Medical Coding And Billing Tutorials for Beginners | Overview of ICD 10 CM Guidelines - 14

Welcome to great online training. Today

we're going to discuss about overview of

ICD HCM part two. Yesterday we have

completed part one and now we are focus

on part two in which we going to learn

about general coding guidelines. Okay.

Like locating the code in ICD 10 CM

level of detailing in coding course or

course from A00.0 0 through

T88.9 and Z 000 to Z99.8 and U00 to

U85. Okay. Then sign and symptoms

conditions that are an integral part of

disease process. How we will going to

code that condition that we'll see and

even conditions that are not in integral

part of disease process that is also

we'll see multiple coding for single

condition acute and chronic condition

combination code SQLA impending

threatened condition and reporting same

diagnostics code for more than once like

this we going to learn Okay, 19 points

are there. We going to cover them. So

you can see this all these things here

on the page number G4. Open this page

number G4. You can see B general coding

guidance. Okay. So first point locating

the code in ICD10 to select a code that

corresponds to a

diagnosis. You first you can tell me you

tell me how to find the code. Yesterday

I tell you the steps. Yeah. How to find

the code means uh we have to read that

question and through those words we have

to search the word is it? Yeah. And we

are learning ICD 10 cm we have to search

proper diagnosis from the documentation.

Okay. Whatever it may be it is question

or patients report. Okay. And then what

is the that is first step you got your

diagnosis you know for which condition

you have to find the next step I don't

know how to explain it tell me whatever

you understand so that I get idea first

where you go to search the code the

alphabetical order correct alphabetical

index okay yes you want to search code

for any condition or any injury disease

or syndrome you have to go for

alphabetical index of injuries. Okay.

Which is on starts on Yes. Yes. Okay. If

you want to search code for external

cause of injury, you have to go on 423

page where you get alphabetical index

for external causes of injury. Yes.

Yesterday we have seen that. Yeah. If

you want to search code for neoplasm,

you have to go on table

number table of neoplasm which is

somewhere around 363 page. And if you

want to find any code for drugs or

long-term and current use of drug, you

have to go on table of drugs. Correct.

Yes. Okay. And after that now you get

your code. Some basic. Next step. Next

step we have to search for the

characters requirement and the exact in

which section diag the exact diagnosis.

Okay. But in which section? Sorry. In

which section you have to go to search

for the guidelines for that particular?

You have to go for the tabular section.

Yes. Yes. Tabular list. Okay. Yeah.

Tabular list. Search on your book sites

and go for that particular code range.

Okay, search for code range and on sites

of the book and open that particular

page you will find your code and read

all the guidelines given below that

code. Okay. Yes. Yes. Yeah, that is

correct. So to select a code that

corresponds to a diagnosis first locate

the term in alphabetic index. Locate the

term. Okay. In alphabetic index we have

to locate the term and then verify the

code. code in the table list. Just

highlight this one. Okay. So now you can

see locate the term in the alphabetic

index and then verify the code in the it

is essential to use both alphabetic

index and tabular list when locating and

assigning it. Right? The alphabetic

index does not always provide the full

code. Sometimes it it will provide you

full code but sometimes it will not

provide you full code. when you get

experience more and more experience

there is no need to go and check in

table list because you will buy hard

some course okay but as you are

appearing for as you are a fresher and

you are appearing appearing for CPC

examination you have to use both the

indexes to check for the code and

guidelines selection of the full code

including laterality and any applicable

seventh character can only be done in

the tabular list. A dash at the end of

an alphabetic index entry indicates that

additional characters are required.

Suppose here I show you can find any

example. Yes, here example just I'll

show you one example. I have to search

here. Okay, you can see here pen

auxiliary.

Okay, pen auxiliary. Here is one dash

present

M7.62. This dash means the additional

character is required. Okay. Okay. Okay.

Means that is not a full code. We have

to go into the list and search for

further character and guidelines. Okay.

So next level of detailing diagnosis

scores are to be used and reported at

their highest number of characters

available to the highest level of

specificity documented in the medical

record. Okay. If you have specifications

uh given by your provider, you have to

use all those specifications. Okay.

Course with three characters are

included in ICD 10 CAM as the heading of

the category of course that may be

further subdivided by the use of four

and or fifth character and of six

character which provide. Okay. So

minimum at least three digit code will

be there in alphabetic index. For

further characters you have to go

through the tabular list. ICD 10 CM

diagnostic scores are composed of course

with 3 4 5 6 7 characters and ICD code

must be at least three

character or 4 5 6 7 characters. Maximum

it will be of seven character minimum

three characters are required. the code

or codes from A00 through uh U85 to the

appropriate code or codes from A00

through U85 must be used identifying

diagnosis, symptoms, conditions,

problems, complaints or other reasons

for the encounter or visit. Okay. Then

sign and symptoms. The codes that

describe uh symptoms and signs as

opposed to diagnosis are acceptable for

reporting purposes when a related

definitive diagnosis has not been

established means confirmed by the

provider. Okay. So when any patient

comes every time in most of the cases

patient comes with silence there is no

definitive diagnosis. Okay. After that

physician did some checkups and all and

confirm that reason for that particular

sign and symptoms right or confirm that

definitive diagnosis. But if physician

is not able to establish the

diagnosis definitive diagnosis or not

able to confirm the diagnosis means if

physician says like

probable probable arthritis is there or

some probable or uncertain condition is

there in that case we we should not code

that particular diagnosis in this

condition we have to go for sign and

symptoms. Clear? Yes. Is it clear? Yes.

Yes. Okay. Chapter 18 of ICD 10 CM

symptoms, sign and abnormal clinical and

laboratory findings not elsewhere

classified course R00. 02 R99 contains

many but not all codes for symptoms.

Most of the codes are present in this

this category from chapter 18. Okay.

which is for sign and symptoms and

abnormal clinical and laboratory

findings. The conditions that are an

integral part of disease process. Sign

and symptoms that are associated

routinely with a disease process should

not be assigned as additional course

unless otherwise instructed by the

classification. Okay. If sign and

symptoms are the part of their

particular disease, you should not code

them separately. Okay. Sometimes un

sorry list ask you to code additionally

the particular sign and symptoms at that

time you can code them but generally

sign and symptoms which are integral

part of that disease you should not code