ICD-10-CM BootCamp: Diseases of the Respiratory System
TLDRThis webinar transcript focuses on Chapter 10 of ICD-10-CM, which pertains to respiratory system diseases. It guides through the official ICD-10 coding guidelines, updated terminology, and coding practices for various clinical scenarios. The presentation emphasizes the importance of accurate documentation and coding for conditions like asthma and COPD, including the necessity to report smoking status. It also highlights the changes from ICD-9 to ICD-10, such as the need for increased specificity in asthma coding and the new classification of respiratory conditions. The transcript concludes with a quiz to test participants' understanding of the material.
Takeaways
- 📚 Chapter 10 of ICD-10-CM is dedicated to coding diseases of the respiratory system, with codes starting with the letter 'J', differing from ICD-9 which used numbers 4 & 5.
- 📈 ICD-10 has updated terminology, such as classifying asthma into mild intermittent, mild persistent, moderate persistent, and severe persistent.
- 📋 A specific note at the beginning of the chapter instructs coders to classify respiratory conditions to the lower anatomic site when occurring in multiple sites and not specifically indexed.
- 🚭 The chapter emphasizes the importance of coding smoking status alongside respiratory conditions for public health tracking purposes.
- 🌡️ Acute exacerbation of COPD and asthma (categories J44 and J45) indicates a worsening of a chronic condition, not equivalent to an infection, but may be triggered by one.
- 📝 Documentation for asthma should reflect the increased specificity required by ICD-10, including terms like mild, intermittent, and persistent.
- 🩺 Examples provided in the script demonstrate the coding process for various respiratory conditions, including pharyngitis, asthma, pneumonia, COPD exacerbation, and avian flu.
- 🧠 Coders are instructed to use the ICD-10-CM coding manual during the webinar to practice coding clinical scenarios and to refer back to the manual for correct codes and rationale.
- 📝 The script highlights the importance of coding both the underlying condition (e.g., COPD) and its acute exacerbation, even if they are not included in the same code.
- 📊 The quiz at the end of the presentation reinforces the key concepts learned and tests the understanding of coding specific respiratory conditions.
- 📅 The United States began using ICD-10 on October 1st, 2015, emphasizing the need for accurate coding and claim verification post this date.
Q & A
What is the focus of Chapter 10 of ICD-10-CM?
-Chapter 10 of ICD-10-CM focuses on diseases of the respiratory system.
How has the classification of asthma changed from ICD-9 to ICD-10?
-In ICD-10, asthma is now classified into more specific categories: mild intermittent, mild persistent, moderate persistent, and severe persistent.
What is the significance of the note at the beginning of Chapter 10 in ICD-10-CM?
-The note at the beginning of Chapter 10 states that when a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site.
How should a coder handle a scenario where a patient has both a respiratory condition and a history of smoking?
-In such cases, the coder should use an additional code to identify conditions like tobacco use. The smoking code should be reported with the respiratory condition for public health tracking purposes.
What is an example of an acute exacerbation of asthma?
-An acute exacerbation of asthma is not when an asthmatic patient gets an upper respiratory infection. However, an asthma attack would be an example of an acute exacerbation.
How does the documentation for a patient with asthma should be?
-Documentation for a patient with asthma should include the specific classification of the asthma (mild intermittent, mild persistent, moderate persistent, severe persistent) and any exacerbation or status asthmaticus for the most accurate code assignment.
What is the ICD-10-CM code for acute pharyngitis due to other specified organisms?
-The ICD-10-CM code for acute pharyngitis due to other specified organisms is J02.8.
What is the ICD-10-CM code for pneumonia due to Haemophilus influenzae?
-The ICD-10-CM code for pneumonia due to Haemophilus influenzae is J14.
What are the ICD-10-CM codes for a patient diagnosed with acute respiratory insufficiency due to acute exacerbation of COPD and tobacco dependence?
-The ICD-10-CM codes for this scenario are J44.1 for chronic obstructive pulmonary disease with acute exacerbation and F17.21 for nicotine dependence, cigarettes, uncomplicated.
How should a coder handle a patient with acute respiratory failure and acute bronchitis with acute exacerbation of COPD?
-The coder should assign J96.0 for acute respiratory failure, unspecified, and J44.0 for chronic obstructive pulmonary disease with acute lower respiratory infection, along with J44.1 for chronic obstructive pulmonary disease with acute exacerbation.
What is the ICD-10-CM code for upper respiratory tract infection due to avian flu?
-The ICD-10-CM code for upper respiratory tract infection due to avian flu is J09.X2, influenza due to identified novel influenza A virus with other respiratory manifestations.
What is the ICD-10-CM code for acute respiratory infection, unspecified?
-The ICD-10-CM code for acute respiratory infection, unspecified is J06.9.
What is the ICD-10-CM code for allergic rhinitis due to animal dander, specifically cat dander?
-The ICD-10-CM code for allergic rhinitis due to animal dander, specifically cat dander, is J30.81.
When is a code from subcategory J09.X assigned?
-A code from subcategory J09.X is assigned when there is a confirmed case of avian influenza, not when there is a probability of avian influenza.
Outlines
📚 Introduction to ICD-10-CM Chapter 10 Coding
This paragraph introduces the focus of the presentation, which is on ICD-10-CM Chapter 10, dedicated to diseases of the respiratory system. It outlines the structure of the webinar, including the review of official ICD-10 guidelines, clinical scenarios for coding practice, and a quiz. The paragraph emphasizes the importance of having completed an introduction to ICD-10-CM and the use of the coding manual during the webinar. It also mentions the updated terminology and coding conventions specific to respiratory conditions, such as the classification of asthma and the note at the beginning of the chapter regarding the indexing of respiratory conditions.
🧾 Coding Scenarios and Practice
This paragraph delves into the practical aspect of the webinar, providing coding examples and scenarios. It instructs participants to pause the webinar to code the scenarios using their ICD-10-CM manual and then resume to check the correct codes and rationale. The paragraph covers the coding of a patient with pharyngitis and moderate persistent asthma, highlighting the need for accurate documentation and the use of additional codes for conditions like tobacco use. It also explains the coding process for a child with bronchopneumonia due to influenza and a patient with acute respiratory insufficiency due to COPD and tobacco dependence.
🚨 Coding for Acute Respiratory Failure and Influenza
This paragraph continues with more coding scenarios, focusing on a patient with acute respiratory failure and another with acute bronchitis and COPD exacerbation. It provides the correct ICD-10 codes for these conditions and explains the rationale behind the coding choices. The paragraph also discusses the coding of a patient with an upper respiratory tract infection due to avian flu, emphasizing the importance of coding confirmed diagnoses over probable ones. It concludes with a quiz to test the participants' understanding of ICD-10-CM codes for various respiratory conditions.
📋 Post-Webinar Actions and Resources
The final paragraph concludes the webinar by reminding participants of the importance of verifying claims and checking for denials related to the ICD-10 conversion. It encourages participants to explore further webinars on all 21 chapters of ICD-10-CM and offers assistance for ICD-10 training through the Vantage Point website or by phone. The paragraph serves as a call to action for continued learning and support in the transition to ICD-10-CM, which became mandatory in the United States on October 1, 2015.
Mindmap
Keywords
💡ICD-10-CM
💡Respiratory System
💡Coding
💡Asthma
💡COPD
💡Exacerbation
💡Tobacco Use
💡Clinical Scenarios
💡Quiz
💡Webinar
💡Medical Billing
Highlights
Chapter 10 of ICD-10-CM focuses on diseases of the respiratory system.
The presentation covers official ICD-10 guidelines specific to respiratory system diseases.
Clinical scenarios are provided for practice coding.
A small quiz is included at the end of the presentation.
Coders need to use the ICD-10-CM coding manual to code the scenarios.
The codes for this chapter start with the letter 'J', unlike in ICD-9 where they started with 4 & 5.
Asthma is now classified into mild intermittent, mild persistent, moderate persistent, and severe persistent.
A note at the beginning of the chapter applies to all conditions, specifying classification based on anatomical site.
An additional code is used to identify conditions like tobacco use.
Acute exacerbation of COPD and asthma indicates worsening of a chronic condition, not an infection on top of it.
Documentation should reflect the increased specificity needed for asthma coding.
The National Asthma Education and Prevention Program's classification terms should be in the documentation.
Pharyngitis viral with moderate persistent asthma is an example of a clinical scenario for coding practice.
Asthma attack is an example of an acute exacerbation, not an upper respiratory infection.
Coding for acute respiratory insufficiency due to acute exacerbation of COPD and tobacco dependence is discussed.
Smoking exposure should also be coded as per the note in the respiratory chapter.
Acute respiratory failure, acute bronchitis with acute exacerbation of COPD is another coding scenario.
Upper respiratory tract infection due to avian flu is coded as J09.0X2.
The United States began using ICD-10 on October 1st, 2015.
Transcripts
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