Seminar #2-Medical Coding  Welcome, during the seminar, the chat feature will be disabled so that I am able to complete my agenda for the evening! Be sure to have your ICD-9-CM coding manual out for tonight! I will answer questions at the end. Thanks, Professor Campbell

Agenda  Discussion on Course Project  Unit 2 Overview & Objectives  Using the ICD-9-CM Coding Manual  Applying ICD-9-CM Coding Guidelines

Final Project (Due Week 8)  For your Final Project, you are to write a paper that addresses why the ICD-10-CM has not yet been adopted in the United States, the reasons it is needed, and whether or not the ICD-10-CM is a classification or a nomenclature. You will also be asked to describe the layout and the major conventions used in ICD-10-PCS as well as include a table that will show the mapping of ten ICD-9-CM codes to their ICD-10-PCS counterpart.

Unit 2 Overview  Read Chapters 3 & 4  Participate in Seminar  Practice on your own using your workbook.

Unit 2 Objectives  Define key terms found in Chapters 3 and 4  Find main terms and subterms in the alphabetic index  Assign accurate codes by following cross-reference instructions and applying code conventions  Describe and apply coding guidelines when assigning ICD-9-CM codes.

Format of ICD-9-CM  Volume 1, Diseases. Tabular List (Diagnosis)  Volume 2, Diseases, Alphabetic Index (Diagnosis)  Volume 3, Procedures, Tabular List & Alphabetic Index (Inpatient Procedures)

Volume I Diseases, Tabular List  Contains code numbers  Diagnosis codes describe conditions  V and E codes = Supplemental information  Chapters 1-17

Volume 2 Diseases Alphabetic Index  Appears first in the book  Terms and code numbers in Volume I  Never code directly from the Index!

Volume 3, Procedures Tabular List and Alphabetic Index  Index and Tabular List used for procedures and therapies  Inpatient settings only  Procedures and therapies  Maximum 4 digits. E.g Simple Mastoidectomy

Using the ICD-9-CM  Determine the Main Term  Locate the Main Term in the Alphabetic Index (Volume II)  Review any subterms under the main term in the Index  Follow any cross-referencing instructions. E.g. “see”, “see also”.

Using the ICD-9-CM  Verify the codes (s) selected from the Index (Volume II) in the Tabular List (Volume I)  Refer to any instructional notations in the Tabular  Assign codes at the highest specificity.  Code the diagnosis until all elements are completely identified.

Coding Scenario  Epistaxis

Coding Scenario  Vocal cord abscess

Coding Scenario  Bell's palsy

Coding Scenario  Gestational diabetes

Coding Scenario  Diabetes mellitus, type 1, uncontrolled

Coding Scenario  Acute myocardial infarction (MI), anterolateral wall, initial episode of care

Coding Scenario  Benign hypertension

Coding Scenario  Uterine cancer, behavior unknown

Coding Scenario  HIV positive

Coding Scenario  DTP vaccination