ICD-10-CM BootCamp: Diseases of the Eye and Adnexa

VantagePoint HealthCare Advisors
12 Jan 201616:12
EducationalLearning
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TLDRThis webinar transcript focuses on Chapter 7 of ICD-10-CM, which pertains to diseases of the eye and adnexa. It delves into the official guidelines for coding these conditions, emphasizing the importance of anatomic specificity and laterality. The session includes clinical scenarios for practice coding, highlighting changes from ICD-9, such as the shift from 'senile' to 'age-related' for cataracts and detailed coding for glaucoma, including bilateral cases and stages. Participants are guided through coding examples and a quiz to reinforce learning.

Takeaways
  • 📚 Chapter seven of ICD-10-CM pertains to diseases of the eye and adnexa, with codes starting with the letter 'H', differing from ICD-9 which used numbers starting with '3'.
  • 🔍 ICD-10 has expanded the number of codes for eye diseases due to increased anatomic specificity, including laterality which is crucial for eye conditions.
  • 🚫 The term 'senile' is no longer used for cataracts; it has been replaced with 'age-related'.
  • 📈 For glaucoma, ICD-10 codes may detail the type, affected eye, and stage of the condition, with a seventh character indicating the stage.
  • 👁️ In cases of bilateral glaucoma with the same type and stage, a single code is used, e.g., H 40.33 X 1 for secondary glaucoma due to eye trauma.
  • 🌟 When both eyes have different stages or types of glaucoma, separate codes are reported, with the more severe stage coded first.
  • 📌 ICD-10 does not specify laterality for primary open-angle glaucoma, whereas it is essential for other types.
  • 📝 For coding scenarios, it is necessary to refer to the ICD-10-CM coding manual and use the conventions and guidelines from the introduction to ICD-10-CM.
  • ⏸️ During the webinar, participants are encouraged to pause and practice coding clinical scenarios using the provided examples.
  • 💡 The United States began using ICD-10 on October 1, 2015, making it crucial to verify claims and check remits for denials based on ICD-10 conversion.
  • 📈 The presentation concludes with a quiz to reinforce learning and ends with resources for further ICD-10 training.
Q & A

  • What is the focus of Chapter 7 in ICD-10-CM?

    -Chapter 7 of ICD-10-CM focuses on diseases of the eye and adnexa.

  • How has the coding for glaucoma changed from ICD-9 to ICD-10?

    -In ICD-10, glaucoma codes include the type of glaucoma, the affected eye, and the stage of the glaucoma, which is designated by a seventh character. The term 'senile' is no longer used for cataracts; the new term is 'age-related.'

  • What is the significance of laterality in coding conditions of the eye?

    -Laterality is extremely important in coding conditions of the eye as it specifies whether the condition is affecting one or both eyes and can influence the type and number of codes used.

  • How is bilateral glaucoma coded in ICD-10-CM?

    -If a patient has bilateral glaucoma of the same type and same stage, only one code is used, which includes the type of glaucoma, the location (bilateral), and the stage, such as H 40.33 X 1 for secondary glaucoma due to eye trauma.

  • What should be done if a patient has glaucoma in both eyes but with different stages in each eye?

    -In such cases, two codes are used, with the first code being the more severe stage, followed by the code for the less severe stage, specifying the affected eye.

  • How is a patient's primary open-angle glaucoma in the left eye coded if it is in the severe stage?

    -The code for a patient with severe stage primary open-angle glaucoma of the left eye is H 40.11 X 3.

  • What is the correct ICD-10-CM code for a patient with glaucoma due to bilateral central retinal vein occlusion?

    -The first code is H 40.53 X 0, for glaucoma secondary to other eye disorders, bilateral, stage unspecified. The second code is H 34.08132, for central retinal vein occlusion, bilateral.

  • How would you code a 62-year-old woman diagnosed with mild stage narrow angle glaucoma in both eyes?

    -The code for this condition is H 40.20 X 1, for unspecified primary angle closure glaucoma, mild stage.

  • What are the ICD-10-CM codes for a 28-year-old male with non-ulcerative bilateral blepharitis of the upper eyelids?

    -The codes are H 01.00.001 for unspecified blepharitis, right upper eyelid and H 01.00.004 for unspecified blepharitis, left upper eyelid.

  • How is a patient's continued eye problems following cataract surgery, diagnosed as bolus carrot-top in the left eye, coded?

    -The code for this condition is H 59.01.12, for carat apathy bolus following cataract surgery, left eye.

  • What should be the approach when a patient's stage of glaucoma progresses during an admission?

    -The most critical form of the condition, which is the severe stage, should be coded when a patient's stage of glaucoma progresses during an admission.

  • What is the ICD-10-CM code for luxation of the globe of the right eye?

    -The code for luxation of the globe of the right eye is H 44.08.12.

Outlines
00:00
📚 Introduction to ICD-10-CM Chapter 7

This paragraph introduces Chapter 7 of ICD-10-CM, which focuses on diseases of the eye and adnexa. It outlines the structure of the presentation, which includes official ICD-10 guidelines, clinical scenarios for coding practice, and a quiz. The importance of having completed an introduction to ICD-10-CM is emphasized, as the conventions and guidelines from it are necessary for completing the coding scenarios. The chapter's codes start with the letter 'H', differing from ICD-9 where they started with '3' and were part of the nervous system chapter. The expansion of codes in ICD-10 due to increased anatomical specificity, including laterality for eye conditions, is highlighted. The paragraph also discusses changes in terminology, such as the replacement of 'senile' with 'age-related' for cataracts and detailed coding for glaucoma, including the use of a seventh character for stage and laterality.

05:01
🔍 Coding Examples and Guidelines for Glaucoma

This paragraph delves into the specifics of coding for glaucoma, a condition with various types and stages. It explains the coding process for unilateral and bilateral glaucoma, emphasizing the use of a single code for both eyes when the type and stage are the same. The paragraph also addresses scenarios where the type or stage of glaucoma differs between eyes, requiring separate codes. Additionally, it provides examples of how to code specific cases of glaucoma, such as secondary glaucoma due to eye trauma and primary open-angle glaucoma with different stages in each eye.

10:03
👩‍⚕️ Clinical Scenarios and Coding Practice

This section presents several clinical scenarios for coding practice, including a patient with primary open-angle glaucoma, a patient with glaucoma due to bilateral central retinal vein occlusion, and a patient with unspecified primary angle closure glaucoma. The paragraph guides the reader through the process of looking up conditions in the ICD-10-CM manual, identifying the correct codes, and understanding the significance of the seventh character for stage. It also touches on the necessity of coding the underlying eye disorder in addition to the glaucoma code.

15:04
📝 Quiz and Additional Coding Examples

The paragraph concludes with a quiz to test the understanding of the material covered, including questions on coding for glaucoma stage progression and luxation of the globe. It provides answers to the quiz questions, reinforcing the importance of reporting the most critical form of a condition and the correct coding for specific eye conditions. The paragraph also discusses the transition to ICD-10 in the United States, emphasizing the importance of verifying claims and checking for denials post-conversion. It ends with a call to action for further ICD-10 training and resources.

Mindmap
Keywords
💡ICD-10-CM
ICD-10-CM stands for the International Classification of Diseases, 10th Revision, Clinical Modification. It is a standardized coding system used in the United States for reporting diagnoses and procedures for medical billing and statistical purposes. In the video, ICD-10-CM is the focus for coding diseases of the eye and adnexa, with specific guidelines and examples provided for accurate coding practices.
💡Diseases of the Eye and Adnexa
This term refers to the medical conditions that affect the eye and its附属器官 (adnexa), which include the eyelids, conjunctiva, and other structures connected to the eye. The video's main theme revolves around the proper ICD-10-CM coding for these diseases, emphasizing the importance of accurate documentation for billing and treatment tracking.
💡Coding
Coding in the context of the video refers to the process of assigning specific numerical or alphanumeric codes to diagnoses, procedures, and other healthcare services according to the ICD-10-CM coding system. This is crucial for healthcare providers to communicate patient health information and to ensure appropriate reimbursement for services rendered.
💡Glaucoma
Glaucoma is a group of eye conditions that damage the optic nerve, often leading to gradual vision loss. It is a significant focus in the video as it demonstrates the complexity of ICD-10-CM coding, including the specification of type, affected eye, and stage of the disease.
💡Laterality
Laterality in medical coding refers to the specific side or laterality of a condition or procedure. In the context of the video, laterality is crucial for eye-related conditions as it affects the ICD-10-CM codes, distinguishing whether the condition affects one or both eyes.
💡Clinical Scenarios
Clinical scenarios are hypothetical situations or case studies that模拟 real-life medical situations. In the video, these scenarios are used to practice ICD-10-CM coding, providing participants with an opportunity to apply the coding guidelines to specific eye conditions.
💡Quizzes
Quizzes in this context are short tests or examinations designed to assess the viewer's understanding and application of the ICD-10-CM coding concepts taught in the video. They serve as a reinforcement tool to ensure that the participants have grasped the material.
💡Webinar
A webinar is an online seminar or tutorial that allows participants to learn and interact with the presenter in real-time. In the video, the webinar format is used to teach and practice ICD-10-CM coding for eye and adnexa diseases, with the opportunity to pause and practice coding during the session.
💡Coding Manual
The Coding Manual refers to the reference book or resource that contains the complete list of ICD-10-CM codes and guidelines for their application. It is an essential tool for healthcare professionals to look up and verify the correct codes for diagnoses and procedures.
💡Seventh Character
In ICD-10-CM, the seventh character provides additional information about the diagnosis, such as the laterality, the type of condition, or the stage of the disease. It is a crucial element for specificity and accuracy in coding.
💡Bilateral
Bilateral refers to conditions that affect both sides of the body, in this case, both eyes. The video discusses how to code for bilateral conditions in the context of ICD-10-CM, including the use of specific codes and the seventh character to indicate the bilateral nature of the disease.
💡Non-Traumatic
Non-traumatic indicates that a condition or event is not caused by injury or external force. In the context of the video, this term is relevant when coding certain eye conditions that are not the result of trauma or injury.
Highlights

Chapter seven of ICD-10-CM focuses on diseases of the eye and adnexa.

The presentation covers official ICD-10 guidelines for the eye chapter and includes clinical scenarios for coding practice.

The ICD-10 codes for eye diseases start with the letter 'H', differing from ICD-9 where they started with '3' and were part of the nervous system chapter.

ICD-10 expanded the number of codes for eye diseases due to increased anatomic specificity, including laterality.

The term 'senile' is no longer used for cataracts; the new term is 'age-related'.

Glaucoma codes in ICD-10 may include the type of glaucoma, the affected eye, and the stage designated by a seventh character.

For bilateral glaucoma of the same type and stage, only one code is used, including the type, location, and stage.

If a patient has different types of glaucoma in each eye, two codes are needed, one for each type.

When coding for bilateral glaucoma with unspecified stage, a seventh character of '0' is used for unspecified stage.

The first code reported for a patient should be the more severe stage.

For primary open-angle glaucoma severe stage in the left eye, the code is H 40.11x3.

Glaucoma due to bilateral central retinal vein occlusion is coded as H 40.53x0.

For a patient with mild stage narrow angle glaucoma in both eyes, the code is H 40.20x1.

Bilateral non-ulcerative blepharitis of the upper eyelids is coded as H 01.00.001 and H 01.00.004.

Carat apathy bolus following cataract surgery in the left eye is coded as H 59.01.12.

The United States began using ICD-10 on October 1st, 2015.

It is important to verify that claims are being received and check remits for denials based on the ICD-10 conversion.

Transcripts

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Medical CodingICD-10-CMEye DiseasesGlaucoma CodesCataract CodingWebinar GuideHealthcare EducationCoding ScenariosQuiz PracticeBilling Compliance