ICD-10-CM Chapter Specific Guidelines for LTC
Accurate ICD-10-CM code assignment is now more important in a SNF/LTC setting than it ever has been in the past. In order to appropriately assign accurate ICD-10-CM codes you must have an understanding of not only the General coding conventions and guidelines, but also the chapter specific coding guidelines. In this module, we will introduce the learner to the Chapter specific guidelines for the majority of chapters contained within the ICD-10-CM coding manual. Not all chapter specific guidelines will be discussed, but a focus on those that may be most commonly encountered in the post-acute SNF/LTC facility.
It is recommended that learners complete the Relias ICD-10-CM Coding Basics course prior to taking this module.
The content in this course is applicable to MDS staff, billing professionals, in the SNF/LTC setting.
Accurate ICD-10-CM code assignment is now more important in a SNF/LTC setting than it ever has been in the past. In order to appropriately assign accurate ICD-10-CM codes you must have an understanding of not only the General coding conventions and guidelines, but also the chapter specific coding guidelines. In this module, we will introduce the learner to the Chapter specific guidelines for the majority of chapters contained within the ICD-10-CM coding manual. Not all chapter specific guidelines will be discussed, but a focus on those that may be most commonly encountered in the post-acute SNF/LTC facility. It is recommended that learners complete the Relias ICD-10-CM Coding Basics course prior to taking this module. The content in this course is applicable to MDS staff, billing professionals, in the SNF/LTC setting.
American Nurses Credentialing Center
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses will receive 1.50 Nursing Contact Hours after successfully completing this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.50 contact hours for participating in this course.
California Board of Registered Nursing
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 1.50 contact hours for participating in this course.
District of Columbia Board of Nursing
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.50 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
Kentucky Board of Nursing
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
Describe the purpose of Chapter Specific Coding Guidelines.
Identify chapter specific coding guidelines commonly experienced in the SNF setting.
Apply coding concepts to five short clinical vignettes.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Chapter Specific Coding Guidelines Regulatory
Official Coding Guidelines
Section 3: Chapter 1 Infections and Parasitic Disease
Introduction
Human Immunodeficiency Virus Infections
Infectious Agents as the Cause of Diseases Classified to Other Chapters
Infections Resistant to Antibiotics
Sepsis
Methicillin Resistant/Susceptible Staphylococcus Aureus (MRSA/MSSA)
Coronavirus Infections (COVID-19)
Review
Summary
Section 4: Chapter 2 Neoplasms
Introduction
Neoplasm Table
Primary Malignancy Previously Excised
Encounters for Radiation Therapy, Chemotherapy, or Immunotherapy
Review
Summary
Section 5: Chapter 4 Endocrine/Nutritional
Introduction
Type of Diabetes
Diabetes and the Use of Insulin, Oral Hypoglycemics, and Injectable Non-insulin Drugs
Categories E08, E09, and E13
Review
Summary
Section 6: Chapter 5 Mental, Behavior, Neurodevelopmental
Introduction
Pain Disorders Related to Psychological Factors
Review
Summary
Section 7: Chapter 6 Nervous System
Introduction
Dominant/Nondominant
Pain – General Guidance
Post-Operative Pain
Chronic Pain
Neoplasm Pain
Review
Summary
Section 8: Chapter 7 Eye and Adnexa
Introduction
Glaucoma Coding
Vision Loss
Review
Summary
Section 9: Chapter 9 Circulatory System
Introduction
Hypertension
Atherosclerotic Coronary Artery Disease and Angina
Sequelae of Cerebrovascular Disease
Acute Myocardial Infarction
Review
Summary
Section 10: Chapter 10 Respiratory System
Introduction
Chronic Obstructive Pulmonary Disease (COPD) and Asthma
Respiratory Failure
Influenza
Ventilator Associated Pneumonia
Vaping-Related Disorders
Review
Summary
Section 11: Chapter 12 Skin and Subcutaneous Tissue
Introduction
Pressure Ulcer Stage Codes
Pressure-induced Deep Tissue Damage
Review
Summary
Section 12: Chapter 13 Musculoskeletal System Connective Tissue
Introduction
Pathological Fractures
Osteoporosis
Review
Summary
Section 13: Chapter 14 Disease of the Genitourinary System
Introduction
Chronic Kidney Disease (CKD)
Review
Summary
Section 14: Chapter 18 Symptom and Signs
Introduction
Use of Symptom Codes
Falls
Review
Summary
Section 15: Chapter 19 Injury, Poisoning
Introduction
Coding Injuries
Use of the 7th Character
Coding of Fractures
Poisoning, Adverse Effect, Underdosing
Review
Summary
Section 16: Chapter 20 External Causes of Morbidity
Introduction
External Cause of Injuries Index
Review
Summary
Section 17: Chapter 21 Factors Influencing Health Status
Introduction
Contact/Exposure
Status Codes
History Codes
Aftercare Codes
Use of Status Codes and Aftercare Codes
Other Z Codes
Review
Summary
Section 18: Coding Exercises
Testing your Coding Skills
Scenario # 1
Scenario # 2
Scenario # 3
Scenario # 4
Scenario # 5
Section 19: Conclusion
Summary
Course Contributor
Resources
References
Congratulations!
Exam and BrainSparks
Ron Orth obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Director of Curriculum Design for the Acute and Post-acute Care verticals at Relias. Ron has also successfully completed the Infection Control Officer training through the AHCA.
The target audience for this course is: Nurses; in the following settings: Post-Acute Care.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
