HCC Blog by Caridad

 ICD-10 Webcast for Internal Medicine and Family Practice Posted This morning, CMS posted a new webcast, aimed at primary care physicians on their  http://www.roadto10.org/  website:   An AHIMA-certified coder presents training focused on unique ICD-10 clinical documentation needs and hot topics for each medical specialty. The five webinars will follow the same outline and objectives catering to each medical specialty with specific examples. Physician Perspective/clinical impact of ICD-10 Documentation requirements for certain conditions Documentation changes and new concepts Use of “unspecified” in ICD-10 This webcast features Dr. Maggie Gaglione, a board certified internist and bariatrics specialist, a physician in private practice in Virginia.  Per Dr. Gaglione: “Comprehensive documentation is key to identifying and assigning the best diagnosis code. By doing our part, and focusing on how we document our patients’ condition we put t...

Mental and behavioral disorders (F1—F19) 3 rd character indicates substance used Example: F10 Alcohol related disorders F11 Opioid related disorders F12 Cannabis related disorders 4 th and 5 th characters indicate the psychopathological syndrome (manifestation of behaviors and experiences) Example: F10.22 Alcohol dependence with intoxication F10.220 Alcohol dependence with intoxication, uncomplicated F10.221 Alcohol dependence with intoxication, delirium Hierarchy of use, abuse and dependence If use and abuse are documented, code only abuse If abuse and dependence are documented, code only the dependence If use and dependence are documented, code only dependence If use, abuse and dependence are all documented, code only dependence Example: F10.1- Alcohol abuse F10.2- Alcohol dependence F10.9- Alcohol use, unspecified -Uncomplicated -With intoxication -With withdrawal -With alcohol-induced psychotic disorder -With alcohol-induc...

HCC University: CMS Offers New ICD-10 Content : As part of their ongoing "Road to 10" series, CMS has posted a newly released webcast on ICD-10 documentation and coding concepts ...

Angina pectoris Use additional code to identify: Presence of hypertension (I10-I15)                                     Chronic total occlusion of coronary artery (I25.82) Exposure to environmental tobacco smoke (Z77.22)      History of tobacco use (Z87.891) Tobacco dependence (F17.1-)                                             Tobacco use (Z72.0) Occupational exposure to environmental tobacco smoke (Z57.31)    ICD-9     411.1 Intermediate Coronary Syndrome     ICD-10    I25  Chronic ischemic heart disease I25.110   Atherosclerotic heart disease of native coronary artery  w/unstable angina pectoris I25.700   Atherosclerosis of coronary artery bypass graft(s), u...

Listed below are links to Khan Academy & Quizlets. They cover anatomy and  ICD-9 & 10, respectively. I use Khan Academy to help me with anatomy. Creating a free account will keep track of your progress through the modules. This makes it easy to see what modules you've watched and which are available. Khan Academy is a non-profit educational website created to provide "a free, world-class education for anyone, anywhere." They have modules on  many  different subjects. Khan academy Khan Academy Biology:   Khan Academy Different body systems I use Quizlets for some quick flash card challenge on ICD-10 vocabulary. As anyone can create these flashcards we trust their information is correct. This is why I only use it for vocabulary review. Quizlets for ICD-10 Quizlets for ICD-9

Chapter 1: Certain Infectious and Parasitic diseases (A00-B99) Human Immunodeficiency virus (HIV) Infections B20 Human immunodeficiency virus (HIV) disease (symptomatic) R75 Inconclusive laboratory evidence of human immunodeficiency virus (HIV) Z20.6 Contact with and exposure to human immunodeficiency virus (HIV) Z11.4 Encounter for screening for human immunodeficiency virus (HIV) Z71.7 human immunodeficiency virus [HIV] counseling Z21 Asymptomatic human immunodeficiency virus (HIV) infection status “Confirmation” does NOT require documentation for positive serology or culture for HIV; the provider’s diagnostic statement that the patient is HIV positive, or has an HIV-related illness is sufficient.   Once a patient is diagnosed with B20, they should never be assigned R75 or Z21. Sequencing of HIV Codes B20 should be sequenced as the first-listed diagnosis when patient is treated for an HIV related condition. Any non-related conditions get sequenced followi...

From the AAPC regarding the ICD-10 Delay: May 8th, 2014 Keep Calm and ICD-10 On “The Secretary of Health and Human Services may  not, prior to October 1, 2015, adopt ICD-10 code sets as the standard for code sets under section 1173(c) of the Social Security Act (42 U.S.C. 1320d-2(c)) and section 162.1002 of title 45, code of Federal Regulations.” That was the sentence in the Protecting Access to Medicare Act that has caused such a ruckus. Now what? Coders:  If you do not have a clinical background, take an Anatomy and Pathophysiology course. It will assist with understanding the signs/symptoms/manifestations of multiple conditions. This may allow for proper code assignment without as many queries to the providers. Obtaining education on the code set can allow for understanding of how ICD-9-CM differs from ICD-10-CM. This can allow for assessing how much training may be necessary for the practice or facility to get them ready for ICD-10. Coders that have received I...