ICD-10-CM BootCamp: Diseases of the Genitourinary System
TLDRThis transcript outlines a webinar on ICD-10-CM Chapter 14, focusing on genitourinary system diseases. It emphasizes the importance of understanding official ICD-10 coding guidelines, provides examples of coding scenarios, and includes a quiz for practice. The presentation highlights conditions like chronic kidney disease (CKD), end-stage renal disease (ESRD), and kidney transplant complications, offering detailed instructions on coding these scenarios using the ICD-10-CM manual.
Takeaways
- 📚 Chapter 14 of ICD-10-CM is dedicated to coding diseases of the genitourinary system, with codes starting with the letter 'N', a change from ICD-9 where these codes began with 5 and 6.
- 🧠 The presentation includes official ICD-10 guidelines, clinical scenarios for practice, and a quiz to test understanding of the material.
- 📈 ICD-10 has reorganized some chapters, placing the genitourinary system chapter after the musculoskeletal system, unlike in ICD-9.
- 🤔 Chronic kidney disease (CKD) has five stages, with the fourth character in the code indicating the stage (e.g., Stage 2 is N18.2, Stage 3 is N18.3).
- 📌 End-stage renal disease (ESRD) is coded to N18.6, and if documented with a stage of CKD, only the ESRD code is used as it represents the most severe stage.
- 💡 Additional codes are used to identify dialysis status (Z99.2), kidney transplant status (Z94.0), and transplant complications (T86.1 and related subcategories).
- 🦠 Urinary tract infections (UTIs) are coded based on the site (N39.0) and the infectious agent (e.g., Proteus as B96.4), with personal history of UTIs coded as Z87.44.
- 🚑 Acute kidney failure due to conditions like urinary obstruction caused by benign prostatic hypertrophy (BPH) is coded as N17.0 and N40.1, with additional codes for the underlying cause and symptoms.
- 🌟 Acute suppurative cystitis with hematuria due to E. coli is coded as N30.01, with the infectious agent specified as B96.2 (E. coli).
- 📊 Chronic nephritic syndrome with diffuse membranous glomerulonephritis is coded as N03.2, found under nephritic syndrome in the index.
- 📝 It is crucial to verify claim submissions and check for denials based on ICD-10 conversion after the October 1st, 2015 compliance date in the United States.
Q & A
What is the focus of Chapter 14 in ICD-10-CM?
-Chapter 14 of ICD-10-CM is focused on diseases of the genitourinary system.
How has the arrangement of chapters changed from ICD-9 to ICD-10-CM?
-In ICD-10-CM, some chapters have been shifted around, and the genitourinary system chapter now follows the musculoskeletal system chapter, whereas in ICD-9, the genitourinary system codes followed the digestive system chapter.
What is Chronic Kidney Disease (CKD) and how is it coded in ICD-10-CM?
-Chronic Kidney Disease (CKD) is a common condition characterized by gradual loss of kidney function. In ICD-10-CM, CKD is coded starting with the letter 'N', and the fourth character corresponds to the stage of CKD, ranging from least to most severe.
How is End-Stage Renal Disease (ESRD) coded in ICD-10-CM?
-End-Stage Renal Disease (ESRD) is coded as 'N 18.6' in ICD-10-CM. If documentation contains both a stage of CKD and ESRD, only the ESRD code is used as it represents the most severe stage.
What additional codes are used to identify dialysis status and kidney transplant status in ICD-10-CM?
-For dialysis status, the additional code is 'Z99.2'. For kidney transplant status, the code is 'Z94.0'. These are used as supplementary codes when appropriate.
How is a urinary tract infection (UTI) coded in ICD-10-CM?
-A urinary tract infection with an unspecified site is coded as 'N39.0' in ICD-10-CM. If the infectious agent is identified, an additional code from categories B95 through B97 should be used to specify the agent.
What is the correct code for a patient with a history of urinary tract infections?
-The correct code for a patient with a personal history of urinary tract infections is 'Z87.44', which should be confirmed in the tabular section of ICD-10-CM.
How is acute kidney failure due to acute tubular necrosis caused by urinary obstruction coded in ICD-10-CM?
-Acute kidney failure with tubular necrosis is coded as 'N17.0'. The underlying condition causing the acute kidney failure, such as benign prostatic hypertrophy (BPH), should also be coded accordingly, in this case as 'N40.1'.
What codes are assigned for a patient diagnosed with acute suppurative cystitis with hematuria due to E. coli?
-The primary code for acute suppurative cystitis with hematuria is 'N30.01'. The E. coli infection should be additionally coded as 'B96.2' to specify the infectious agent.
How is chronic nephritic syndrome with diffuse membranous glomerulonephritis coded in ICD-10-CM?
-Chronic nephritic syndrome with diffuse membranous glomerulonephritis is coded as 'N03.2' in ICD-10-CM.
What is the importance of verifying claims and checking remittance advice (RA) after the ICD-10 conversion?
-After the ICD-10 conversion, it is crucial to verify that claims are being received and to check remittance advice for denials based on the ICD-10 conversion to ensure proper billing and reimbursement.
What is the role of instructional notes in ICD-10-CM coding?
-Instructional notes in ICD-10-CM provide additional guidance on coding specific conditions, such as the need to use additional codes to identify the stage of CKD, infectious agents, or underlying conditions associated with a diagnosis.
Outlines
📚 ICD-10-CM Chapter 14 Overview and Coding Scenarios
This paragraph introduces Chapter 14 of ICD-10-CM, which covers diseases of the genitourinary system. It outlines the official ICD-10 guidelines for this chapter and mentions that the presentation will include clinical scenarios for coding practice, followed by a quiz. The paragraph emphasizes the importance of having completed an introduction to ICD-10-CM webinar, as it will be used to complete the coding scenarios. It also notes the change from ICD-9, where genitourinary system codes started with numbers 5 and 6, to ICD-10, where they start with the letter 'N'. The paragraph concludes by mentioning common conditions like chronic kidney disease (CKD) and end-stage renal disease (ESRD), and how to code for them, including the use of additional codes for dialysis status and kidney transplant status.
🩺 Coding Examples and Complications in Genitourinary Diseases
This paragraph delves into specific coding examples for genitourinary diseases, focusing on urinary tract infections (UTIs) and acute kidney failure due to urinary obstruction. It provides a step-by-step guide on how to locate and confirm ICD-10 codes using the alphabetic index and tabular. The paragraph also discusses how to code for complications such as transplant failure or rejection, and the use of additional codes to identify the infectious agent in UTIs. It concludes with a scenario involving acute kidney failure due to acute tubular necrosis caused by benign prostatic hypertrophy (BPH), explaining the coding process for both the failure and the underlying condition.
🌟 Coding for Acute Cystitis, Proteinuria, and Nephritic Syndrome
This paragraph continues the discussion on coding for genitourinary diseases, focusing on acute suppurative cystitis, chronic nephritic syndrome, and specific conditions like e.coli infections. It provides detailed instructions on how to code for these conditions, including the use of additional codes to identify the infectious agent. The paragraph emphasizes the importance of confirming codes in the tabular and understanding the instructional notes within ICD-10-CM. It also highlights the process of coding for hematuria due to e.coli and chronic nephritic syndrome with diffuse membranous glomerulonephritis.
📝 Quiz and Final Remarks on ICD-10-CM Chapter 14
This paragraph concludes the presentation on ICD-10-CM Chapter 14 with a quiz to test the understanding of the material covered. It poses two true/false questions regarding the coding of chronic kidney disease and end-stage renal disease, and the requirement of an accompanying code for underlying conditions in certain cases. The paragraph provides answers to these questions, reinforcing the importance of coding the most severe stage of CKD and the necessity of an accompanying code for the underlying condition when coding for conditions from category N17. It also reminds the audience of the transition to ICD-10 in the United States and encourages checking claims and handling denials based on the ICD-10 conversion. The paragraph ends with a call to action for further assistance with ICD-10 training and provides contact information for webinars and consultations.
Mindmap
Keywords
💡ICD-10-CM
💡Genitourinary System
💡Chronic Kidney Disease (CKD)
💡End-Stage Renal Disease (ESRD)
💡Coding Scenarios
💡Kidney Transplant
💡Urinary Tract Infections (UTIs)
💡Acute Kidney Failure
💡Proteinuria
💡Coding Manual
💡Additional Codes
💡Quizzes
Highlights
Chapter 14 of ICD-10-CM focuses on diseases of the genitourinary system.
The presentation covers official ICD-10 guidelines and clinical scenarios for chapter 14.
A small quiz is provided at the end of the presentation.
The genitourinary system codes in ICD-10 start with the letter 'N', differing from ICD-9.
Chronic Kidney Disease (CKD) has five stages, with the fourth character indicating the stage.
End-stage Renal Disease (ESRD) is coded to N18.6 and is the most severe stage of CKD.
For ESRD, an additional code Z99.2 is used to identify dialysis status.
Kidney transplant status is coded with Z94.0 as a supplementary code.
Transplant complications are coded with subcategory T86.1 if specifically documented.
A patient with stage 3 CKD and a history of kidney transplant is coded with N18.3 and Z94.0.
Urinary Tract Infection (UTI) with Proteus growth is coded with N39.0 and B96.4.
Personal history of UTIs is coded with Z87.44.
Acute kidney failure due to acute tubular necrosis caused by urinary obstruction is coded with N17.0 and N40.1.
Obstruction due to benign prostatic hypertrophy (BPH) is coded with N40.1 and N13.8.
Acute suppurative cystitis with hematuria due to E. coli is coded with N30.01 and B96.2.
Chronic nephritic syndrome with diffuse membranous glomerulonephritis is coded with N03.2.
For ICD-10, the most severe stage of CKD is coded, such as N18.6 for end-stage renal disease.
After October 1st, 2015, the United States began using ICD-10, and it's important to verify claims and check for denials based on the ICD-10 conversion.
Transcripts
Browse More Related Video
5.0 / 5 (0 votes)
Thanks for rating: