Medical Coding And Billing Tutorials for Beginners | ICD 10 CM Chapter 1 (Part-1) - 15

Welcome to grade online training. Today

we will going to discuss about ICD 10 CM

chapter 1 guideline. From today

we'll we learn chapter specific

guidelines. You can see this section in

book I think from

G7. Please go on G7 page. G7. Okay.

Yeah. G7 page. Nice. Okay. G7 it is

showing off guidelines for coding. Yes,

G7. Okay, we are going to learn this

guidelines. Okay, see part chapter

specific coding guidelines and in this

today we'll start with chapter one.

Okay. Okay. So, it has many guidelines.

You can see two pages and three pages.

Three pages around three three pages are

three and a half pages are there and

these are very very important guidelines

in medical and so chapter one is certain

infectious and parasitic diseases in

code range A002

B9 plus

U07.1 and U 09.9 this U series is for

corona virus as corona virus comes few

few years before that's why It has

started it starts with U character.

Okay. Okay. Others are old disases. So

it starts with A and B. Let's get start.

Topics covered in this class are HIV

infection, sepsis, severe sepsis and

septic shock. Then MSR sorry MRSA, Zika

virus infection, corona virus infection

and lastly we'll see question and

answer. We'll try to cover this first

two points in today's session. Okay. So,

first HIV infection. What do you know

about HIV? At least you can tell

me human immuninoirus.

Not imuno human immuno deficiency. Oh,

deficiency virus.

Human immuno deficiency virus. And what

is AIDS?

AIDS. I know this but I didn't remember.

You have your Yes. Yes. Acquired

immunino deficiency syndrome. Yes. This

this is I'm telling you every time you

you will get each and every answer in

your book only. Yes. You have to find

Yeah. Find it and you know how that

answer. Okay. Yes. So acquired immuno

deficient deficiency syndrome. Okay.

See, so HIV is human immuno deficiency

virus is the is a virus that attacks the

body's immune system. Okay. Uh you can

see my screen right? Yes, I can see. If

the HIV is not treated, it can lead to

AD means acquired immuno deficiency

syndrome. Okay. So AIDS is the syndrome

caused because of HIV virus. HIV is the

virus which causes AIDS. AIDS is the

syndrome. If HIV is not treated, it

leads to AIDS. There is currently no

effective care. Once people get HIV,

they have it for life. But with proper

medical care, HIV can be controlled. It

means if you find anything uh HIV

related in the patient's

documentation okay you can code it but

how to use this code and exactly which

code you have to use that it has

guidelines for it and that we'll see in

today's session HIV and S you can see

the difference here what's the

difference HIV is the virus that causes

HIV infection damages the immune system

by attacking CD4 cells. Okay. And what

are CD4 cells? CD4 cells are the part of

immune system. HIV attacks and kills CD4

cells. Loss of CD4 cells makes it hard

for body to fight off infection. So this

blue blue color are CD4 cell and red

color is HIV. You can see here years

without HIV medication this is 2 years

CD4 cell count is more and HIV count is

very less. Okay. But HIV is present. But

if it is untreated after two more years

mean after 4 years HIV get increased

year by year. Right? You can see till 12

years most of the CD4 cells get killed

by HIV. Okay. So AIDS is the last stage

of HIV infection. As HIV infection

advances to AIDS, the amount of HIV in

the body increases and number of CD4

cells decreases. HIV medication can stop

HIV infection from progressing to AIDS.

It can't be cured. We cannot cure HIV

but it can be controlled. Okay. from

progressing to AIDS. Without HIV

medication, HIV advances to AIDS in

about 10 to 12 years. And possible sign

and symptoms include fever, headache,

muscle ache, joint pain, sore throat,

painful mouth sores, diarrhea, weight

loss, and night swe. Now we'll see

guidelines for HIV coding. So first

guidelines, code only confirmed cases.

This is very important guideline. could

only confirm cases of HIV infection or

illness. In this context, confirmation

does not require documentation of

positive cerology or culture of HIV. The

provider's document uh diagnostic

statement that the patient is HIV

positive or has an HIV related illness

is sufficient. Okay. If your provider

says or documented that the this

particular patient is HIV positive. So

if providers do diagnostic statement

says that this particular patient is HIV

positive or has any HIV related illness

you can code it as a confirmed case. For

example patient with anemia with

possible HIV infection. How you can code

this scenar? Yeah. So in this case with

the above paragraph we have to use the

HIV infection code. Read it care read

the sentence carefully. Patient with

anemia with possible HIV infection. So

we need to code the anemia. Yes. Not

going to code HIV infection because it

is

possible not confirm this case right

it's not confirmed. Yeah. So here our

code will be for ania D 64.9 anemia

unspecified only the anemia is coded in

this scenario because it has been

confirmed it has it it not it has not

been confirmed that an HIV infection is

present. Okay. The second guideline

selection and sequencing of HIV codes.

In this first guideline, patient

admitted for HIV related condition. If

the patient is presenting with HIV

related condition, principal diagnosis

should be B20 human immuno deficiency

virus disease. Okay. For confirm HIV

disease, we have code B20. Please

remember, you have to remember this few

quotes. So it will not waste your time

in examination. If when you go through

this course few times you'll get bad

this course. B20 is for HIV confirm HIV

cases or HIV DC followed by additional

diagnosis codes for all reported HIV

related conditions. So it means if

patient presenting with HIV related

condition we have to code B20 as a

principal diagnosis and any other

diagnosis we have to code after that. An

exception to this guideline is if the

reason for encounter is hemolytic ureic

syndrome associated with HIV disease

assign code

D59.31 infection associated uric

syndrome followed by code B20 which is

for HIV disease. Please highlight this

guideline. Yes, I did already because

this is exception otherwise you have to

code B20 as a principal diagnosis only

in this case in case of hemolytic ureic

syndrome you have to code that

particular syndrome as a principal

diagnosis followed by HIV for example

HIV with PCP pneumos

pneumosyis caring pneumonia okay in this

case we have to code B20 for HIV as a

principal diagnosis followed by

B59 PCP. Okay. Okay. Pneumonia due to

pneumonicitis kini is an HIV related

condition. So the HIV diagnosis is

present reported first followed by code.

Patient with HIV disease admitted for

unrelated condition. That guideline was

for related condition. Now this

guideline is for HIV disease. A patient

with HIV disease admitted for unrelated

condition. If a patient with HIV disease

is admitted for an unrelated condition

such as traumatic injury. Okay. The code

for the unrelated condition for example

nature of the injury code should be

principal diagnosis. Other diagnosis

would be B20 followed by additional

diagnosis code for all reported HIV

related condition. Okay. Means this

patient if patient has HIV disease but

currently that patient is admitted for

some unrelated condition like injury.

Okay, injury is not caused because of

HIV. So in this case we have to use