Medical Coding And Billing Tutorials for Beginners | Overview of ICD 10 CM Guidelines - 13
FULL TRANSCRIPT
Hello, welcome to great online training.
Today we going to learn about overview
of ICD10 CM. Okay. So in this section we
going to learn about ICD10 CAM different
coding guidelines general coding
guidelines of ICD10 and this is very
very important topic regarding CPC
examination or regarding medical coding
job or interview also because in CPC
examination you will get around seven
marks question seven questions on this
specific chapter okay different coding
guidelines And this is very easy to
score marks. Okay. And as this is a
lengy topic, I have divided into two
parts. So today we're going to cover
part one and tomorrow we'll cover part
two. And I want to request you that in
this session please refer your book
ICD10 CM book so that it will be easy
for you to understand where uh where you
can find your alphabetic index where you
can find your tabular index how to use
book okay what is meaning of different
different notes and everything that I'm
going to discuss in this session. So
please be with your book. Okay. So let's
get started. So in this session we're
going to learn about the guidelines of
IC retain CM in which section one we're
going to cover in this session. Okay,
which is section one conventions. Okay,
in which we will see what is alphabetic
index uh and how to use it. Then tabular
index format and structure of
ICD10C use of quotes for reporting
purposes how to how we have to use the
quotes for reporting purpose that we'll
see then what is placeholder character
what is use of that character and all we
see then seventh character abbrev uh
abbrevations punctuations then use of
and word what is meaning of using and
word other and unspecified course Okay.
And then include includes nodes,
exclusion nodes, exclude nodes, then
ideology, manifestation conventions,
then C see C also code also code node.
What is meaning of this course and how
to use them? Then default codes and
lastly we'll see code assignments and
clinical criteria. Okay. So without any
further ado, let's get started. So first
we'll see introduction ICD10 CM
clinical. CM means clinical
manufacturation. Okay. Sometime they
also ask you simple question. What is
ICD? Very easy to cover right. Very very
very easy to answer this question. ICD
means international classification of
disease. So you can score it right? One
mark. ICD10. CM means CM for clinical
modification. Okay. So is used as a
source of diagnosis course in USA,
United States of America. The ICD 10 CM
set is reviewed every year. Okay. The
code set for the 2024 fiscal year
applies to patient discharges and
encounters between October 1st,
2023 and September 30, 2024. Okay. So
now we are going to learn the guidelines
for this this much of reports. Okay.
This much of patients. This is these
guidelines are basically apply for
patients discharges and encounter
between October 1st 2023 to September
30th, 2024. Because after October 1st,
2024, we have to follow different
guidelines. Different guidelines means
whole guidelines are not going to change
or whole codes are not going to change
but they they revise few codes they
revise few guidelines. Okay. So uh if
you are going to attempt your
examination after or you going to start
your work as a medical coder after
October
2024. Okay. Make sure that you are aware
about updated guidelines. Okay, you just
need to learn updated version. That's
it. Few guidelines here and there
updated that you can find in uh anywhere
in Google also. Okay. So make sure that
you go through it if you are appearing
for exam after October
2024 or even though you are going for
any interview or going for any job you
have to aware about those guidelines.
Okay. So now World Health Organization
WH authorized the publication of
international classification of diseases
103 region ICD 10C. Okay. So, WH is
authorized committee who updated the
guidelines. Okay. The US develop a
clinical modification ICD10 CM for
medical diagnosis based on WH's ICD10.
CM has developed a new procedure coding
system ICD 10 PCS for inpatient
procedures. Okay. And ICD 10 CM replaces
ICD 9 CM volume 1 and two. and ICD 10
PCS replaces ICD 9 cm volume 3. So
previously this ICD 10 was ICD 9. When I
have started my journey as a medical
coder I joined in the company that time
we have to use we were using ICD9. Okay.
For a few months after that this
transition happened when ICD9 becomes
ICD converted into ICD. Okay. So
previously it has three volumes. Okay.
And when this transition happened at
that time ICD 10 cm replaces volume 1
and two whereas ICD 10 PCS replaces ICD
9 cm volume 3. Okay. You just need this
information if in case you get any
question. Okay. So who is maintaining
the ICD 10 CM WH? I have previously also
included one slide in previous sessions
where I give I have given you um
information about ICD, what is ICD 10
CAC, what what is ICD 10 PCA, what is
CPT, what is HCPC at that time also I
have given you notes what is important
and all with differentiation who is
maintaining the course and all right so
please go through that the Centers for
Medicare and Medicare Services CMS and
National Center for Health Statistics
NCHS two departments within US federal
government's department of health and
human services DHHS provide the
following guidelines for coding and
reporting using ICD10 CF. These
guidelines have been approved by the
four organizations. The American
Hospital Association, the American
Health Information Management
Association, AHI, MA, CMS and
NCHS. Okay, you have to remember this
full form of all these short forms.
Okay, AHA means American Hospital
Association, HIMS means American Health
Information Management
Association, CMS means Centers for
Medicare and Medicare Services. and NCS
means National Center for Health
Statistics. I'll show you where you can
find this description. All this
description see this is the ICD10 book.
Okay, this is how your book looks like.
Maybe front page will be different but
make sure that it is of current year
2024. Okay. So when you go
down you will find this introduction
this table of content where you can find
each and everything. You can find your
symbols and conventions are on three
number page. Okay. How to use this uh
ICD10 book that will be given that is
given in on page number two. Then table
of sorry index to disease and injuries
39 page. The neoplasm table 363 page.
Table of drugs and chemicals 375. Then
external cause of injury index 423.
Okay. And tabular index you will find it
will starts from 457 page. Okay. Then
appendix A is there for Z course for
long-term use of drugs on 1347 page
number and appendix B which is for
summary of 2024 ICD10 changes. Okay 1365
uh 61 page. So first I'll show you where
you can find the appendix A and how it
looks like. So appendix A you can find
on the page 1347. Okay. So these
includes codes for Z course for
long-term use of drugs. Okay. Uh you can
see here drug names are there codes for
them are there and their code
description is there. Okay. So any you
can see here
G79.899 is for other long-term or
current drug therapy. Okay. And drug
name is also given. So suppose in your
question or in your patient's report it
is mentioned that particular drug is
patient is using particular drug
long-term. Okay. In that case you have
to search for your that particular drug
name here and you you have to select the
code accordingly. Okay. For long-term
current use of that particular drug and
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