This document provides the top 10 tips for ICD-10 coding, including clarifications on coding guideline changes for FY 2017 focusing on topics like laterality for retinopathy and diabetic neuropathy, post-op seroma, excludes1/excludes2 notes, atypical fractures, and injury reporting. The objectives are to obtain insights on these topics and utilize expert tools to accurately select codes for compliance while avoiding denials.

1. Top 10 Tips for ICD-10!
Presented By:
Rachel M. Kaser, BS, CPC, MHSA
AHIMA-Approved ICD-10-CM/PCS Trainer
Top 10 Tips for ICD-10

2. Course Objectives
• Clarifications on the coding guideline changes for FY 2017
• Obtain insights on Laterality for Retinopathy, Diabetic Neuropathy
• Post-Op Seroma
• Excludes1 / Excludes2
• Atypical Fractures
• Injuries and Injury Reporting
• Hypertensive urgency, emergency or crisis
• Conductive hearing loss – H90 codes
• Utilize expert tools specific to ICD-10 to accurately select codes necessary
for compliance, while avoiding denials
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3. ICD-10 Coding Guideline Changes
• Updated:
• Tabular
• Alphabetic Index
• Neoplasm Table
• Table of Drugs and Chemicals
• Index of External Causes
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4. ICD-10 Coding Guideline Changes
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5. ICD-10 Coding Guideline Changes
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6. Laterality for Retinopathy, Diabetic Neuropathy
• Chapter 7 – Eye and Adnexa
(H00 – H59)
• Many codes added the laterality as concepts that were previously
missing, such as in the diabetic retinopathy codes
• Diabetic retinopathy codes:
• Expansion
• Macular edema involvement
• Laterality
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7. Post-Op Seroma
• Chapter 3 – Diseases of the Blood (D50 – D89)
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8. Post-Op Seroma
• Chapter 3 – Diseases of the Blood (D50 – D89)
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9. Excludes1 / Excludes2 Changes
• Excludes1 change to Excludes 2 notes:
• Reporting a code together with codes from its Excludes1 list may be
appropriate when the conditions are unrelated
• Rule:
• If the two conditions are not related to one another, it is permissible to report
both codes despite the presence of an Excludes1 note
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10. Excludes1 / Excludes2
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