ICD-10: How to Code Fractures (Home Health Coding Tip by PPS Plus)

ICD-10: How to Code Fractures (Home Health Coding Tip by PPS Plus)

Conquer your coding & OASIS challenges with the best home health tips on YouTube: http://ppsplus.com. Follow along in this helpful video, which focuses on coding fractures in ICD-10. PPS Plus's coding and OASIS review specialist, Stephanie Hargrove, will discuss how to code an acute fracture in M1021 or M1023, discuss 7th character options, as well as highlight other pieces of important information. ************************************ Don’t compromise your OASIS. Let’s analyze it! http://bit.ly/OASISAnalysisPlus ************************************ More coding tips for nurses delivered right to your inbox: http://ppsplus.com/blog/category/coding Let’s Connect & Chat it Up! ************************** Website: http://ppsplus.com/ Facebook: https://www.facebook.com/ppsplus Twitter: https://twitter.com/ppsplus Google +: https://plus.google.com/+Ppsplus/posts LinkedIn: https://www.linkedin.com/company/pps-plus-software RSS: http://ppsplus.com/news/ Pinterest: https://www.pinterest.com/ppsplus/ Video Notes: --------------------------- 0:28 Fractures: Introduction 1:03 7th Character Options 1:34 Fractures: Classification 2:05 Fractures: Alphabetical Index 2:20 Conclusion Copy and paste the tip below for future reference: In ICD-9, to code a fracture in home health, an aftercare code was used and the acute fracture was coded in M1024 for possible payment. This is not the case in ICD-10. There are no aftercare codes for fractures. So how will we code fractures in ICD-10? You will be coding the acute fracture in M1021 or M1023. These codes will be seven characters in length and tell us the type of fracture (open or closed), specific anatomical site, whether the fracture is displaced or not, laterality, and healing status (routine, nonunion, etc.) Let’s take a look at our seventh character options: A - Initial encounter, which is usually in the hospital or MDs office D - Subsequent encounter for routine healing, usually Home Health G- Delayed healing K- Nonunion P- Malunion S- Sequela There are also additional seventh character options to designate the type of open fracture based on the Gustilo open fracture classification. This classification will need to be supported by MD documentation. It is also important to note that you should only use a complication code when you have specific documentation from the MD of that complication. Along with the above information you will need information on whether the left or side is affected, if the fracture is displaced or non-displaced, and if it is open or closed. In the absence of documentation, you may assume that a fracture is closed and that it is displaced. It is also important to make sure you are referencing the correct section in the alphabetical index. There are two sections in the alphabetical index: Fractures-pathological, which code to the M chapter, and Fractures-traumatic, which code to the S chapter. This may seem complicated, but let’s look on the bright side. This change will streamline fractures into one code and you won’t ever have to worry about using M1025 again! ************************************ More about Our Company: http://ppsplus.com/about Master ICD-10 coding and all home health topics: http://ppsplus.com/education PPS Plus is headquartered in Biloxi, Mississippi. ************************************ PPS Plus provides the perfect solution for maximizing your reimbursement potential, growing your business and providing your patients with better care. We provide OASIS analysis software, benchmarking software, coding & OASIS review services, as well as online and on-site education and consulting services. ************************************ Do you have a tough coding scenario? Tell us about it in the comment box below, and you might just see your scenario in one of our upcoming YouTube videos! Take the tour! Explore our website to discover what makes us the BEST choice for your home health agency's BIGGEST challenges: http://www.ppsplus.com Start speeding up your OASIS analysis today: http://ppsplus.com/products/oasis-analysis

Coding Aftercare — Can a Z code be a Primary / Admitting Dx?

Coding Aftercare — Can a Z code be a Primary / Admitting Dx?

Coding Aftercare — Can a Z code be a Primary / Admitting Dx? http://www.cco.us/icd-10-cm-full-course-yt Q: Can a Z code be a Primary / Admitting Dx? - “Can I use a Z code as a primary/first listed diagnosis? I am struggling with coding aftercare especially.” A: The answer is yes. You can use a Z code for a first listed diagnosis. The thing to understand and this second question that came in was that they were getting confused going from ICD-9 to ICD-10 and that not all the codes translate and the thing to remember is that ICD-9 doesn’t translate into ICD-10 perfectly. Not always. But one code that is fun to remember is the Z00.00 code which I like to fondly refer to as the ZOO code and that is for an encounter for general adult medical examination without abnormal findings. Or you can use this for an encounter for adult health check-up, it’s not otherwise specified. But remember, when you have this code, the Z00 code, that it is for no abnormal findings when they come in. That’s the key there. Then, there is an additional code that isn’t Z00 there after the point, you’re going to have other characters for abnormal findings. That wasn’t the intent when they came in, this particular encounter code, but they do find something. If you want to look at these in your manuals, in your ICD-10 manuals, if any of you have them with you, I’m sure you all carry them around with you wherever you go. The guidelines for this particular code is section 1; C.21.c13. Looking at 13, it says routine and administrative examinations. This is a lot of information and so I actually made it in a smaller font because we really don’t have to go over all of it; you can go over it in your own leisure here now that you know where it’s at. READ MORE HERE: http://www.cco.us/coding-aftercare-can-a-z-code-be-a-primary-admitting-dx/ https://youtu.be/OK7J3541RU8 ---------------------------------------- CLICK HERE: Coding Aftercare Z Code http://www.cco.us/icd-10-cm-full-course-yt ---------------------------------------- More Information about coding aftercare z code: What the Aftercare? How to Use Z Codes in ICD-10 | WebPT https://www.webpt.com/.../what-the-aftercare-how-to-use-z-codes-in-icd-... Sep 10, 2015 - Here are the most important tips to keep in mind regarding the use of aftercare codes in rehab therapy settings: ICD-10 Bootcamp: Coding ... ICD-9 coding for aftercare - AAPC http://www.aapc.com › Forum › Medical Coding › Diagnosis Coding Dec 3, 2010 - You will not code the condition that required the surgery after the surgery is complete. It is aftercare or followup. Aftercare is when you are still ... AfterCare Coding Jan 18, 2016 Aftercare coding Jan 29, 2014 Aftercare vs Follow up exam Jan 20, 2012 Help with aftercare coding Apr 16, 2009 More results from www.aapc.com Tip: Know the guidelines for reporting ICD-9-CM V codes - http://www.hcpro.com/.../Tip-Know-the-guidelines-for-reporting-ICD9CM-V-... Jun 29, 2012 - The aftercare V code should not be used if treatment is directed at a current, acute disease or injury. The diagnosis code is to be used in these ... A to Z: What you Need to Know About ICD-10 Aftercare Codes - ICD ... http://www.icd10forpt.com/what-you-need-to-know-about-icd-10-aftercare-co... Sep 22, 2015 - In fact, it signifies the beginning for some rehab therapists—namely, those coding for aftercare. Here's what you need to know about Z ... -------------------------------- CLICK HERE: http://www.cco.us/icd-10-cm-full-course-yt ---------------------------------------- People who watched this video: https://youtu.be/OK7J3541RU8 Also searched online for: Searches related to coding aftercare z code coding aftercare fracture aftercare coding guidelines icd 9 code for aftercare icd 9 code for aftercare of femur fracture icd 9 code for aftercare abdominal surgery icd 9 code for aftercare lumbar laminectomy icd 9 code for aftercare following cholecystectomy icd 9 code for aftercare hip fracture ------------------------------------------- FOR MORE DETAILS: http://www.cco.us/icd-10-cm-full-course-yt ------------------------------------------- CONNECT WITH US: http://www.facebook.com/cco.us http://www.youtube.com/medicalcodingcert http://www.youtube.com/codingcertification https://www.pinterest.com/codingcertorg/ https://plus.google.com/+CodingcertificationOrg https://www.linkedin.com/company/codingcertification-org ------------------------------------------ Don't forget to check out our YouTube Channel: https://www.youtube.com/user/MedicalCodingCert -------------------------------------------- #codingaftercarefracture #aftercarecodingguidelines #icd9codeforaftercare #icd9codeforaftercareoffemurfracture #icd9codeforaftercareabdominalsurgery #icd9codeforaftercarelumbarlaminectomy #icd9codeforaftercarefollowingcholecystectomy #icd9codeforaftercarehipfracture -------------------------------------------- VISIT OUR SITE: http://www.cco.us/cco-yt

ICD-10 Coding of Osteoarthritis | ICD-10 Coding Guidelines

ICD-10 Coding of Osteoarthritis | ICD-10 Coding Guidelines

ICD-10 Coding of Osteoarthritis | ICD-10 Coding Guidelines http://go.cco.us/icd-10-cm-full-course Chandra: A: For the ICD-10 for osteoarthritis, the guidelines actually state that you should use the multiple osteoarthritis code unless the specific codes are more appropriate for the circumstantial coding, and basically it comes down to the payer rules. If you’re seeing a patient simply to manage their osteoarthritis and they’ve got osteoarthritis in multiple joints, maybe they got in their left shoulder, their right shoulder, their left elbow and their left hip. Most providers are going to report that with a multiple osteoarthritis code. The times that you would break into the specific joint and laterality would be when you’re trying to prove or substantiate medical necessity for certain things, like if you were evaluating a patient or planning to do a hip replacement on that same patient, they may have osteoarthritis and all these different joints but you’re focused on the hip joint, specifically the left hip joint. So, your claim should have the specific code to say, “Specifically we’re dealing with osteoarthritis of the left hip,” then you could add additional codes, say “they also have it here, here, and here,” but for our purposes we want that specificity. That’s really the only time that she usually going to come into play, it all comes down to payment, unfortunately. Laureen: Is this the guideline? Alicia: M15 – M19 are the codes that we’re looking at, that’s it. Chandra: Yeah. Usually there’s a multiple sites option, for categories where there’s no multiple site, code should be used to indicate the different sites involved. Alicia: M15.3 secondary multiple arthritis? Chandra: That’s secondary. When you’re talking M15, remember secondary is the result of something else. These are more than likely, I think they’re M19s if I remember correctly. Alicia: Yeah, I was there… READ MORE HERE: http://www.cco.us/icd-10-coding-of-osteoarthritis/ https://youtu.be/O4_jb3gMPDo ---------------------------------------- CLICK HERE: http://go.cco.us/icd-10-cm-full-course ---------------------------------------- More Information about ICD 10 Coding of Osteoarthritis ICD-10 Code Lookup - CMS.gov https://www.cms.gov/.../icd-... Centers for Medicare and Medicaid Services Enter a Code or keyword to conduct your search for ICD-10 Codes. After searching, select an ICD-10 Code link from the results table to populate the ... The Web's Free 2016 ICD-10-CM/PCS Medical Coding ... http://www.icd10data.com/ Free ICD-10-CM/PCS reference, including all current codes, a search engine, ICD-9-CM conversion and all indexes. ‎ICD-10-CM Codes - ‎Convert ICD-9-CM Codes to ... - ‎2016 ICD-10-CM Alpha Index Road to 10 » ICD-10 Basics http://www.roadto10.org/icd-10-basics/ ICD-10 affects diagnosis and inpatient procedure coding for everyone covered by the Health Insurance Portability Accountability Act (HIPAA), not just those who ... ICD-10 Overview | Medicaid.gov https://www.medicaid.gov... Medicaid.gov ‑ Official U.S. Government Site The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases, signs and symptoms, ... ---------------------------------------- CLICK HERE: http://go.cco.us/icd-10-cm-full-course ---------------------------------------- People who watched this video: https://youtu.be/O4_jb3gMPDo Also searched online for: Searches related to icd 10 coding icd 10 codes list icd 10 book icd 10 diagnosis codes icd 10 codes for mental health icd 10 codes funny icd 10 conversion icd 10 training icd 10 pdf ------------------------------------------------ CONNECT WITH US: http://www.facebook.com/cco.us http://www.youtube.com/medicalcodingcert http://www.youtube.com/codingcertific... https://www.pinterest.com/codingcertorg/ https://plus.google.com/+Codingcertif... https://www.linkedin.com/company/codi... https://www.youtube.com/playlist?list... ---------------------------------------- Don't forget to check out our YouTube Channel: https://www.youtube.com/user/MedicalC... -------------------------------------------- #icd10codeslist #icd10book #icd10diagnosiscodes #icd10codesformentalhealth #icd10codesfunny #icd10conversion #icd10training #icd10pdf -------------------------------------------- VISIT OUR SITE: http://www.cco.us/cco-yt

ICD-9 Coding — Understanding V Codes

ICD-9 Coding — Understanding V Codes

ICD-9 Coding — Understanding V Codes http://www.cco.us/icd-9-cm-mini-course-yt What is Medical Coding - Understanding V Codes Alicia: We’re going to talk about V codes. We have talked about V codes in the past and still they’re complex sometimes. And then once you get it, once it clicks in your head, it’s like, “Oh! OK, I got it.” But every once in a while they’ll throw a zinger, you’ll experience something that you think, “I’m not sure exactly what I need to do.” Q: I get confused when looking at V codes. They are mixed into the index. What keywords will help me find the right V code? A: I think what they’re saying is they’re mixing the index where it’s like E codes have their own index separated but V codes are in with the general codes. V codes are reported to support services that are rendered when a patient does not have an acute medical condition. These are the basic sections for V codes. What I would encourage you to do if you struggle with V codes is, one, go to the section in your ICD manual that specifically talks about V codes and that starts with V01, and read, just peruse them and kind of get familiar with what options are out there. I divided these up: Exposure, if you’re exposed to something, you’ve got to paint that picture for the provider and for statistic purposes so that they can follow the treatment. The one I picked because I thought that was unusual, like we had it on [undecipherable]. Anthrax was going through the post office and stuff, so let’s say you had a postal worker that had been exposed to anthrax. This is the code that you would use and the way you look it up is by that key term “exposure.” Then, you’re going to go “to”; so “exposure to” to what? Anthrax. And that gives you V01.81; so anytime somebody is exposed to something, then you get to use a V code for exposure. The next one: Inoculation & Vaccinations. I don’t know that there’s a difference – you can correct me if you know the difference – if there’s a difference between inoculation & vaccination. You know, “I’m going to give you a vaccination,” but they’re saying, “I’m going to give you an inoculation.” That will be something you can Google and see what the difference is. But to look these up, you’re going to look under the term “vaccination.” Now, there are different types, but let’s say it’s prophylactic – meaning, you’re doing it so you don’t get something; so vaccination to protect you from what? And there’s a whole list of different things that you can be protected from with the vaccination. Get more ICD-9 coding tutorial, ICD-9 coding guidelines, ICD-9 coding exercises, medical coding training, medical coding certification at http://www.cco.us/cco-yt

The Basics of ICD-10 Coding

The Basics of ICD-10 Coding

Is your health care organization up to date on the ICD-10 coding manual? Join BKD for this complimentary webinar offering a brief tutorial on the manual. For more information visit http://www.bkd.com. We'll take a closer look at the steps to find the correct code, common punctuation and instructional tools, differences in code structure and the necessity of reviewing documentation, along with a high-level overview of ICD-10 Official Guidelines for Coding and Reporting pertinent to nursing facility post-acute conditions. Attendees will review common condition scenarios and gain a baseline understanding of the coding process necessary to assist with transition to the ICD-10 code set, effective October 1, 2015. Upon completion of this webinar, participants will be able to: *Distinguish between ICD-9 and ICD-10 code structure *Identify the necessity to review clinical documentation and translate that information into diagnosis code *Describe best practices related to accurate and specific code assignment

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