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Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

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• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

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• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

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• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

Question Workspace

• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

Question Workspace

• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

Question Workspace

• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

Question Workspace

• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

Question Workspace

• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

Question Workspace

• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

Question Workspace

• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

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• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.v

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• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

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• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

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• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

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• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

Question Workspace

• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

Question Workspace

• Check My Work

Assume you are auditing the coding of Sunny Valley Hospital. You have found that there are numerous mistakes being made because the coders are not following the ICD-10-CM Official Coding Guidelines for Coding and Reporting. Select three of the coding guidelines found in this chapter and prepare a written summary of the guidelines to present to the coders.

Answer 1

ICD-10-CM official coding guidelines for coding and reporting :-

1. Locating a code in the ICD-10-CM

To select a code in the classification that corresponds to a diagnosis or reason for visit documented in a medical record, first located the term in the Index, and then verify the code in the Tabular List. Read and be guided by instructional notations that appear in both the Index and the Tabular List.

It is essential to use both the Index and Tabular List when locating and assigning a code. The Index does not always provide the full code, including laterality and applicable 7th can only be done in the Tabular list. A dash (-) at the end of an Index entry indicate that additional characters are required. Even if a dash is not included at the Index entry, it is necessary to refer to the Tabular list to verify that no 7th character is required.

2. Levels of Detail in Coding

Diagnosis codes are to be used and reported at their highest number of digits available.

ICD-10-CM diagnosis codes are composed of codes with 3, 4, 5, 6, or 7 digits. Codes with three digits are included in ICD-10-CM as the heading of a category of codes that may be further subdivided by the use of fourth and/or fifth digits, which provide greater detail.

A three-digit code is to be used only if it is not further subdivided. A code is invalid if it has not be coded to the full number of characters required for that code, including the 7th character, if applicable.

3. Code or codes from A00.0 through T88.9, Z00-Z99.

The appropriate code or codes from A00.0 through T88.9, Z00-Z99.8 must be used to identify diagnoses, symptoms, conditions, problems, complaints or other reason(s) for the encounter/visit.

4. Signs and Symptoms

Codes that describe symptoms and signs as opposed to diagnoses, are acceptable for reporting purposes when a related definitive diagnosis has not ben established (confirmed) by the provider. Chapter 18 of ICD-10-CM, Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (codes R00.0-R99) contains many, but not all codes for symptoms.

5. Conditions that are an integral part of a disease process

Signs and symptoms that are associated routinely with a disease process should not be assigned as additional codes, unless otherwise instructed by the classification.

6. Conditions that are not an integral part of a disease process

Additional signs and symptoms that may not be associated routinely with a disease process should be coded when present.

7. Multiple coding for a single condition

In addition to the etiology/manifestation convention that requires two codes to fully describe a single condition that affects multiple body systems, there are other single conditions that also require more than one code. "Use additional code" notes are found in the Tabular at codes that are not part of an etiology/manifestation pair, where a secondary code is useful to fully describe a condition. The sequencing rule is the same as the etiology/manifestation pair, "use additional code" indicates that a secondary code should be added.

For example, for bacterial infections that are not included in chapter 1, a secondary code from category B95, Streptococcus, and Enterococcus, as the cause of disease classified elsewhere, or B96, Other bacterial agents as the cause of diseases classified elsewhere, may be required to identify the bacterial organism causing the infection. A "use additional code" note will normally be found at the infectious disease code, indicating a need for the organism code to be added as a secondary code.

"Code first" notes are also under certain codes that are not specifically manifestation codes but may be due to an underlying cause. When there is a "code first" note and an underlying condition present, the underlying condition should be sequenced first.

"Code, if applicable, any casual condition first", notes indicate that this code may be assigned as a principal diagnosis when the casual condition is unknown or not applicable. If a casual condition is known, then the code for that condition should be sequenced as the principal or first-listed diagnosis.

Multiple codes may be needed for late effects, complication codes and obstetric codes to more fully describe a condition. See the specific guidelines for those conditions for further instruction

. Acute and Chronic Conditions

If the same condition is described as both acute (subacute) and chronic, and separate subentries exist in the Alphabetic Index at the same indentation level, code both and sequence the acute (subacute) code first.

9. Combination Code

Combination code is a single code used to classify:

Two diagnoses, or

A diagnosis with an associated secondary process (manifestation)

A diagnosis with an associated complication

Combination codes are identified by referring to subterm entries in the Alphabetic Index and by reading the inclusion and exclusion note in the Tabular List.

Assign only the combination code when that code fully identifies the diagnostic conditions involved or when the Alphabetic Index so directs. Multiple coding should not be used when the classification provides a combination code that clearly identifies all of the elements documented in the diagnosis. When the combination code lacks necessary specificity in describing the manifestation or complication, an additional code should be used as a secondary code.

10. Late Effects (Sequela)

A late effect is the residual effect (condition produced) after the acute phase of an illness or injury had terminated. There is no time limit on when a late effect code can be used. The residual may be apparent early, such as a cerebral infection, or it may occur months or years later, such as that due to a previous injury. Coding is late effects generally requires two codes sequences in the following order: The condition or nature of the late effect is sequenced first. The late effect code is sequenced second.

An exception to the above guidelines are those instances where the code for late effect is followed y a manifestation code identified in the Tabular List and title, or the late effect code has been expanded (at the fourth, fifth, or sixth character levels) to include the manifestation(s). The code for the acute phase of an illness or injury that lead to the late effect is never used with a code for the late effect.