Top 10 Tips for ICD-10! Presented By: Rachel M. Kaser, BS, CPC, MHSA AHIMA-Approved ICD-10-CM/PCS Trainer Top 10 Tips for ICD-10
Course Objectives • • • • • • • • •
Clarifications on the coding guideline changes for FY 2017 Obtain insights on Laterality for Retinopathy, Diabetic Neuropathy Post-Op Seroma Excludes1 / Excludes2 Atypical Fractures Injuries and Injury Reporting Hypertensive urgency, emergency or crisis Conductive hearing loss – H90 codes Utilize expert tools specific to ICD-10 to accurately select codes necessary for compliance, while avoiding denials
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ICD-10 Coding Guideline Changes • Updated: • Tabular • Alphabetic Index • Neoplasm Table • Table of Drugs and Chemicals • Index of External Causes
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ICD-10 Coding Guideline Changes
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ICD-10 Coding Guideline Changes
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Laterality for Retinopathy, Diabetic Neuropathy • Chapter 7 – Eye and Adnexa (H00 – H59) • Many codes added the laterality as concepts that were previously missing, such as in the diabetic retinopathy codes • Diabetic retinopathy codes: • Expansion • Macular edema involvement • Laterality
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Post-Op Seroma • Chapter 3 – Diseases of the Blood (D50 – D89)
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Post-Op Seroma • Chapter 3 – Diseases of the Blood (D50 – D89)
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Excludes1 / Excludes2 Changes • Excludes1 change to Excludes 2 notes: • Reporting a code together with codes from its Excludes1 list may be appropriate when the conditions are unrelated
• Rule: • If the two conditions are not related to one another, it is permissible to report both codes despite the presence of an Excludes1 note
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Excludes1 / Excludes2
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