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ICD-10-CM : Learning from icd10data.com

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Learning ICD-10-CM from the website icd10data.com …

Learning ICD-10-CM from the website icd10data.com
Using ICD-10-CM as database
Using google "site search" technology to facilitate searching

Published in: Health & Medicine, Technology

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  • 1. ICD-10-CM ⾃自學網站 http://icd10data.com/ http://quizlet.com/7731541/icd-10-cm-flash-cards/
  • 2. What’s New in ICD 10 ? 時間 + 空間(解剖位置)
  • 3. Format & Structure
  • 4. The ICD-10-CM Tabular List contains categories, subcategories and codes.
  • 5. Tabular List (表格式)
  • 6. Alphabetic Index (按⼦子⺟母)
  • 7. Code Structure: Basic categories: ⼀一個英⽂文字⺟母後接⼆二個阿拉伯數字 例: A00 ⼩小數點之後爲 subcategory 和 subclassfication 例: A00.01
  • 8. Sections: (group of three-character categories) L00-L08 infection of skin and subcutaneous tissue Categories (three-character code numbers) L02, Cutaneous abscess, furuncle and carboncle Subcategories (four-character code numbers) L02.2, Cutaneous abscess, furuncle and carboncle of trunk 5.6.7 subclassifications L02.211 , Cutaneous abscess of abdominal wall
  • 9. http://www.icd10data.com/ICD10CM/Codes/L00-L99/L00-L08/L02-/L02.211 Section Categorie
  • 10. Sections: (group of three-character categories) L00-L08 infection of skin and subcutaneous tissue Categories (three-character code numbers) L02, Cutaneous abscess, furuncle and carboncle Subcategories (four-character code numbers) L02.2, Cutaneous abscess, furuncle and carboncle of trunk 5.6.7 subclassifications L02.211 , Cutaneous abscess of abdominal wall
  • 11. http://www.icd10data.com/ICD10CM/Codes/L00-L99/L00-L08/L02- subclassifications Subcategories
 (L02.2)
  • 12. K29 Gastritis and duodenitis (category) K29.0 acute gastritis (subcategory) K29.00 acute gastritis without bleedings (code) http://www.icd10data.com/ICD10CM/Codes/K00-K95/K20-K31/K29-
  • 13. Use of codes for reporting purposes
  • 14. For reporting purposes only codes are permissible, not categories or subcategories, and any applicable 7th character is required.
  • 15. Placeholder character
  • 16. The ICD-10-CM utilizes a placeholder character "X". The "X" s used as a placeholder at certain codes to allow for future expansion.
  • 17. T16 Foreign body in ear Includes foreign body in auditory canal T16.1 Foreign body in right ear T16.2 Foreign body in left ear T16.9 Foreign body in ear, unspecified ear A Initial encounter D subsequent encounter S sequela
  • 18. 有一個小孩到急診, 主訴有一顆綠豆塞在右耳裏頭 T16.1 ? T16.1XXA
  • 19. 7th Character
  • 20. Certain ICD-10-CM categories have applicable 7th characters.
  • 21. Includes Notes This note appears immediately under a three character code title to further define or give examples of, the content of the category.
  • 22. 有⼀一個病⼈人因為左側腦幹中⾵風住院, 經檢查發現, 左側腦幹有急性中⾵風,並且左側基底動脈完全堵塞, 因此我們的診斷如下: left side brain stem stroke left vertebral artery occlusion brain stem stroke syndrome
  • 23. 有⼀一個病⼈人因為頭暈, 做頸動脈檢查發現 “左側基 底動脈完全堵塞”, Brain MRI 沒有看到中⾵風, 因 此我們的診斷如下: left vertebral artery occlusion
  • 24. Excludes 1 A type 1 Exclude note is a pure exclude note. It means "NOT CODED HERE!" An Exclude 1 note indicates that the code excluded should never be used at the same time as the code above the Exclude 1 note.
  • 25. NOT CODED HERE !
  • 26. Excludes 2 A type 2 excludes note represents "Not included here". An excludes 2 note indicates that the condition excluded is not part of the condition represented by the code but a patient may have both conditions at the same time. It is acceptable to use both the code and the excluded code together, when appropriate.
  • 27. NEC vs NOS
  • 28. NEC : "Not elsewhere classifiable" This abbreviation represents "other specified". When a specific code is not available for a condition. ! NOS : "Not otherwise specified" This abbreviation is the equivalent of unspecified.
  • 29. [ ] Brackets
  • 30. Brackets are used in the Tabular List to enclose synonyms, alternative wording or explanatory phrases. Brackets are used in the Alphabetic Index to identify manifestation codes.
  • 31. ( ) Parentheses
  • 32. Parentheses are used in both the Alphabetic Index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code number to which it assigned. The terms within the parentheses are referred to as nonessential modifiers.
  • 33. : Colons
  • 34. Colons are used in the Tabular List after an incomplete term which needs one or more of the modifiers following the colon to make it assignable to a given category.
  • 35. “and" When the term "and" is used in a narrative statement it represents and/or.
  • 36. "Other" Codes titled "other" or "other specified" are for use when the information in the medical record provides detail for which a specific code does not exist.
  • 37. "Unspecified" Codes titled "unspecified" are for use when the information in the medical record is insufficient to assign a more specific code.
  • 38. “With" The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or and instructional not in the Tabular List.
  • 39. Syndromes 
 Follow the Alphabetic Index guidance when coding syndromes. In the absence of Alphabetic Index guidance, assign codes for the documented manifestations of the syndromes.
  • 40. Ramsay Hunt syndrome
  • 41. Ramsay-Hunt disease or syndrome
  • 42. Signs and symptoms Codes that describe symptoms and signs, as opposed to diagnosis, are acceptable for reporting purposes when a related definitive diagnosis has not been established (confirmed) by the provider.
  • 43. Multiple coding For a single conditionIn 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.
  • 44. Malignant carcinoid tumor of the sigmoid colon & rectum C7A.025 & C7A.026
  • 45. 這麼複雜, 誰記得住 ?
  • 46. 時代不一樣了,只要會查即可!
  • 47. Paradigm shift 典範轉移
  • 48. Ask Google !!!
  • 49. ICD 10 直接查詢 Google + site:icd10data.com 優點: 放棄背, 直接查 從查詢中快速學習 ICD 10 編碼原則 更清楚依照病人事實編碼 缺點: 似乎有點耗時 大量倚靠 ”網路”
  • 50. ICD 10 直接查詢 Google + site:icd10data.com 搜尋方法: 於搜尋窗內: keyword site:icd10data.com 通常第一個就是 !
 點進去 (next slide)
  • 51. 可瀏覽樹狀圖 此碼的定義 提供US DRG 作參考 提供常用醫學名詞 供搜尋比對
  • 52. ICD 10 直接查詢 Google + site:icd10data.com 點選C16 可看到完整編碼樹狀圖 其他可能的診斷 點C7A.092(next slide) 瀏覽C16 樹狀圖
  • 53. ICD 10 直接查詢 Google + site:icd10data.com 想知道 C7A.092 是什麼? 為什麼不和其他Gastric tumor擺在一起? 可瀏覽樹狀圖, 點選可得知C7A之樹狀圖
  • 54. ICD 10 直接查詢 Google + site:icd10data.com 真的很慢嗎? 可以用同法查詢以下診斷 Carpal tunnel syndrome(G56.01), aortic dissection (I71) Hyponatremia(E87.1), renal artery stenosis(I70.1 or Q27.1) ESRD, COPD, CKD, AMI, STEMI, STEMI+LAD(I21.02) traumatic SAH (S06) vs nontraumatic SAH(I60) tibial fracture (S82) Right MCA embolic infarction (I63.412)
  • 55. http://www.icd10data.com/ICD10CM/Table_Of_Neoplasms
  • 56. http://www.icd10data.com/ICD10CM/Table_Of_Drugs