Medical coding specialists use a set of nationally recognized rules and guidelines to select the correct codes for the diagnoses treated, services provided, and procedures performed. Although inpatient and outpatient coding are similar, clinical diagnoses and services are reported and reimbursed differently. This course provides information pertaining to coding outpatient diagnoses in physician practices and clinics, emergency departments, and other outpatient departments in hospitals. It provides an overview of the format and structure and the conventions and instructions in ICD-10-CM.
Before beginning this lesson, you should have access to the most recent version of ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification). Refer to the Resources section to find and download the necessary documents.
The codes and information in this course receive a comprehensive review annually and are updated as needed.
Medical coding specialists use a set of nationally recognized rules and guidelines to select the correct codes for the diagnoses treated, services provided, and procedures performed. Although inpatient and outpatient coding are similar, clinical diagnoses and services are reported and reimbursed differently. This course provides information pertaining to coding outpatient diagnoses in physician practices and clinics, emergency departments, and other outpatient departments in hospitals. It provides an overview of the format and structure and the conventions and instructions in ICD-10-CM. Before beginning this lesson, you should have access to the most recent version of ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification). Refer to the Resources section to find and download the necessary documents. The codes and information in this course receive a comprehensive review annually and are updated as needed.
This activity is approved for 1.0000 contact hours.
“This program has been approved for 1.0000 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.”
Outline:
ICD-10-CM for Outpatient Settings: Overview of Diagnosis Coding for Outpatient Services
About This Course
Learning Objectives
Section 2: Overview
Coding Outpatient Services
Background
Coding Methods
Coding Guidelines
Outpatient Coding and Reporting
Risk Adjustment and Outpatient Coding
Review
Section 3: ICD-10-CM Format and Structure
Structure: Tabular List of Diseases and Injuries
Tabular List Code Structure
Valid Codes
ICD-10-CM Structure: Index
Structure: External Cause of Injuries Index
Table of Neoplasms
Table of Drugs and Chemicals
Table of Drugs and Chemicals - 7th Character Extension
Review
Section 4: ICD-10-CM Coding Conventions
ICD-10-CM Coding Conventions
Abbreviations: NEC and NOS
Punctuation: Brackets and Parentheses
Review
Section 5: ICD-10-CM Instructions
Instructional Notes
Inclusion Terms and Notes
Excludes Notes
Review
Section 6: Locating Codes
Locating a Code in ICD-10-CM
Coding Practice: Alphabetic Index
Section 7: Conclusion
Course Summary
Course Contributors
Resources
References
Glossary
Exam
Catrena "Cate" is Curriculum Designer at Relias. Her primary responsibility lies in the Revenue Cycle and Coding area. She holds a Juris Master with a concentration in Healthcare Regulations from Florida State University’s College of Law. She has over twenty years of revenue cycle and coding experience and is credentialled by both nationally recognized certifying bodies for health information and informatics professionals in the United States, AHIMA and AAPC.
Disclosure: Catrena Lewis, JM, CPCO, CCS, CCS-P, CHTS-PW, CPC, CIC, CRC, CPC-I has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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