ICD-10-CM for Outpatient Settings: Overview of Diagnosis Coding for Outpatient Services

Outline:
Section 1: Introduction

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

Summary

Course Contributor(s)

Resources

References

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 has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.

Jane Conway is a Revenue Cycle, Coding, and CDI subject matter expert, content writer for Relias. She has ten years of experience in writing and maintaining ICD-10-CM/PCS eLearning curricula for inpatient and outpatient hospital settings. She is also an author and peer reviewer for other revenue cycle eLearning products. She has extensive knowledge in risk adjustment for CMS, HHS, and commercial payers. Jane has worked in healthcare for almost 30 years both in Health Information Management and pharmacy. Her pharmacy background adds a depth of knowledge to her courses. Jane is a Registered Health Information Administrator (RHIA), Certified Documentation Improvement Practitioner (CDIP), a Certified Risk Adjustment Coder (CRC), Certified Coding Specialist (CCS), and an AHIMA approved ICD-10-CM and ICD-10-PCS trainer. She is also a Certified Pharmacy Technician (CPhT).  Jane earned a Bachelor's degree in Health Information Management from the State University of New York Polytechnic Institute where she was the recipient of the New York Health Information Management Association (NYHIMA) Academic Achievement Award. 

Jane is active in NYHIMA, where she has served on the program planning committee and the education committee. Jane has also served as a credentials officer for NYHIMA. She recently was a keynote speaker at the NYHIMA annual conference and presented to both AAPC and CNYHIMA local meetings on several pertinent topics. She has also written several articles about new medical treatments for the NYHIMA newsletter. 

Disclosure: Jane Conway, RHIA, CCS, CRC, CDIP, CPhT, ICD-10-CM/PCS Trainer has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.