Transcript Chapter_011
CHAPTER 11 CHAPTER-SPECIFIC GUIDELINES (ICD-10-CM CHAPTERS 11-14) Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 1 Diseases of Digestive System, Chapter 11 • K00-K94 • Unspecified GI hemorrhage, K92.2 • Combination codes with hemorrhage – Example: K57.21 , Diverticulitis of large intestine with perforation and abscess with bleeding Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 2 Diseases of the Skin and Subcutaneous Tissue, Chapter 12 • L00-L99 • Also codes to report conditions of the: – Nails – Sweat glands – Hair – Hair follicles Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 3 Infections • Use additional code before L00 direct coder to report the infection with B95B97 Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 4 Pressure Ulcers • Stage I: erythema (redness) of skin • Stage II: partial loss of skin (epidermis or dermis) • Stage III: full thickness loss of skin (up to but not through fascia) • Stage IV: full thickness loss (extensive destruction and necrosis) Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 5 Disease of the Musculoskeletal System and Connective Tissue, Chapter 13 • M00-M99 • Most codes specify: – Site: Location on the body – Laterality: Right, left, unilateral, bilateral • Some codes include “multiple sites” such as: – M15, Polyosteoarthritis including multiple sites Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 6 Infectious Arthropathies • M00-M02 • Direct infections – Invades synovial tissue – Invades the joint – Invasive organism has been identified • Indirect infections – Reactive: Microbial infection identified but not in joint – Postinfective: Microbial antigen present, but not constant and no evidence of multiplication Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 7 Pathological Fractures • Also known as (AKA): Spontaneous fracture • Fracture reported in addition to underlying condition responsible for fracture • Never assign a code for a traumatic fracture and pathological fracture of same bone • 7th character indicates status, such as A for initial Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 8 Osteoporosis • M80 and M81 • Systemic condition that affects bones • Fracture sustained with trauma that would not usually case a fracture • Site is not a component of codes • Category M80, Osteoporosis with current pathological fracture – Age and other osteoporosis codes • Category M81, Osteoporosis without current pathological fracture Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 9 Conclusion CHAPTER 11 CHAPTER-SPECIFIC GUIDELINES (ICD-10-CM CHAPTERS 11-14) Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 10