Basic Icd 9 Cm Coding

If you need to have a strong understanding of how ICD-9-CM diagnosis and procedure codes are determined, then you have chosen the right book, ICD-9-CM Inpatient Coding Reference and Study Guide. The author designed a book that goes beyond the fundamentals, that gets into the details of ICD-9-CM diagnosis and procedure code assignment as would be experienced on the job. This user-friendly reference teaches coders how to handle many coding situations, while also being comprehensive enough to teach someone with a basic knowledge of medical coding how to move to the next level of advanced inpatient coding. Updated every year to reflect the annual ICD-9-CM coding changes, the text enables HIM professionals to master the concepts of medical coding while also gaining critical knowledge to pass the CCS exam administered by AHIMA and the CPC-H exam from the AAPC. The book also serves as an excellent desk reference and resource for coders who need to refresh their ICD-9-CM coding skills. Among the topics covered in Volume 1 are inpatient coding guidelines, coding conventions, coding tables, and a drug reference. However, the heart of this manual is the body system analysis, based on chapters 1 - 17 of the Tabular list in Volume I of the ICD-9-CM Official Coding Guidelines. The chapters are categorized by body system such as respiratory, digestive, et al. The chapters in this study guide follow the same sequence as the Official Coding Guidelines. All chapters, in addition to highlighting basic coding guidelines, contain situation-based coding tips and coding examples. A quiz follows each chapter reinforcing concepts in a rigorous manner that applies directly to the professional coding environment. The book also contains a selective discussion of invasive procedures that the coder will most likely encounter on the job and on the exam. At the end of ICD-9-CM Inpatient Coding Reference and Study Guide are 15 case studies, providing the reader with an opportunity to assess their ICD-9-CM coding skill set and speed at coding inpatient medical records. Each record contains a face sheet, history & physical, progress notes, and answer sheet. Some of the case studies contain ER reports, consultations, as well as operative and pathology reports. The answer key at the end of this study guide contains a rationale for all code assignments. 456 short answer questions 116 multiple choice questions 15 full medical record case studies Each question is highly relevant and reflects a coding situation most hospital-based inpatient coders will face. The text strives to ensure the reader understands every diagnosis and procedure discussed: thorough discussion of symptoms, standard treatment protocols, and medications. Coding examples and quizzes help clarify the information presented. Linda Kobayashi, BA, RHIT, CCS, has been a coder and coding manager for almost 20 years. Since 1998, Ms. Kobayashi has owned and operated Codebusters, Inc., a nationwide coding consulting company. Widely regarded as a medical coding and auditing expert, she has conducted workshops on a variety of coding topics, including CCS Exam preparation workshops. Throughout her career the author has remained professionally active, as an AHIMA member as well as a member of her state association, CHIA (California health Information Association). Her formal training includes a teaching credential from California State University Los Angeles, a B.A. degree in English Literature from University of California Los Angeles, an RHIT from AHIMA after completing the RHIT program at East Los Angeles College, and a CCS certificate from AHIMA. Extensive experience as a hands-on coder, auditor and educator, and has given the author the expertise to help coders prepare for the professional coding environment.

This revised training and educational tool helps to simplify learning the ICD-9-CM coding process. Chapters include all areas of ICD-9-CM - from an introduction to the content, format, and coding process, to an in-depth analysis for identifying and locating the most appropriate codes.

This clear, easy-to-use text is your key to ICD-9-CM coding success, offering everything you need to understand and apply the official codes of the ICD-9-CM. You'll find detailed background information on the evolution and importance of medical coding, as well as reliable, straightforward guidelines for each of the coding classifications you'll use in practice. Information on body systems and common drugs and conditions helps you understand treatment concepts as you translate them into codes. Realistic examples demonstrate the coding process, while practical exercises within each chapter test your comprehension and reinforce coding principles. A systematic approach outlines basic concepts and walks you through the complete coding process using all three volumes of the ICD-9-CM. A full-color design makes anatomy and physiology stand out and provides visual reinforcement of key content. ICD-9-CM guidelines open each coding chapter, with examples that clearly demonstrate their real-world applications. Learning objectives help you study more effectively. Abbreviations are clearly defined at the beginning of each chapter for quick reference. Problem-solving exercises throughout each chapter provide valuable practice using key coding principles as you learn them. Illustrations and overviews of anatomy, physiology, and related disease conditions in each coding chapter help you better visualize and understand what the codes represent. A glossary at the end of each chapter helps you quickly find the definitions for key terms. Direct references to the AHA's Coding Clinic for ICD-9-CM verify accuracy and point you to additional sources of reliable information. A chapter on the medical record identifies the components of patient records essential to your coding responsibilities. Information on the evolution of coding enhances your understanding of the current industry. Coverage of common medications used to treat specific disorders familiarizes you with the drug names you'll encounter in medical records and can help in clarifying a diagnosis with the physician. A separate chapter on reimbursement provides complete coverage of this essential topic. A chapter on outpatient coding helps you recognize how it differs from inpatient diagnosis and procedure coding. Expanded coverage of the format and coding conventions of each section of the ICD-9-CM helps you quickly locate the information you need for proper code assignment. The complications chapter is reorganized and expanded to address conditions that can affect multiple body systems and require codes from more than one area of ICD-9-CM. Updated coverage and additional examples of the new MS-DRG system are incorporated throughout the text. Information on ICD-10-CM and ICD-10-PCS features new 2007 information to help prepare you for the next revision of the ICD code set.

This book trains the next generation of scientists representing different disciplines to leverage the data generated during routine patient care. It formulates a more complete lexicon of evidence-based recommendations and support shared, ethical decision making by doctors with their patients. Diagnostic and therapeutic technologies continue to evolve rapidly, and both individual practitioners and clinical teams face increasingly complex ethical decisions. Unfortunately, the current state of medical knowledge does not provide the guidance to make the majority of clinical decisions on the basis of evidence. The present research infrastructure is inefficient and frequently produces unreliable results that cannot be replicated. Even randomized controlled trials (RCTs), the traditional gold standards of the research reliability hierarchy, are not without limitations. They can be costly, labor intensive, and slow, and can return results that are seldom generalizable to every patient population. Furthermore, many pertinent but unresolved clinical and medical systems issues do not seem to have attracted the interest of the research enterprise, which has come to focus instead on cellular and molecular investigations and single-agent (e.g., a drug or device) effects. For clinicians, the end result is a bit of a “data desert” when it comes to making decisions. The new research infrastructure proposed in this book will help the medical profession to make ethically sound and well informed decisions for their patients.

These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.