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YouTube Course Week FOUR - ICD-10-CM Endocrine and Nervous System

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0:07

Welcome to week four everybody. If you

0:10

didn't know, I'm Mrs. Jay, the

0:12

curriculum developer here at

0:14

AMCI. And this is week four. We are

0:19

here. We got a few more ahead of us,

0:22

more ahead of us than behind us. But we

0:25

are chugging away. And you know what,

0:27

coders, hang in there. Hang in there.

0:30

Don't give up. Just come. Keep coming

0:32

and keep coming. I promise you're going

0:35

to get something. You know, if you shoot

0:37

for the moon, at least you fall among

0:39

the stars. You're going to get

0:41

something. Okay, coders. I just want to

0:45

say we're here. Week four. What are we

0:48

doing in week four? We're going to do

0:50

nervous system and endocrine. We're not

0:54

going to tackle all of the guidelines,

0:56

just some. Now, I do want to tell

1:00

you before we go any further, I want to

1:03

say hello to my instructional team. I

1:07

want to say hello to the coding wizards.

1:09

They are the

1:11

baddest instructional team on the

1:13

planet. I always say that they can break

1:16

down complex guidelines. They can turn

1:19

confusion into clarity. And most

1:22

important, they can inspire students

1:25

like no other.

1:27

So say hello to them. They are in the

1:30

chat. Ask away. And let's not forget

1:34

about our interns. Let's give a

1:37

thunderous a round of applause. Go ahead

1:40

and clap clap clap. Thank you so much

1:42

interns. They are they make everything

1:46

possible. They are behind the scenes.

1:48

They're behind the scenes magic

1:51

and I just appreciate them. I hope you

1:54

do too. And you coders, you crushed week

1:58

three

2:00

neoplasms. Now, let's go ahead and take

2:02

that momentum into week

2:05

four, and we're going to do it the AMCI

2:10

way. Well, we have questions. You have

2:13

been asking questions on your surveys or

2:17

just anywhere Discord. This is what

2:21

you've been asking. You want to know

2:33

How to get started? That's the number

2:35

one question. And if anyone wants to get

2:38

started, you know someone, encourage

2:40

them to do it now while we're here to

2:43

help you. Go to

2:49

amcoding.com/youtube. Yes, everything

2:51

they need to get started is there. Also

2:54

the second most asked question is how

2:59

long do I have access to the coursework?

3:02

Well that playlist list will remain on

3:04

our YouTube channel. So as long as

3:07

YouTube is there that playlist should be

3:09

there and as long as our account is

3:11

there that playlist will be there and

3:13

also we'll keep the website up too. Also

3:17

people want to know why is this course

3:19

not live? They want why do you want us

3:22

to be live? We are live in the chat. Go

3:26

ahead. I challenge you. Ask me a

3:29

question right now. I'm Mrs. J. I do

3:32

have a puzzle piece, but I am waving in

3:34

the chat. I'm saying here I am. Here I

3:36

am. And ask me a question. Can you do

3:41

that? If my instruction were live, could

3:45

you could I focus on instructing and

3:49

keep the pace of this class if I'm in

3:51

the chat talking to? No. So, I think we

3:54

need to rethink how we learn in this

3:58

century. I'm telling you, this digital

4:01

age can really work to our advantage.

4:04

So, I'm in the chat. Go ahead and say

4:07

hello or ask me any question. All right.

4:10

The next question is how to get in that

4:13

discord. All right, this is how you do

4:15

it. You just go to the YouTube channel,

4:18

type in AMCI coding, and you'll come

4:21

here, type on any

4:24

um any um lecture or video, and then you

4:29

see the join button right here. Click

4:32

that join button and follow the prompts.

4:35

and make sure that if you're trying to

4:38

get in the Discord, you have to link

4:40

your YouTube channel. All right? And if

4:43

you don't know how to do it, contact our

4:46

success team. We're really happy to

4:49

help. Now, first things first, these are

4:52

the books that are required for the

4:55

first eight weeks of this course. Number

4:58

one, your ICD10 CM expert for hospitals

5:02

by Optum is the recommended, but any

5:06

ICD10 CM manual will suffice. Number

5:10

two,

5:12

stepbystep medical coding by Bucks. This

5:15

is your instructional book, your text

5:19

book. You can have any book between 2023

5:22

and 2025. What is the difference? The

5:25

biggest difference is the evaluation and

5:27

management. This 2025 has an updated

5:30

ENM, but it's not that big of a deal.

5:34

So, if you want to save money, go for

5:36

the less expensive. The MCG manual. This

5:40

is um basically right now we're using it

5:43

for guidelines. This is really good for

5:45

that. And then when you get your next

5:47

nine weeks, it's really good because a

5:50

lot of coding scenarios are in there.

5:53

There are

5:53

about I think it's over a thousand. This

5:56

book says 900, but since then we've put

5:59

over a thousand in there. So, you've got

6:01

a lot of scenarios and a lot of

6:04

guidance, a lot of charts. Okay, enough

6:07

about that. Let's read the

6:14

copyright. CPT is copyright of 2025 AMA.

6:19

All rights are reserved. Keyword concept

6:22

FTR Chun AMCI FEB 7 AMCI ICD10CM flip

6:27

tap and MCG are registered trademarks of

6:32

AMCI. CPC, CRC, COC, CPMA, CPB, CPP,

6:37

MCPCO are owned by AAPC.

6:42

CCA, CCS, CCSP, RHIA, RHIT are owned by

6:47

AHEA and AMCI does not own the rights to

6:51

these

6:54

credentials. Okay. Goals of the

6:56

presentation before I cite them, just

6:59

want to let you know that this is not an

7:03

introductory course or class or course

7:06

for that matter. Um, you should have a

7:10

basic understanding of ICD10 CM a basic

7:16

understanding. So, how to look up a code

7:18

and general guidelines as well as coding

7:21

conventions. You should know that. If

7:24

you don't, then go to the website and

7:28

follow the instruction, you know, and

7:31

follow the instruction under the

7:33

pre-erequisites.

7:35

Now, let's get into the goals of the

7:38

presentation. Number one, we're going to

7:40

review section 1, chapter 4, endocrine

7:44

guidelines. Number two, we're going to

7:46

review section 1, chapter 6, nervous

7:50

system guidelines. And three, hopefully

7:53

we'll bring you one step closer to

7:56

guideline mastery.

7:59

Now, just want to let you know that we

8:01

will not be reviewing chapters five and

8:04

seven. You'll need to review those on

8:06

your own. And I believe after we review

8:09

four and six, you'll be more than

8:12

capable to do so. Now, let's get

8:18

started. Section one C chapter 4. Now,

8:24

this is a

8:25

chapter endocrine nutritional and

8:29

metabolic diseases code series E00

8:32

through E89. This chapter is one of the

8:36

most heavily tested on your exam. Yeah.

8:40

And heavily visited in the real world in

8:44

real world coding because you have

8:46

diagnosis like

8:49

diabetes, thyroid disorders and obesity.

8:53

But it is that diabetes.

8:56

Speaking of which, E00 through E89, we

8:59

see that pneumonic um term for E is

9:03

endocrine and also

9:06

diabetes, that long E. So, if you've

9:09

studied in part one or you've seen the

9:13

introductory videos, you remember. All

9:16

right? So, it's important that you

9:17

recognize these terms on site. But

9:20

again, diabetes has some coding nuances

9:25

and it's very heavily tested on your

9:27

exam. So, let's get right into

9:33

it. We'll begin with the first

9:38

guideline. Guideline IC4A and from the

9:42

perspective of the 2025 MCG

9:46

manual. And if we look at column

9:50

three, there is some guidance. Now this

9:56

um title is just diabetes malitis. But I

9:59

do think that understanding the diabetes

10:02

default codes is very very important.

10:06

Just know that

10:10

E10.9 is type 1. It's the non-specific

10:14

code for type 1

10:17

diabetes.

10:19

E11.9 is the

10:21

nonspecific code for type 2 diabetes.

10:25

And in parenthesis, you see default.

10:29

Now, I do want to tell you that um when

10:34

a provider is not specific about the

10:37

type, type two will be your default. And

10:41

I think that's largely because between

10:44

90 and 95% of the people diagnosed with

10:48

diabetes are type two. So it is the most

10:52

common and if the documentation does not

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