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CODING ALERT

Reasons for health services encounter get codes in Chapter 21 of ICD-10

By Judy Monestime  bio
Codes included in Chapter 21, Factors influencing health status and contact with health services (Z00-Z99), represent reasons for encounter. Z codes are provided for encounters when circumstances other than diseases or injury are recorded in the medical record as the diagnosis.
The chapter includes the following sections…

 

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CODING ALERT

Frequently coded conditions in Chapter 4 of ICD-10 CM

By Judy Monestime  bio
Chapter 4 in ICD-10 CM contains codes for endocrine, nutritional and metabolic diseases (E00-E89). The chapter includes frequently coded conditions such as disorders of the thyroid gland, obesity, dehydration, and diabetes mellitus…


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CODING ALERT

Multiple coding now required for nervous system diseases

By Judy Monestime  bio
ICD-10 CM’s Chapter 6 Diseases of the Nervous System (G00-G99) includes diseases of the central and peripheral nervous systems as well as epilepsy, migraine, and other headache syndromes. Many codes include a combination of conditions, such as persistent migraine aura with cerebral infarction, intractable (G43.61-).
The following conditions have been moved from ICD-9-CM Chapter 7: Diseases of the Circulatory System, to ICD-10-CM Chapter 6: basilar and carotid artery syndromes, transient global amnesia, and…

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CODING ALERT

Coding tips for respiratory diseases

By Judy Monestime  bio
ICD-10-CM Chapter 10, “Diseases of the Respiratory System (J00–J99),” identifies codes for a wide variety of pulmonary conditions, ranging from acute upper respiratory infections, pneumonia, influenza, asthma, as well as diseases of the lower respiratory tract including chronic lung diseases and diseases acquired from exposure to external substances. Intraoperative and postprocedural complications are also available to be coded in this chapter.
The chapter includes the following…

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CODING ALERT

ICD-10 is more detailed for osteoporosis and musculoskeletal conditions than ICD-9

ICD-10 M81 Osteoporosis without current pathological fracture
By Judy Monestime  bio
Chapter 13 Diseases of the musculoskeletal system and connective tissue (M00-M99); M stands for Musculoskeletal, contains many more subchapters, categories, and codes than ICD-9-CM. Rather than having just four subchapters grouping many conditions together, ICD-10-CM organizes the musculoskeletal system and connective tissue in the following blocks:…

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CODING ALERT

Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)

By Judy Monestime  bio
Chapter 21 in ICD-10-CM contains codes for factors influencing health status and contact with health services. There are differences in ICD-10-CM from what is currently found in ICD-9-CM.
Some categories in Chapter 21 have rephrased titles to better reflect the situations the codes classify. For example, elective, legal, or therapeutic abortions have been moved from ICD-9-CM Chapter 11, Complications of Pregnancy, Childbirth, and the Puerperium, to ICD-10-CM Chapter 21. Also, several codes have been expanded in ICD-10-CM; for example…

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CODING ALERT

Chapter on diseases of the skin and subcutaneous tissue is a total revamp

By Judy Monestime  bio
ICD-10-CM Chapter 12, “Diseases of the Skin and Subcutaneous Tissue (L00-L99),” represents a complete restructuring to bring together groups of diseases that are related to one another in some way. For example, dermatitis and eczema are separated from urticaria and erythematous conditions. Additionally, greater specificity has been added to many of the codes at either the fourth, fifth or sixth character level. Most of these diagnoses codes will require additional documentation and queries for specificity. For example, laterality, site, and stage of…

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CODING ALERT

Watch for these changes in coding of sepsis

By Judy Monestime  bio
In Chapter 1 of ICD-10, Certain Infectious and Parasitic Diseases (A00-B99), is organized similar to ICD-9. While the overall chapter is similar to ICD-9, some categories and subcategories titles have changed along with terminology.
For example…

 

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CODING ALERT

New subchapters get specific for diseases of the digestive system

By Judy Monestime  bio
ICD-10-CM Chapter 11, “Diseases of the Digestive System (K00–K95),” contains common conditions that patients experience in their gastrointestinal tract. This section contains gastrointestinal (GI) conditions that occur in many patients from infections in the mouth and organs in the upper GI tract as well as in the appendix, small bowel, colon, gallbladder, and liver.
A number of new subchapters have been added to the chapter on diseases of the digestive system. For instance, in ICD-10-CM diseases of the liver have their…

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CODING ALERT

“O” is for obstetrics: coding for pregnancy and childbirth

By Judy Monestime  bio
ICD-10 CM’s Chapter 15, Pregnancy, Childbirth, and the Puerperium are in the range of O00 (letter O, digit zero, digit zero) to O9A, an interesting coding coincidence given these letters “O” codes are for Obstetrics.
Chapter 15 of ICD-10-CM includes categories O00-O9A arranged in the following blocks:
O00-O08   Pregnancy with abortive outcome

O09-          Supervision of high risk pregnancy

O10-O16   Edema, proteinuria and hypertensive disorders in…

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