This course provides information on the diseases, code structure, and chapter-specific guidelines pertaining to eyes and ears, nose, and throat (ENT) services. This lesson focuses on eye conditions in ICD-10-CM Chapter 7, Diseases of the Eye and Adnexa (H00-H59); Chapter 8, Diseases of the Ear and Mastoid Process (H60-H95); and Chapter 10, Diseases of the Respiratory System (J00-J99,) as well as eye and ENT-related conditions in Chapter 21, Factors Influencing Health Status and Contact with Health Services (Z00-Z99). Documentation for eye conditions in relation to risk adjustment is also discussed.
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, code structure, and chapter-specific guidelines pertaining to eyes and ears, nose, and throat (ENT) services. This lesson focuses on eye conditions in ICD-10-CM Chapter 7, Diseases of the Eye and Adnexa (H00-H59); Chapter 8, Diseases of the Ear and Mastoid Process (H60-H95); and Chapter 10, Diseases of the Respiratory System (J00-J99,) as well as eye and ENT-related conditions in Chapter 21, Factors Influencing Health Status and Contact with Health Services (Z00-Z99). Documentation for eye conditions in relation to risk adjustment is also discussed. 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 program has been approved for 1.5000 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.”
This activity is approved for 1.5000 contact hours.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview
Background: Ophthalmology and Otolaryngology
Diseases of the Eye
Diseases of the Ear
Diseases of the Nose and Throat
Section 3: Eye Disorders
Cataracts
Coding: Cataracts
Retinopathy
Coding: Retinopathy
Macular Degeneration
Coding: Macular Degeneration
Review
Glaucoma
Coding: Glaucoma
Extraocular Muscle Entrapment
Coding: Extraocular Muscle Entrapment
Blindness
Coding: Blindness
Inflammatory Eye Disorders
Coding: Inflammatory Eye Disorders
Review
Section 4: Ear Disorders
Ear Infections
Ear Disorders
Coding: Ear Disorders and Infections
Hearing Loss
Coding: Hearing Loss
Review
Section 5: Nose and Throat Disorders
Nose and Throat Disorders
Coding: Nose and Throat Problems
Section 6: Z Codes for Eye and ENT Services
Chapter 21: Applicable Services
Z Codes for Eye and ENT Services
Section 7: 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 8: Conclusion
Course Summary
Course Contributor
Resources
References
Subject Matter Expert: Cindy C. Smith, CPC, CPMASarah 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 professional coder (CPC), a certified outpatient hospital coder (COC), and a Certified Risk Adjustment Coder (CRC), with specialty certification in Evaluation and Management Services (CEMC). Sarah has clinical experience as an Emergency Medical Technician (EMT) and extensive experience in both professional and facility ICD-10-CM/PCS, CPT, and HCPCS coding, education, auditing, and revenue cycle management. Sarah has also authored several coding textbooks and instructional resources.
Cindy is a Resolute Coding Manager at a large integrated managed care consortium and also trains new coders in the nuances of coding. In addition to those duties, she serves as a subject matter expert on coding issues for the company's Compliance Department. She has extensive knowledge in Specialty Coding as well as Surgical Coding nuances. She spent over 10 years’ experience as a Physician Auditor Educator assisting Providers in understanding the documentation required for the services provided as well as the diagnosis codes. Additionally, she spent over 5 years as an HCC Auditor in the early years of the HCC inception. Cindy served as an AAPC Local Chapter President for two years in Jacksonville, Florida.
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