes with an invitation to subscribe to the channel for more information and tips on medical coding and certification.

Transcripts

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