Medical Coding And Billing Tutorials for Beginners | ICD, CPT, HCPCS, CPC | Medical Coding Demo - 1

So welcome to great online training. Uh

today we're going to discuss about ICD

10 CM chapter 19. Okay. Which is injury

and poisoning and code ranges are S0000

to

T88. Am I audible right? Yeah. Yes. Yes.

Okay. So topics covered in this class

are injuries and wounds, fracture and

its types. Then ICD10 CM guidelines. Uh

like first guideline will be application

of seventh character, coding of

injuries, coding of traumatic fractures,

then coding of burns and corrosions,

adverse effects, poisoning, underdosing

and toxic effects, adult and child

abuse, neglect and other mal treatment

and complication of and lastly we'll see

question and answer. But as this chapter

has so many guidelines, we have to

divide this chapter in two sessions. Two

or maybe three

sessions. Uh I can't say right now.

Okay, we'll see. Uh I try to cover in

today's session till this D guideline

burn and corrosion or else we at least

cover this traumatic fracture. Okay.

Sure. Uh yeah Nikita that today actually

it is 9:45 now for me it's 9:45 p.m.

Yeah. So so today we'll complete till

this C point coding of traumatic

fracture and tomorrow we'll start again

with coding of burns and other topics.

Okay. So introduction this chapter

includes the diagnosis course for

injuries, fractures, burn, burns,

adverse effects, poisonings, toxic

effects and complications of cures.

Okay. So uh the S section you can see

the code range start with S and end with

T right T codes. So s section provides

scores for various types of injuries

related to single body regions. Various

types of injuries or fractures you can

say wound

contusion and all we can find in S

section means the those course starts

with S letter and code started with T T

later means T section covers injuries to

unspecified body regions as well as

poisoning and certain other consequences

of external causes poisoning overdosing

and everything you will uh get quotes in

T- session. Okay. For current injury or

full or any contusion or fracture,

dislocation, this kind of core, sprain,

strain you can find in a section. So

first we'll see what is injury and what

are wounds. Injury is

an damage. An injury is damage to your

body. It is a general term that refers

to harm caused by accidents, falls,

hits, weapons, and more other things.

Okay. These injuries range from minor to

life-threatening. Injuries can happen at

work or play, indoor or outdoor, driving

or driving a car or walking across the

street. Okay. And that's why we need

external cause code. In previous session

we already learn about external causes

right external cause place of occurrence

and status. So we have to use those

codes with this injury. Injury codes

injury includes uh anything injury

subluxation dislocation fracture or

wound contusion hematoma anything. Okay,

we have to primary code this injury

means uh any code from category S and

after that we have to use those uh those

codes which we have already learned in

previous session external cause. Okay.

Wounds wounds are injuries that break

the skin uh break the skin or other body

tissues. They include cuts, scrapes,

scratches, and puncture skin. They often

happen because of an accident, but

surgery, sutures, and stitches also

cause wounds. Next, bruises and

hematoma. Bruises is also known as

contusion or

echimosis. Okay, bruises, contusion,

echimosis, all the three terms are same.

Okay. It is red, blue, black or purplish

color mark on the skin. It develops due

to a small leakage of blood from the

capillaries. And hematoma. Hematoma is a

collection or pull of blood outside a

blood vessel. It occurs due to a large

leakage of blood. It is typically a

raised solid mass that feels firm or

spongy. You can see here difference

between cartusion and hematoma.

Cartusion usually not significantly

damaged blood collection is absent or

minimum and discoloration and in case of

hematoma damage blood vessels are there

and blood collects in tissue causing

swelling and swelling may be discolored

and painful. So this is difference

between culin and hematoma. In this case

of a beta swelling is there and

contigusion just

shows dark blue black purplish color

mark. Next point strain and springs.

Strength injury of a muscle or a tissue

connecting muscle to bone. Okay means

tendle. Stretch often occur in lower

back and in the muscles in the back of

the thigh. And sprain is a stretching or

tearing of ligaments the uh the fibrous

tissue that connects bones to joints.

Okay. Means injury to the ligament is

called sprain whereas injury to the uh

tendon is called strength. You can get

straightforward question of one mark in

such type of definitions. Okay. or

simple meaning what is strain and they

will give you example or what is

ligament what is tendon like this

straightforward questions are also there

uh in anatomy section of CPC examination

I'll share with you uh CPC pattern and

everything later on okay so this is

strain muscle and tendon okay you can

see and this is pain injury to the

strain is injury to the tendon. If you

get confused, you can remember like

this in the spelling of strain T is

there and in the tendon T is also there.

Okay, so TT strain for tendon, sprain

for ligament. Next point, dislocation

and subloation. A sublux uh subluxation

occurs when two adjoining bones get

pulled partially out of position. Okay.

But still in touch. A dislocation occurs

when they no longer in touch. A

subluxation is when two adjoining bones

get pulled partially out of position but

still they are in touch. But dislocation

occurs when they are no longer in. In

shoulder for example a subluxation would

occur when the arm was partially out of

its socket.

and dislocation when it was fully out of

its socket. These are examples of

dislocations. Enloated, anterior,

posterior dislocation and inferior

dislocation. Now what is fracture? A

break in a bone is called fracture.

Fracture can happen because of fall, car

accident or sports injury. That's why

when whenever fracture is there in your

documentation or in your in your

question you have to cause of fracture

is there you have to use external cause

code also. Okay. You can experience

intense pain, swelling, numbness,

tingling and deformity at the site of

the fracture. Fracture are classified as

either open or closed. So this is simple

fracture and this is compound fracture

or you can say this is closed fracture

okay where skin is intact and this is

compound or open fracture bone comes out

of the skin. So open fracture also known

as compound fracture. Okay. The bone

pokes through the skin and can be seen

or a deep wound exposed the the bone

through the skin. And close fracture

also known as simple fracture. The bone

is broken but the skin is intact. This

is example of close fracture and this is

compound or open fracture. And we have

separate codes for open fracture,

separate code for closed fracture. We'll

see how to code use those codes. Now you

see types of fractures. Okay. Transverse

fracture breaks the shaft of a bone

across the long lo longitudinal axis.

Obly fracture occurs at an angle that is

not 90°.

Spiral fracture spread along length of

bone and produced by twisting stress and

communal fracture. Several breaks result

in many small pieces between two large

segments. You can say this example. This

is normal bone. This is example of

transverse fracture. This is oblique

fracture. Not an angle of 90°. Okay.

This is across the longitudinal axis.

Spiral fracture produced by twisting