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These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.
Code more efficiently and effectively with Carol J. Buck's 2014 ICD-10-PCS Draft Edition. Designed by coders for coders, this reference combines Netter's Anatomy illustrations and the Official Guidelines for Coding and Reporting. It simplifies procedure coding to ensure the most accurate billing and optimal reimbursement for inpatient medical services. Full-color images and clear explanations of A&P, pathology, and medical terminology make it easy to develop the knowledge needed to assign the appropriate ICD-10-PCS codes. - Complete coverage of ICD-10-PCS codes prepares coders for the new code set replacing ICD-9-CM Volume 3. - ICD-10-PCS Official Guidelines for Coding and Reporting (OGCRs) are included for fast, easy access to the official coding rules. - Unique! Full-color Netter's anatomy art helps you understand complex anatomic information and how it may affect coding. - Age and Sex edits from the Definition of Medicare Code Edits denote codes that are used only with patients of a specific age or sex. - NEW! Updated 2014 Draft Code set.
Build or assign procedure codes accurately with Carol J. Buck's 2013 ICD-10-PCS Draft Manual. Using Netter's Anatomy illustrations along with the ICD-10-PCS Official Guidelines for Coding and Reporting, this handy reference simplifies the procedure coding system by giving you the information and tables you need to ensure accurate billing and optimal reimbursement for hospital-based medical services. - Coverage of ICD-10-PCS codes prepares you for the new code set replacing ICD-9-CM Volume 3 for hospital-based, inpatient procedures. - UPDATED 2013 Official Draft Code set includes the ICD-10 codes needed for inpatient procedure coding. - ICD-10-PCS Official Guidelines for Coding and Reporting are included in full for fast, easy access to coding rules when you need them. - UNIQUE! 32 full-color Netter anatomy images are included in the front of the book and cross referenced within the coding tables, helping you understand anatomy and how it affects coding. - Age and Sex edits identify the codes associated with age and sex limitations in the Definition of Medicare Code Edits, so you can accurately detect inconsistencies between a patient's age and sex and any diagnosis or procedure on the patient's record. - New, full color tables make it easier to build the proper code.
- NEW! Age and Sex edits from the Medicare Code Editor help to ensure accurate coding by incorporating codes that are used only with patients of a specific age or sex.
- NEW! Updated 2015 Draft Code set includes the ICD-10 codes needed for procedure coding and reflects the June 2014 code updates. - NEW format is specifically designed to meet the needs of professional procedure coding. - NEW! Hospital Acquired Condition (HAC) symbol alerts you to procedures related to HACs as outlined in the MS-DRG v31. - NEW! Symbols for female- and male-only related procedures are included. - NEW! Symbols for Noncovered and Limited Coverage procedures are included, as outlined in the Definitions of Medicare Code Edits, v31.
NEW! Pharmacology in each body system and a Pharmacology Basics appendix help you recognize drugs and medications in medical reports. NEW! More than 50 new images bring terminology to life. NEW! Additional procedural terms supply a more complete picture of the number and kind of procedures you will encounter on medical reports. NEW! Normal Lab Values appendix familiarizes you with normal and abnormal lab values so you know when to search a medical record for possible additional diagnoses. NEW! Tablet and mobile-optimized Evolve activities offer an easily accessible source for extra interactive practice and learning.
The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition Now in its second edition, The Clinical Documentation Improvement Specialist's Guide to ICD-10 is the only guide to address ICD-10 from the CDI point of view. Written by CDI experts and ICD-10 Boot Camp instructors, it explains the ICD-10 documentation requirements and clinical indicators of commonly reported diagnoses and the codes associated with those conditions. In it you'll find the specific documentation requirements to appropriately code a variety of conditions. The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition, not only outlines the changes coming in October 2014, it provides detailed information on how to assess staffing needs, training requirements, and implementation strategies. The authors--an ICD-10 certified coder and CDI specialist--collaborated to create a comprehensive selection of ICD-10 sample queries that facilities can download and use to jumpstart their ICD-10 documentation improvement efforts. Develop the expertise and comfort level you need to manage this important industry change and help your organization make a smooth transition. The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition, is part of the library of products and services from the Association of Clinical Documentation Improvement Specialists (ACDIS). ACDIS members are CDI professionals who share the latest tested tips, tools, and strategies to implement successful CDI programs and achieve professional growth. Member benefits include a quarterly journal, members-only Web site, quarterly networking conference calls, discounts on conferences, and more. WHAT'S NEW? Completely revised to accommodate changes in ICD-10 implementation dates Dozens of targeted ICD-10 physician queries Updated ICD-10 benchmarking reports BENEFITS Sample ICD-10 queries Specificity requirements and clinical indicators by disease type and body system Staff training and assessment tools TABLE OF CONTENTS Chapter 1: ICD-10 primer Chapter 2: Conventions and Guidelines Chapter 3: Physician queries Chapter 4: CDI target areas Chapter 5: ICD-10-CM/PCS Provider Education
ICD-10-CM 2019: The Complete Official Codebook provides the entire updated code set for diagnostic coding. This codebook is the cornerstone for establishing medical necessity, determining coverage and ensuring appropriate reimbursement.