AAPC
AGENDAPresentation: CODING BASICS FOR ICD-10 2015 UPDATE, plus ICD-10 CODING EXERCISESCEUs requested: 2Presenter: Lois Kastner, M.A., CPC-HMembership Officer, Cleveland Ohio Area Chapter AAPCDate of presentation: 19 February 2015, 5PM-7PMOUTLINEAppearance of code in ICD-10Decimal placementBreakdown of what character represents within codeDifferences between ICD-9 and ICD-10 codeComparison Amount of codes3-5 characters versus 3-7MI requirementsObstetric trimestersPostop complicationMore differencesCardiac related changesCombo codesMI duration (8 weeks I-9, down to 4 in I-10)HTN table changesHemorrhages and infarctionsExamples of specificity in I-9 and I-10DM with neuropathyPressure ulcerCoding GuidelinesLocation of code in manual (things to look for)Composition of codeWhen to use 3 digit code versus code with additional charactersWhen code is invalidRange of codes (A00.0-T88.09---Z00-Z99.89)Letter “U” not usedV,W,X,Y (these were formerly E codes)Z codes (formerly V codes)“R” range (symptoms)Match codes correctly to CPT code being used Agenda continued---pg 2:Presenter: Lois Kastner, M.A., CPC-HWhat happens if?Info on use of unspecified codes and possible claim denial situations.Query providerAdditional new ICD-10 thingsDummy placeholder/placeholder characterWhen to use—6 character codes, codes with less than 6 charactersWhen coder will see use of “X” characterPregnancy/childbirth codesMusculoskeletal codesExternal cause codesExamples of placeholder codes (X4)Exclusion notesExclusion 1Exclusion 2ExamplesDash and Double DashExplanationExamplesLATERALITYWhen to useWhen to use of laterality not indicatedQuery providerICD-10 changes/updates by system—diagnostic-related (general highlights)Infectious diseaseBlood-relatedEndocrine-relatedMental health—emphasis on tobacco & alcohol specificityNervous systemCirculatoryRespiratoryDigestiveSkinMusculoskeletal—teeth/gout/fracturesCongenital problemsInjuries7th extentionHow classifiedPoisoning code changesUNDERDOSINGExternal cause morbidity infoAGENDA: p 3Presenter: Lois Kastner, M.A., CPC-HMembership officer, Cleveland Ohio Area Chapter, AAPCDocumentation considerations coder to be aware of and what provider should be documenting:AcuitySeverityStage/Type/DegreeLateralityLinking words (“caused by”, “influenced by” etc)ManifestationsEtiologyExternal Cause documentationAbbreviations2nd hour of presentation:CODING EXERCISES to give attendees practice in locating codes in ICD-10 manual. ................
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