ICD CM BASIC CODING TRAINING WORKBOOK - NC

[Pages:41]DPH ICD-10 IMPLEMENTATION PROJECT

ICD-10-CM BASIC CODING

TRAINING WORKBOOK

FOR LOCAL HEALTH DEPARTMENTS AND RURAL HEALTH CLINICS

WBS 2.5 Version 4.2

(WITH ANSWERS)

This Page Was Intentionally Left Blank

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DPH ICD-10 Implementation Project

WBS 2.5 ? Training Materials

ICD-10-CM Basic Coding Training Workbook ? With Answers

Version Number & Date

V1.0 ? August 28, 2014 V1.1 ? September 12, 2014 V1.2 ? November 18, 2014 V2.0 ? November 18, 2014 V3.0 - November 25, 2014

V4.0 ? February 10, 2015 V4.1 ? February 26, 2015 V4.2 ? April 2, 2015

Change History

Version Description

Final BASIC workbook to be used for September 2014 training. Broke out Basic training workbook to be separate from Specialized training

Modifications made to a few coding exercises to help avoid confusion

Modifications made following September 2014 training

Modifications made following September 2014 training

Training broken down into units for recording purposes

Modifications made to coincide with revisions made in training materials wherein training was broken into Units FINAL

Minor changes

Added Vaccination resource

Version Author

Sarah Brooks

Sarah Brooks Sarah Brooks Sarah Brooks Sarah Brooks Sarah Brooks

Sarah Brooks Sarah Brooks

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DPH ICD-10 Implementation Project

WBS 2.5 ? Training Materials

ICD-10-CM Basic Coding Training Workbook ? With Answers

Table of Contents

1. ICD-10-CM: THE CHAPTERS...........................................................................................................................6

2. ICD-10-CM: THE CHAPTER BLOCKS ............................................................................................................7

2.1 CHAPTER 1 - CERTAIN INFECTIOUS AND PARASITIC DISEASES (A00-B99)........................................................7

2.2 CHAPTER 2 - NEOPLASMS (C00-D49) ..............................................................................................................8

2.3 CHAPTER 3 - DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS AND CERTAIN DISORDERS INVOLVING THE IMMUNE MECHANISM (D50-D89) .......................................................................................................................9

2.4 CHAPTER 4 - ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES (E00-E89)............................................9

2.5 CHAPTER 5 - MENTAL, BEHAVIORAL AND NEURODEVELOPMENTAL DISORDERS (F01-F99) ..........................10

2.6 CHAPTER 6 - DISEASES OF THE NERVOUS SYSTEM (G00-G99).....................................................................11

2.7 CHAPTER 7 ? DISEASES OF THE EYE AND ADNEXA (H00-H59) .....................................................................11

2.8 CHAPTER 8 - DISEASES OF THE EAR AND MASTOID PROCESS (H60-H95)........................................................12

2.9 CHAPTER 9 ? DISEASES OF THE CIRCULATORY SYSTEM (I00-I99) ..................................................................12

2.10 CHAPTER 10 ? DISEASES OF THE RESPIRATORY SYSTEM (J00-J99)............................................................13

2.11 CHAPTER 11 ? DISEASES OF THE DIGESTIVE SYSTEM (K00-K95) ..............................................................13

2.12 CHAPTER 12 ? DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE (L00-L99) ........................................14

2.13 CHAPTER 13 ? DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE (M00-M99)......14

2.14 CHAPTER 14 ? DISEASES OF THE GENITOURINARY SYSTEM (N00-N99).....................................................15

2.15 CHAPTER 15 ? PREGNANCY, CHILDBIRTH AND THE PUERPERIUM (O00-O9A) ...........................................16

2.16 CHAPTER 16 ? CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD (P00-P96) .......................16

2.17 CHAPTER 17 ? CONGENITAL MALFORMATIONS, DEFORMATIONS AND CHROMOSOMAL ABNORMALITIES (Q00-Q99) ..............................................................................................................................................................17

2.18 CHAPTER 18 ? SYMPTOMS, SIGNS AND ABNORMAL CLINICAL AND LABORATORY FINDINGS, NOT ELSEWHERE CLASSIFIED (R00-R99) ........................................................................................................................18

2.19 T88)

CHAPTER 19 ? INJURY, POISONING, AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL CAUSES (S0019

2.20 CHAPTER 20 ? EXTERNAL CAUSES OF MORBIDITY (V01-Y99) ............................................................20

2.21

CHAPTER 21 ? FACTORS INFLUENCING HEALTH STATUS AND CONTACT WITH HEALTH SERVICES (Z00-Z99) 21

3. ICD-10-CM: THE BASICS ...............................................................................................................................22

3.1 BASICS UNIT 1 - REVIEW QUESTIONS.............................................................................................................22

3.2 BASICS UNIT 1 ? CODING EXERCISE ..............................................................................................................23

3.3 BASICS UNIT 2 - REVIEW QUESTIONS.............................................................................................................24

3.4 BASICS UNIT 2 ? CODING EXERCISES.............................................................................................................25

3.5 BASICS UNIT 3 - REVIEW QUESTIONS.............................................................................................................26

3.6 BASICS UNIT 3 - CODING EXERCISES .............................................................................................................26

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DPH ICD-10 Implementation Project

WBS 2.5 ? Training Materials

ICD-10-CM Basic Coding Training Workbook ? With Answers

3.7 BASICS - CROSSWORD PUZZLE.......................................................................................................................28

4. THE BASICS ? RESOURCE MATERIALS ....................................................................................................30

4.1 BASICS - CODING STEPS.................................................................................................................................30

4.2 CODE FOR PROPHYLACTIC VACCINATION......................................................................................................31

4.3 CHAPTER 21: AREAS FOR AGENCY CONSIDERATION .....................................................................................32

5. TRAINING EVALUATION .............................................................................................................................35

6. THE BASICS - ANSWERS...............................................................................................................................37

6.1 BASICS UNIT 1 ? REVIEW QUESTIONS............................................................................................................37

6.2 BASICS UNIT 1 ? CODING EXERCISE ..............................................................................................................37

6.3 BASICS UNIT 2 ? REVIEW QUESTIONS............................................................................................................38

6.4 BASICS UNIT 2 ? CODING EXERCISES.............................................................................................................38

6.5 BASICS UNIT 3 ? REVIEW QUESTIONS............................................................................................................39

6.6 BASICS UNIT 3 ? CODING EXERCISES.............................................................................................................39

6.7 BASICS - CROSSWORD PUZZLE.......................................................................................................................40

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DPH ICD-10 Implementation Project

WBS 2.5 ? Training Materials

ICD-10-CM Basic Coding Training Workbook ? With Answers

1. ICD-10-CM: The Chapters

Chapter #

Description

1

Certain infectious and parasitic diseases

2

Neoplasms

3

Diseases of the blood and blood-forming organs and certain disorders

involving the immune mechanism

4

Endocrine, nutritional and metabolic diseases

5

Mental, Behavioral and Neurodevelopmental disorders

6

Diseases of the nervous system

7

Diseases of the eye and adnexa

8

Diseases of the ear and mastoid process

9

Diseases of the circulatory system

10 Diseases of the respiratory system

11 Diseases of the digestive system

12 Diseases of the skin and subcutaneous tissue

13 Diseases of the musculoskeletal system and connective tissue

14 Diseases of the genitourinary system

15 Pregnancy, childbirth and the puerperium

16 Certain conditions originating in the perinatal period

17 Congenital malformations, deformations and chromosomal abnormalities

18 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

19 Injury, poisoning and certain other consequences of external causes

20 External causes of morbidity

21 Factors influencing health status and contact with health services

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Range of Codes

A00-B99 C00-D49 D50-D89

E00-E89 F01-F99 G00-G99 H00-H59 H60-H95 I00-I99 J00-J99 K00-K95 L00-L99 M00-M99 N00-N99 O00-O9A P00-P96 Q00-Q99 R00-R99

S00-T88 V00-Y99 Z00-Z99

DPH ICD-10 Implementation Project

WBS 2.5 ? Training Materials

ICD-10-CM Basic Coding Training Workbook ? With Answers

2. ICD-10-CM: The Chapter Blocks

2.1 Chapter 1 - Certain infectious and parasitic diseases (A00-B99)

A00-A09 Intestinal infectious diseases

A15-A19 Tuberculosis

A20-A28 Certain zoonotic bacterial diseases

B10 Other human herpes viruses

B15-B19 Viral hepatitis B20 Human immunodeficiency virus [HIV] disease

A30-A49 Other bacterial diseases

A50-A64 Infections with a predominantly sexual mode of transmission

A65-A69 Other spirochetal diseases

A70-A74 Other diseases caused by chlamydiae

A75-A79 Rickettsioses

A80-A89 Viral and prion infections of the central nervous system

B25-B34 Other viral diseases B35-B49 Mycoses

B50-B64 Protozoal diseases B65-B83 Helminthiases

B85-B89 Pediculosis, acariasis and other infestations B90-B94 Sequelae of infectious and parasitic diseases

A90-A99 Arthropod-borne viral fevers and viral hemorrhagic fevers

B95-B97 Bacterial and viral infectious agents

B00-B09 Viral infections characterized by skin and mucous membrane lesions

B99 Other infectious diseases

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DPH ICD-10 Implementation Project

WBS 2.5 ? Training Materials

ICD-10-CM Basic Coding Training Workbook ? With Answers

2.2 Chapter 2 - Neoplasms (C00-D49)

C00-C14 Malignant neoplasms of lip, C73-C75 Malignant neoplasms of

oral cavity and pharynx

thyroid and other endocrine glands

C15-C26 Malignant neoplasms of digestive organs

C7A Malignant neuroendocrine tumors

C30-C39 Malignant neoplasms of respiratory and intrathoracic organs

C7B Secondary neuroendocrine tumors

C40-C41 Malignant neoplasms of bone C76-C80 Malignant neoplasms of ill-

and articular cartilage

defined, other secondary and

unspecified sites

C43-C44 Melanoma and other malignant neoplasms of skin

C45-C49 Malignant neoplasms of mesothelial & soft tissue C50 Malignant neoplasms of breast

C81-C96 Malignant neoplasms of lymphoid, hematopoietic and related tissue

D00-D09 In situ neoplasms

D10-D36 Benign neoplasms, except benign neuroendocrine tumors

C51-C58 Malignant neoplasms of female genital organs

D3A Benign neuroendocrine tumors

C60-C63 Malignant neoplasms of male D37-D48 Neoplasms of uncertain

genital organs

behavior, polycythemia vera &

myelodysplastic syndromes

C64-C68 Malignant neoplasms of urinary tract

D49 Neoplasms of unspecified behavior

C69-C72 Malignant neoplasms of eye, brain and other parts of central nervous system

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