This course provides information on the diseases, conditions, code structure, and chapter-specific guidelines pertaining to orthopedic services. The course focuses on the codes for orthopedic conditions in ICD-10-CM Chapter 13, Diseases of the Musculoskeletal System and Connective Tissue (M00-M99), and Chapter 19, Injury, Poisoning, and Certain Other Consequences of External Causes (S00-T88). Documentation for orthopedic services in relation to risk adjustment is also discussed. Specific conditions reviewed include:
• Arthritis
• Traumatic fractures
• Osteoporosis and pathological fractures
• Sprains, strains, and dislocations
• Knee derangements
• Neck, back, and spine disorders
Disclaimer: Before beginning this course, 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 course provides information on the diseases, conditions, code structure, and chapter-specific guidelines pertaining to orthopedic services. The course focuses on the codes for orthopedic conditions in ICD-10-CM Chapter 13, Diseases of the Musculoskeletal System and Connective Tissue (M00-M99), and Chapter 19, Injury, Poisoning, and Certain Other Consequences of External Causes (S00-T88). Documentation for orthopedic services in relation to risk adjustment is also discussed. Specific conditions reviewed include: • Arthritis • Traumatic fractures • Osteoporosis and pathological fractures • Sprains, strains, and dislocations • Knee derangements • Neck, back, and spine disorders Disclaimer: Before beginning this course, 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:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview
Background: Orthopedic Conditions and Disorders
Anatomy and Physiology: Musculoskeletal System
Review
Section 3: Orthopedic Coding
Orthopedic Coding
Acute Traumatic Fractures and External Causes
Coding Guidelines: Orthopedic Conditions
Review
Section 4: Arthritis and Traumatic Fractures
Arthritis
Osteoarthritis, Rheumatoid Arthritis, and Gout
Coding: Arthritis
Traumatic Fractures
Fracture 7th Character Designations
Coding: Traumatic Fractures
Review
Section 5: Osteoporosis and Pathological Fractures
Osteoporosis
Pathological Fractures
Coding: Osteoporosis and Pathologic Fractures
Review
Section 6: Sprains, Strains, Dislocations, and Derangements
Sprains, Strains, and Dislocations
Coding: Sprains, Strains, and Dislocations
Knee Derangements
Coding: Knee Derangements
Review
Section 7: Neck, Back, and Spine Disorders
Neck, Back, and Spine Disorders
Coding: Neck, Back, and Spine Disorders
Review
Section 8: Chapter 21: Applicable Z Codes
Chapter 21: Applicable Z Codes for Orthopedic Services
Review
Section 9: Risk Adjustment Coding and Documentation
Risk Adjustment and Orthopedic Services
HCCs for Orthopedics
MEAT Documentation Required to Support HCC Coding
Documenting HCCs
Proper HCC Documentation
Example: Impact of Documentation with MEAT on HCCs
Section 10: Conclusion
Course Summary
Course Contributor(s)
Resources
References
Glossary
Sarah is a Subject Matter Expert/Writer for Relias's Revenue Cycle and Coding online education. Sarah is credentialed by AHIMA as a Certified Coding Specialist (CCS) and Certified Coding Specialist Physician-based (CCS-P), as well as an approved ICD-10-CM/PCS Trainer. She is also credentialed by AAPC as a Certified Professional Coding Instructor (CPC-I), a certified coder of physician/professional (CPC) and outpatient hospital services (COC), and a Certified Risk Adjustment Coder (CRC), with specialty certification in Evaluation and Management Services (CEMC). Sarah has extensive experience in both professional and facility ICD-10-CM/PCS, CPT and HCPCS coding, auditing, and revenue cycle management and as an educator of hospital and professional medical coding curriculum. She has served as Director of Physician Billing and Reimbursement for a regional health system, Manager of Coding and Compliance for a hospital and cancer center, and Business Manager of Physician Practices at a teaching hospital, as well as a coding auditor and consultant. Sarah has also authored coding textbooks and instructional resources.
Disclosure: Sarah A. Serling, CCS, CPC, CRC, COC, CCS-P, CEMC, CPC-I, ICD-10-CM/PCS Trainer discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
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