ICD-10-CM Outpatient Specialty Coding: Eyes, Ears, Nose, and Throat Services

Outline:
Section 1: Introduction

About This Course

Learning Objectives

Section 2: Overview

Background: Ophthalmology and Otolaryngology

Anatomy and Physiology: Eyes

Anatomy and Physiology: Ears

Review

Section 3: Coding Eye and ENT Diseases

Diseases of the Eye

Diseases of the Ear

Diseases of the Nose and Throat

 Section 4: Eye Disorders

Cataracts

Coding: Cataracts

Retinopathy

Coding: Retinopathy

Macular Degeneration

Coding: Macular Degeneration

Review

Glaucoma

Coding: Glaucoma

Blindness

Coding: Blindness

Inflammatory Eye Disorders

Coding: Inflammatory Eye Disorders

Review

Section 5: Ear Disorders

Ear Infections

Ear Disorders

Coding: Ear Disorders and Infections

Hearing Loss

Coding: Hearing Loss

Review

Section 6: Nose and Throat Disorders

Nose and Throat Disorders

Coding: Nose and Throat Problems

Section 7: Z Codes for Eye and ENT Services

Chapter 21: Applicable Services

Z Codes for Eye and ENT Services

Section 8: Risk Adjustment Coding and Documentation

Risk Adjustment and ENT Services

Eye and ENT HCCs

MEAT Documentation Required to Support HCC Coding

Documenting HCCs

Proper HCC Documentation

Example: Impact of Documentation with MEAT on HCCs

Section 9: Conclusion

Course 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 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.

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 no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.