In this two part training program, Dr. Gwilliam, a certified ICD-10 instructor, will build on the basics and dive into specialty specific guidelines for Internal medicine. – PowerPoint PPT presentation.
2. ICD-10
Boot Camp
Internal Medicine
Specific guidelines and
documentation tips
2
Presented by Evan M. Gwilliam, DC MBA BS
CPC CCPC NCICS CCCPC CPC-I MCS-P CPMA
Chief Product Officer
3. Dr. Evan Gwilliam
• Education
• Bachelor’s of Science, Accounting - Brigham Young University
• Master’s of Business Administration - Broadview University
• Doctor of Chiropractic, Valedictorian - Palmer College of Chiropractic
• Certifications
• Certified Professional Coder (CPC) - AAPC
• Nationally Certified Insurance Coding Specialist (NCICS) - NCCT
• Certified Chiropractic Professional Coder (CCPC) - AAPC
• ChiroCode Certified Chiropractic Professional Coder (CCCPC) - ChiroCode
• Certified Professional Coder – Instructor (CPC-I) - AAPC
• Medical Compliance Specialist – Physician (MCS-P) - MCS
• Certified Professional Medical Auditor (CPMA) – AAPC, NAMAS
• Certified ICD-10 Trainer - AAPC
3
4. Overview
• Part 1 - ICD-10 fundamentals and navigation
• Part 2 - Coding conventions and guidelines
• Part 3 - ICD-10 code selection strategies
• Part 4 - Documentation improvement
***Specialty specific training
4
5. Official ICD-10 Guidelines
1. Conventions
(section I.A)
2. General Coding Guidelines
(section I.B)
3. Chapter Specific Coding Guidelines
(section I.C)
4. The Tabular List **takes precedence
(in-column instructions)
5
6. Official ICD-10 Guidelines
1. Conventions
(section I.A)
2. General Coding Guidelines
(section I.B)
3. Chapter Specific Coding Guidelines
(section I.C)
4. The Tabular List **takes precedence
(in-column instructions)
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7. Tabular list layout
Chapter
21 of them
from A to Z
(body system
or condition)
Block
Ranges of
categories
(related
conditions)
Categories
3 characters
(more specific
condition)
Subcategories
4th or 5th
characters
(etiology,
location, etc.)
Codes
6th or 7th
characters
(laterality,
encounter, etc.)
7
Note: Codes may be complete with fewer than 6 characters. Some codes only have 3.
8. Hypertension
• Formerly 401- in ICD-9-CM
• Coding Guidelines can be checked at the following
levels:
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1. General guidelines
2. Chapter specific guidelines
3. Chapter heading
4. Block heading
5. Category heading
6. Subcategory heading
9. Hypertension
• Definition change:
o In ICD-10, hypertension is defined as essential (primary). The
concept of “benign or malignant” as it relates to hypertension no
longer exists.
• Document the following:
o Type (e.g. essential, secondary, etc.)
o Causal relationship (renal, pulmonary, etc.)
• Categories for hypertensive diseases (I10-I15)
o I10 Essential (primary hypertension)
o I11 Hypertensive heart disease
o I12 Hypertensive chronic kidney disease
o I13 Hypertensive heart and chronic kidney disease
o I15 Secondary hypertension
9
23. Tabular list layout
Chapter
21 of them
from A to Z
(body system
or condition)
Block
Ranges of
categories
(related
conditions)
Categories
3 characters
(more specific
condition)
Subcategories
4th or 5th
characters
(etiology,
location, etc.)
Codes
6th or 7th
characters
(laterality,
encounter, etc.)
23
Note: Codes may be complete with fewer than 6 characters. Some codes only have 3.
29. 34 specialty specific
ICD-10 books
• More than 70 pages which teach
• Conventions
• Guidelines
• Implementation steps
• Documentation strategies
• Provider Documentation
Guides
• Specialty specific
• GEMs mapping
• Alpha Index
• Abridged Tabular List
Use “CureMD20” to save
$20 at InstaCode.com
ICD-10 can be overwhelming, but, with some strategizing and planning it can be managed. In this presentation we will look at a few ICD-10 fundamentals, then familiarize ourselves with three methods for finding the right ICD-10 code. Each one is a different path, but all lead to the same destination: the right code.
The examples shown to you were from the InstaCode ICD-10 specialty books. There are 24 different specialties, each with their own customized ICD-10 guide and Tabular List. Come to our booth to see some examples and get a flyer. We have special pricing available for those who wish to order one today.