Session Title: ICD-10: Real-World Examples With the Foot ...
3/24/2014
Session Title: ICD-10: Real-World Examples With the Foot and Ankle
All rights reserved
David J. Freedman, DPM, FASPS, CPC, CSFAC, CPMA Email: djfreedman@
? Session Objectives: ? Learn typical ICD-10 coding scenarios for
? foot conditions ? ankle conditions ? lower leg conditions
? Discuss payer LCDs and ICD-10 coding as it relates to foot and ankle conditions
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3/24/2014
ICD-10 Coding Just A Thought....... Can You First Describe A Pencil
It is thought to be black and white. I can draw using a pencil and it describes things through the letters I create or the pictures I draw. There also can be shades of grey with a pencil so sometimes there can be different versions of the same story. Patients often tell a different story than what I perceive as their doctor and what you may perceive being the coder/biller. Ultimately, it should be their story. The pencil allows each of us to tell the same story but often there are different shades of grey.
Documentation Starts With a Patient Record
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7th Character and Injuries
3/24/2014
? Non-fracture care
? A- initial encounter ? D- subsequent
encounter ? S- sequela
? Fracture care
? A- initial encounter (for closed fracture)
? B ? initial encounter for open fracture
? D- subsequent encounter for normal healing fracture
? G- subsequent encounter for delayed healing fracture
? K- subsequent encounter for fracture with nonunion
? P- subsequent encounter for fracture with malunion
? S- sequela of fracture
ICD-10 Coding Scenarios For Foot Conditions
? Patient presents to the foot and ankle specialist but there are no feet or ankles?
? So what to do?
3
Let's Start With Charting
? Example #1 Diabetic At Risk Foot Care "Initial" Encounter
3/24/2014
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