Introduction to Medical Coding | ICD-10-CM for Beginners (CPC, CCS-P, CCS) - Part ONE

Welcome coders to introduction to ICD10

CM. This is part one. I'm Mrs. J and I'm

so excited to begin this journey with

you.

Now, this may be your very first

experience with medical coding, and

that's a big deal. So, we're going to

start with ICD10 CM. This is the

foundation of all coding systems.

ICD10m, if you didn't know, are

diagnosis codes. Yes, this is what the

doctor says is wrong. This is what the

doctor

really this is what justifies the doctor

doing anything. All right. So, that is

going to make sense in a little bit. But

let me tell you what's going to happen

in this session. We're going to learn

how to look up codes. We're going to

understand code structure. We're going

to learn how to apply codes. And over

the fourpart series, it's going to make

sense. We're going to study we're going

to study

intense.

We're going to have an intense but basic

introduction to ICD10 CM. All right,

coders. So,

grab your coding manual

and let's get started.

Goals of the presentation. Number one,

we're going to discuss the history of

ICD10 CM, the structure of an ICD10 CM

code. We're going to demonstrate how to

look up an ICD10 CM code. We're going to

provide you with scenarios and quizzes

to test your knowledge. And we're going

to demonstrate some of AMCI ICD10CM

techniques. But first,

CPT is copyright of the American Medical

Association.

Keyword concept FTR Chun AMCI Feb 7 AMCI

ICD10 CM flip tap and MCG are registered

trademarks of AMCI. The credentials CPC,

CRC, COC, CPMA, CPB, CPPM,

CPCO are owned by AAPC.

The credentials CCA, CCS, CCSP, RHIA,

and RHIT are owned by AHEA, and AMCI

does not own the rights to these

credentials.

All right, we're going to begin with how

to look up a code in ICD10 CM in the

manual. And at AMCI, we say there are

three basic steps. Step number one, look

up the main term in the alphabetic

index. Number two, you'll need to verify

the code in the tabular list. And three,

review all guidelines. That's it. One,

two, three.

And after you look up that code, it can

be up to seven characters long. Now,

enough about the code right now. We're

going to talk about the code structure a

little later, but I want to have a

discussion about the history of ICD10.

All right. So before we talk about the

history of ICD10,

let's talk about

the history.

ICD

is the acronym for International

Classification of Diseases and it was

first developed by the World Health

Organization or WHO WH.

Now

this happened in 1948 when it took over

the responsibility

of the international classification of

diseases. So let me just give you a

little backstory. In 1893, the original

system was called the international list

of causes of death. And it was developed

by a French gentleman named Bertilian.

And he did this he he compiled this list

from about the 1900s until 1945.

And it went through many revisions. And

then in 1948

the WHO adopted that list and they

published ICD6

and this was the first version of ICD

and they

I don't want to say modified it but they

augmented it and they included both

morbidity and mortality data. So it just

wasn't a list of causes of deaths. So it

started developing

this list of diseases.

Now since then who has managed the

updates? They had an ICD9

and that was released in 1979.

They had and they also developed ICD10

which was endorsed in 1990

and ICD1

was officially adopted by the World

Health Assembly in 2019 and it became

effective in 2022.

Now you might say, well why aren't we

talking about ICD

11? Well,

that is the international

classification.

ICD

10 or any ICD in the United States has a

CM at the end. It is clinically modified

for the United States. All right. So,

let's talk about the history of ICD10

CM. This is what we use in the US. All

right. So, the World Health Organization

or WHO and they're headquartered in

Switzerland. They developed or yeah they

developed

ICD10

in the 1990s

right and ICD10

are used by com countries throughout the

world.

Then in 1994,

the United States Department

CDC, Center for Disease Control, they

have a sub um entity called the National

Center of Health Statistics. And this is

the part of the government that manages

all births and deaths.

Well, they adopted ICD10 and they felt

it needed to be clinically modified for

the United States, right? So, in 1999,

the WHO approved the US's clinical

modification

and ICD10

CM was born,

but it wasn't implemented until 2015.

when the NCS

officially released ICD10 CM.

Oh, and by the way, there are some other

key players in the clinical modification

of ICD10.

Center for Medicare and Medicaid

Services,

American Hospital Association,

and AHEA. Yes, AHEA. All four of these

entities are called the four cooperating

parties, and they help maintain and

manage ICD10

CM.

And finally, Health and Human Services

mandates that all covered entities under

HIPPA

use ICD10CM

code set. So in a nutshell, all

providers who who under HIPPA who follow

HIPPA have to use ICD10 CM. And no,

ICD101

has not yet been implemented in the

United States.

All right. So as you can see, I love

history. I am a history buff. I love it.

But I also like facts as well. And I

like fun facts, too. So, let's talk

about some facts, some basic facts about

ICD10 CM.

Fact number one, ICD10CM is estimated to

have 70,000 codes. Number two, there are

guidelines and they are divided into

four sections and appendix. So there are

guidelines throughout this manual

and

these are the type of guidelines that

they have. They have section one

guidelines. These are your primary sets

of guidelines. This is where you can

find your conventions, general and

specific coding guidelines. Then you've

got section two guidelines. This is your

principal diagnosis selection. If you

are interested in facility coding, this

is where you get your guidance. Also

section three, you get guidance for

reporting additional diagnosis. And

again, these two are for facility coding

primarily. Section four, this is the

outpatient guidelines. This is where

professional coders and outpatient

facilities find their guidance.

Also, you've got appendices. There are

eight of them. There are guidelines in

there as well. And there are 22 chapters

of specific coding guidelines.

And just so you know, there is a code

for almost any diagnosis. I mean any

there's a code for assault by a wet