This lesson will address the basic steps for accurately selecting diagnosis codes 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). If you do not have the most recent copy of an ICD-10-CM code book, then click the Resources tab to find and download the necessary documents. Be sure and download both the index and tabular listing of ICD-10-CM as well as the External Cause of Injuries Index, the Table of Drugs and Chemicals, and the Table of Neoplasms. To get the most from these lessons, it's a good idea to complete them in order. The codes and information in this lesson are updated as needed and receive a comprehensive review annually.
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The Basics Level of Detail Combination Coding: Alphabetic Index Combination Coding: Alphabetic Index, Example Combination Coding: Tabular List Multiple Coding: Alphabetic Index Multiple Coding: Tabular List, Code First Multiple Coding: Tabular List, Use Additional Code Multiple Coding: Irrelevant or Indiscriminate Multiple Coding When Necessary
Expert Reviewer: Therese (Teri) Jorwic, MPH, RHIA, CCS, CCS-P, FAHIMA
Sandra Macica, MS, RHIA serves as the Coding Content Manager for the Revenue Cycle and Compliance segment of Elsevier. In her role, Sandy works with the Subject Matter Experts (authors) to ensure that the coding lessons are relevant, accurate and up-to-date with the latest coding guidelines.Disclosure: Sandra L. Macica, MS, RHIA has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Prior to joining Elsevier, Sandy served as a Manager for a consulting firm in upstate New York. She was engaged in projects which assisted inpatient and outpatient health care facilities with regard to ICD-9-CM and HCPCS/CPT coding, billing and documentation reviews, health information services departmental management, Medicare and Medicaid reimbursement issues, compliance strategies and Charge Description Master (CDM) maintenance and consolidation.
Ms. Macica has many years of experience in the Health Information Management profession, previously serving as a Compliance/Reimbursement Specialist, Health Information Systems Supervisor, and Data Quality Specialist at a community hospital. Sandy has served as a clinical practicum instructor and as adjunct faculty in a Health Information Technology program instructing students in ICD-9-CM, CPT, and Pathophysiology. In recent years she has done extensive education for ICD-10-CM/PCS in her role with Elsevier as well as for many HIM associations and other organizations.
Sandy is a member of AHIMA, NYHIMA, and served on the board of Directors as President of the Adirondack Health Information Management Association (AdHIMA) and recently as President of the New York Health Information Management Association (NYHIMA).
Sandy earned a Master of Science degree in Health Service Administration from Russell Sage College in Albany, NY and a Bachelor of Science degree in Medical Record Administration from the SUNY College of Technology in Utica, NY. She is a Registered Health Information Administrator (RHIA), and an AHIMA approved ICD-10-CM and ICD-10-PCS trainer.
Therese (Teri) Jorwic, MPH, RHIA, CCS, CCS-P, FAHIMA is an Assistant Professor in Health Information Management at the University of Illinois at Chicago. She has presented numerous workshops and developed educational material for in-class and online courses in ICD-9-CM, ICD-10-CM/PCS and HCPCS/CPT coding for universities, hospitals, physicians and other health care providers and associations.
Ms. Jorwic has been active in the health information management field and served as the co-chairman of the American Health Information Management Association (AHIMA) Clinical Terminology and Classification Practice Council, and is a member of the ICD-10 Academic Transition Workgroup and ICD-10 Academy external faculty. She served as the first Chairman of the AHIMA Society for Clinical Coding and is a recipient of the AHIMA's Pioneer and Literary Awards. She is a past chairman and member of the Construction Committee for the Certified Coding Associate Examination. Ms. Jorwic is the past president and recipient of the Distinguished Member award for both the Chicago Area and Illinois Health Information Management Associations and received the Amoco Silver Circle, Excalibur and Educator of Year awards for teaching excellence at the University of Illinois at Chicago.Disclosure: Therese (Teri) Jorwic, MPH, RHIA, CCS, CCS-P, FAHIMA has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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