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Understanding ICD-10-CM and ICD-10-PCS: A Worktext - 2020 5th edition [Mīkstie vāki]

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Understanding ICD-10-CM and ICD-10-PCS: A Worktext - 2020 5th editionPalielināt
  • Formāts: Paperback / softback, 768 pages, height x width x depth: 27x213x274 mm, weight: 1224 g
  • Izdošanas datums: 02-Jan-2020
  • Izdevniecība: Delmar Cengage Learning
  • ISBN-10: 0357378563
  • ISBN-13: 9780357378564
Citas grāmatas par šo tēmu:
Permanent link: https://www.kriso.lv/db/9780357378564.html
Keywords:
Master the latest 2020 ICD-10-CM and ICD-10-PCS coding guidelines and new 2020 ICD-10 codes with Bowie s UNDERSTANDING ICD-10-CM AND ICD-10-PCS: A WORKTEXT, 2020 EDITION. This unique, hands-on worktext is updated every year to provide the latest comprehensive coverage of today's ICD-10-CM and ICD-10-PCS diagnostic and procedural coding system. This edition's detail, yet easy-to-follow approach is packed with proven learning features and helpful tools to reinforce understanding. You immediately apply what you've learned with numerous professionally focused exercises, actual coding assignments and real case studies. Vivid color illustrations and the latest digital links to medical research websites demonstrate how a thorough knowledge of anatomy and disease processes can increase coding accuracy. Use this trusted resource to prepare for various certification exams as well as diagnostic and procedural coding success in today s medical environment.
Preface xiii
Acknowledgments xvi
About the Author xvii
Chapter 1 Introduction to Coding and Coding Professions
1(9)
Introduction
2(1)
Professional Coding
2(1)
History of Coding
2(2)
Health Insurance Portability and Accountability Act of 1996
4(1)
Professional Coding Associations
4(2)
American Health Information Management Association (AHIMA)
4(1)
American Academy of Professional Coders (AAPC)
5(1)
American Association of Medical Assistants (AAMA)
5(1)
American Medical Technologists (AMT)
6(1)
American Medical Billing Association (AMBA)
6(1)
Medical Association of Billers (MAB)
6(1)
Employment Opportunities for Coders
6(1)
Summary
6(1)
Internet Links
7(1)
Chapter Review
7(3)
Chapter 2 An Overview of ICD-10-CM
10(13)
ICD-10-CM Coding Book Format
11(1)
ICD-10-CM Tabular List of Diseases and Injuries
11(1)
Chapters of the Tabular List of Diseases and Injuries
12(1)
Chapter 1 Certain Infectious and Parasitic Diseases (Code Range A00-B99)
12(1)
Chapter 2 Neoplasms (Code Range C00-D49)
13(1)
Chapter 3 Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism (Code Range D50-D89)
13(1)
Chapter 4 Endocrine, Nutritional, and Metabolic Diseases (Code Range E00-E89)
13(1)
Chapter 5 Mental, Behavioral, and Neurodevelopmental Disorders (Code Range F01-F99)
14(1)
Chapter 6 Diseases of the Nervous System (Code Range G00-G99)
14(1)
Chapter 7 Diseases of the Eye and Adnexa (Code Range H00-H59)
15(1)
Chapter 8 Diseases of the Ear and Mastoid Process (Code Range H60-H95)
15(1)
Chapter 9 Diseases of the Circulatory System (Code Range I00-I99)
15(1)
Chapter 10 Diseases of the Respiratory System (Code Range J00-J99)
16(1)
Chapter 11 Diseases of the Digestive System (Code Range K00-K95)
16(1)
Chapter 12 Diseases of the Skin and Subcutaneous Tissue (Code Range L00-L99)
17(1)
Chapter 13 Diseases of the Musculoskeletal System and Connective Tissue (Code Range M00-M99)
17(1)
Chapter 14 Diseases of the Genitourinary System (Code Range N00-N99)
18(1)
Chapter 15 Pregnancy, Childbirth, and the Puerperium (Code Range O00-O9A)
18(1)
Chapter 16 Certain Conditions Originating in the Perinatal Period (Code Range P00-P96)
18(1)
Chapter 17 Congenital Malformations, Deformations, and Chromosomal Abnormalities (Code Range Q00-Q99)
19(1)
Chapter 18 Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (Code Range R00-R99)
19(1)
Chapter 19 Injury and Poisoning and Certain Other Consequences of External Causes (Code Range S00-T88)
19(1)
Chapter 20 External Causes of Morbidity (Code Range V00-Y99)
20(1)
Chapter 21 Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
20(1)
Summary
21(1)
Internet Link
21(1)
Chapter Review
21(2)
Chapter 3 ICD-IO-CM Coding Conventions
23(16)
Introduction
24(1)
Convention Types
24(9)
Instructional Notes
24(2)
Excludes Instructional Notes
26(1)
See Instructional Note
27(1)
See Also Instructional Note
27(1)
Use Additional Code and Code First Instructional Notes
28(2)
Default Codes
30(1)
Punctuation Marks
30(2)
Abbreviations
32(1)
Symbols
32(1)
Coding Guidelines
33(3)
Summary
36(1)
Internet Link
37(1)
Chapter Review
37(2)
Chapter 4 Steps in Diagnostic Code Selection
39(11)
Introduction
39(1)
ICD-10-CM Documentation Essentials
40(5)
Granularity and Laterality
40(5)
Steps in Coding
45(1)
1 Locate the Main Term in the Alphabetic Index
45(1)
2 Scan the Main Term Entry for Any Instructional Notations
45(1)
3 In the Diagnostic Phrase Being Coded, Identify Any Terms That Modify the Main Term
45(1)
4 Follow Any Cross-Reference Notes
45(1)
5 Always Verify the Code in the Tabular List
45(1)
6 Follow Any Instructional Terms
46(1)
7 Select the Code
46(1)
Coding Guideline References for Code Location
46(1)
Summary
47(1)
Chapter Review
47(3)
Chapter 5 Diagnostic Coding Guidelines
50(23)
Introduction
51(1)
Section I ICD-10-CM Conventions, General Coding Guidelines, and
Chapter-Specific Guidelines
51(9)
General Coding Guidelines
52(4)
Laterality
56(1)
Documentation for BMI Depth of Non-Pressure Ulcers, Pressure Ulcer Stages, Coma Scale, and NIH Stroke Scale
56(1)
Syndromes
57(1)
Documentation of Complications of Care
57(1)
Borderline Diagnosis
57(1)
Signs, Symptoms, and Unspecified Codes
57(1)
Coding for Healthcare Encounters in Hurricane Aftermath
58(1)
Chapter-Specific Coding Guidelines
59(1)
Section II Selection of Principal Diagnosis
60(5)
Codes for Symptoms, Signs, and III-Defined Conditions
60(1)
Two or More Interrelated Conditions, Each Potentially Meeting the Definition for Principal Diagnosis
61(1)
Two or More Diagnoses That Equally Meet the Definition for Principal Diagnosis
61(1)
Two or More Comparative or Contrasting Conditions
62(1)
Original Treatment Plan Not Carried Out
62(1)
Complications of Surgery and Other Medical Care
62(1)
Uncertain Diagnosis
63(1)
Admission from Observation Unit, Following Post-Operative Observation, or Outpatient Surgery
63(1)
Admissions/Encounters for Rehabilitation
64(1)
Section III Reporting Additional Diagnoses
65(1)
Section IV Diagnostic Coding and Reporting Guidelines for Outpatient Services
66(4)
Summary
70(1)
Internet Link
70(1)
Chapter Review
70(3)
Chapter 6 Infectious and Parasitic Diseases
73(27)
Introduction
74(1)
Abbreviations
75(4)
Organisms Found in
Chapter
75(1)
Bacteria
75(2)
Fungi
77(1)
Parasites
77(1)
Viruses
78(1)
Coding of Infectious and Parasitic Diseases
79(1)
Single-Code Assignment
79(1)
Combination-Code Assignment
79(1)
Dual-Code Assignment
80(1)
A Codes
80(7)
Intestinal Infectious Diseases (Category Codes A00-A09)
80(1)
Tuberculosis (Category Codes A15-A19)
81(1)
Certain Zoonotic Bacterial Diseases (Category Codes A20-A28)
82(1)
Other Bacterial Diseases (Category Codes A30-A49)
82(3)
Infections with a Predominantly Sexual Mode of Transmission (Category Codes A50-A64)
85(1)
Other Spirochetal Diseases (Category Codes A65-A69)
85(1)
Other Diseases Caused by Chlamydiae (Category Codes A70-A74)
85(1)
Rickettsioses (Category Codes A75-A79)
86(1)
Viral Infections of the Central Nervous System (Category Codes A80-A89) and Arthropod-borne Viral Fevers and Viral Hemorrhagic Fevers (A90-A99)
86(1)
B Codes
87(7)
Viral Infections Characterized by Skin and Mucous Membrane Lesions (Category Codes B00-B09)
87(1)
Other Human Herpesviruses (Category Code B10)
87(1)
Viral Hepatitis (Category Codes B15-B19)
88(1)
Human Immunodeficiency Virus (HIV) Disease (Category Code B20)
88(2)
Other Viral Diseases (Category Codes B25-B34)
90(1)
Mycoses (Category Codes B35-B49)
90(1)
Additional B Codes
91(3)
Summary
94(1)
Internet Links
94(1)
Chapter Review
94(1)
Coding Assignments
95(1)
Case Studies
96(4)
Chapter 7 Neoplasms
100(28)
Introduction
101(1)
Abbreviations
101(1)
Introduction to the Body System
102(3)
Malignant Versus Benign Neoplasms
102(3)
Coding of Neoplasms
105(13)
General Neoplasm Guidelines
106(1)
Locating a Neoplasm Code
106(4)
Sequencing of Codes
110(1)
Malignancy as Principal Diagnosis
111(1)
Eradication of Malignancy and Follow-Up Examinations
111(1)
Treatment Followed by Recurrence
111(1)
Excised Malignancy Followed by Recurrence
111(1)
Follow-Up Visit with No Recurrence
111(1)
Two Primary Sites
112(1)
Primary and Secondary Malignancies
112(4)
Malignancy in Two or More Noncontiguous Sites
116(1)
Unspecified Disseminated Malignant Neoplasm
116(1)
Malignant Neoplasm Without Specification of Site
117(1)
Additional Coding Guidelines for Sequencing of Neoplasm Codes
117(1)
Complications Associated with Neoplasms
118(4)
Anemia
118(1)
Dehydration
118(1)
Surgical Procedure Performed for Treatment of a Malignancy
119(1)
Pain
119(1)
Admissions and Encounters Involving Surgery, Chemotherapy, Immunotherapy, and Radiation Therapy
119(1)
Surgery Followed by Chemotherapy or Radiation
119(1)
Encounter or Admission Solely for Administration of Chemotherapy, Immunotherapy, or Radiation
120(1)
Radiation Therapy, Chemotherapy, or Immunotherapy Followed by Complications
120(1)
Admission or Encounter to Determine Extent of Malignancy or to Perform a Procedure
121(1)
Symptoms, Signs and Abnormal Findings Listed in
Chapter 18 (of ICD-10-CM) Associated with Neoplasms, and Admission/Encounter for Pain Control/Management
121(1)
Summary
122(1)
Internet Links
122(1)
Chapter Review
122(1)
Coding Assignments
123(1)
Case Studies
124(4)
Chapter 8 Diseases of the Blood and Blood-Forming Organs
128(23)
Introduction
129(1)
Abbreviations
129(1)
Introduction to the Body System
129(4)
Blood Composition
129(4)
Coding of Diseases of the Blood and Blood-Forming Organs
133(13)
Anemia
133(1)
Nutritional Anemias (D50-D53) .133 Hemolytic Anemias (Category Codes D55-D59)
134(2)
Aplastic and Other Anemias and Other Bone Marrow Failure Syndromes (Category Codes D60-D64)
136(1)
Coagulation Defects, Purpura, and Other Hemorrhagic Conditions (Category Codes D65-D69)
137(3)
Other Disorders of the Blood and Blood-Forming Organs (Category Codes D70-D77)
140(6)
Summary
146(1)
Internet Links
146(1)
Chapter Review
146(1)
Coding Assignments
147(1)
Case Studies
148(3)
Chapter 9 Endocrine, Nutritional, and Metabolic Diseases
151(19)
Introduction
152(1)
Introduction to the Body System
152(2)
Coding of Endocrine, Nutritional, and Metabolic Diseases
154(9)
Disorders of the Thyroid Gland (Category Codes E00-E07)
154(3)
Diabetes Mellitus E08-E13
157(1)
Types of Diabetes Mellitus
158(2)
Other Disorders of Glucose Regulation and Pancreatic Internal Secretion (Category Codes E15-E16)
160(1)
Disorders of Other Endocrine Glands (Category Codes E20-E35)
161(1)
Malnutrition (Category Codes E40-E46)
162(1)
Other Nutritional Deficiencies (Category Codes E50-E64) and Overweight, Obesity, and Other Hyperalimentation (Category Codes E65-E68)
162(1)
Metabolic Disorders and Postprocedural Complications (Category Codes E70-E89)
162(1)
Summary
163(1)
Internet Links
163(1)
Chapter Review
163(2)
Coding Assignments
165(1)
Case Studies
166(4)
Chapter 10 Mental, Behavioral, and Neurodevelopmental Disorders
170(21)
Introduction
171(1)
Introduction to the Body System
171(1)
Coding of Mental, Behavioral, and Neurodevelopmental Disorders
172(10)
Mental Disorders Due to Known Physiological Conditions (Category Codes F01-F09)
172(1)
Mental and Behavioral Disorders Due to Psychoactive Substance Use (Category Codes F10-F19)
173(3)
Schizophrenia, Schizotypal, Delusional, and Other Non-Mood Psychotic Disorders (Category Codes F20-F29)
176(1)
Mood [ Affective] Disorders (Category Codes F30-F39)
176(1)
Anxiety, Dissociative, Stress-Related, Somatoform, and Other Nonpsychotic Mental Disorders (Category Codes F40-F48)
177(1)
Behavioral Syndromes Associated with Physiological Disturbances and Physical Factors (Category Codes F50-F59)
178(1)
Disorders of Adult Personality and Behavior (Category Codes F60-F69)
179(1)
Intellectual Disabilities (Category Codes F70-F79)
179(1)
Pervasive and Specific Developmental Disorders (Category Codes F80-F89)
180(1)
Behavioral and Emotional Disorders with Onset Usually Occurring in Childhood and Adolescence (Category Codes F90-F98)
181(1)
Unspecified Mental Disorder (Category Code F99)
182(1)
Summary
182(1)
Internet Links
183(1)
Chapter Review
183(2)
Coding AssignmentsCoding
185(1)
Case Studies
186(5)
Chapter 11 Diseases of the Nervous System
191(14)
Introduction
192(1)
Introduction to the Body System
192(1)
Coding of Diseases of the Nervous System
192(7)
Inflammatory Diseases of the Central Nervous System (Category Codes G00-G09)
192(1)
Systemic Atrophies Primarily Affecting the Central Nervous System (Category Codes G10-G14)
193(1)
Extrapyramidal and Movement Disorders (Category Codes G20-G26)
194(1)
Other Degenerative Diseases of the Nervous System (Category Codes G30-G32)
194(1)
Demyelinating Diseases of the Central Nervous System (Category Codes G35-G37)
195(1)
Episodic and Paroxysmal Disorders (Category Codes G40-G47)
195(1)
Nerve, Nerve Root, and Plexus Disorders (Category Codes G50-G59)
196(1)
Polyneuropathies and Other Disorders of the Peripheral Nervous System (Category Codes G60-G65)
196(1)
Diseases of Myoneural Junction and Muscle (Category Code G70-G73)
196(1)
Cerebral Palsy and Other Paralytic Syndromes (Category Codes G80-G83)
196(1)
Other Disorders of the Nervous System (Category Codes G89-G99)
197(2)
Summary
199(1)
Internet Links
199(1)
Chapter Review
199(1)
Coding AssignmentsCoding
200(1)
Case Studies
201(4)
Chapter 12 Disorders of the Eye and Adnexa
205(14)
Introduction
206(1)
Abbreviations
206(1)
Introduction to the Body System
206(2)
Coding Disorders of the Eye and Adnexa
208(5)
Disorders of Eyelid, Lacrimal System, and Orbit (Category Codes H00-H05)
208(1)
Disorders of Conjunctiva (Category Codes H10-H11)
209(1)
Disorders of Sclera, Cornea, Iris, and Ciliary Body (Category Code H15-H22)
209(1)
Disorders of Lens (Category Codes H25-H28)
210(1)
Disorders of Choroid and Retina (Category Codes H30-H36)
211(1)
Glaucoma (Category Codes H40-H42)
211(1)
Disorders of Vitreous Body and Globe (Category Codes H43-H44)
212(1)
Disorders of Optic Nerve and Visual Pathways (Category Codes H46-H47)
212(1)
Disorders of Ocular Muscles, Binocular Movement, Accommodation, and Refraction
(Category Codes H49-H52)
213(1)
Visual Disturbances and Blindness (Category Codes H53-H54)
213(1)
Other Disorders of Eye and * Adnexa (Category Codes H55-H59)
213(1)
Summary
213(1)
Internet Links
214(1)
Chapter Review
214(1)
Coding AssignmentsCoding
215(1)
Case Studies
216(3)
Chapter 13 Diseases of the Ear and Mastoid Process
219(11)
Introduction
220(1)
Introduction to the Body
System
220(2)
Coding Diseases of the Ear and Mastoid Process
222(3)
Diseases of the External Ear (Category Codes H60-H62)
222(1)
Diseases of the Middle Ear and Mastoid (Category Codes H65-H75)
223(1)
Diseases of Inner Ear (Category Codes H80-H83)
224(1)
Other Disorders of Ear (Category Codes H90-H94) and Intraoperative and Postprocedural Complications and Disorders of Ear and Mastoid Process, Not Elsewhere Classified (H95)
224(1)
Summary
225(1)
Internet Links
225(1)
Chapter Review
225(1)
Coding AssignmentsCoding
226(1)
Case Studies
227(3)
Chapter 14 Diseases of the Circulatory System
230(25)
Introduction
231(1)
Introduction to the Body System
231(3)
Coding of Diseases of the Circulatory System
234(14)
Acute and Chronic Rheumatic Fever (Category Codes I00-I09)
234(2)
Hypertensive Diseases (Category Codes 110-116)
236(2)
Ischemic Heart Diseases (Category Codes I20-I25)
238(5)
Pulmonary Heart Disease and Diseases of Pulmonary Circulation (Category Codes I26-I28)
243(1)
Other Forms of Heart Disease (Category Codes I30-I52)
243(2)
Cerebrovascular Diseases (Category Codes I60-I69)
245(1)
Disease of Arteries, Arterioles, and Capillaries (Category Codes I70-I79)
246(1)
Diseases of Veins, Lymphatic Vessels, and Lymph Nodes, Not Elsewhere Classified (Category Codes I80-I89)
247(1)
Other and Unspecified Disorders of the Circulatory System (Category Codes I95-I99)
247(1)
Summary
248(1)
Internet Links
248(1)
Chapter Review
248(1)
Coding AssignmentsCoding
249(1)
Case Studies
250(5)
Chapter 15 Diseases of the Respiratory System
255(15)
Introduction
256(1)
Introduction to the Body System
256(1)
Coding Diseases of the Respiratory System
257(7)
Acute Upper Respiratory Infections (Category Codes J00-J06)
258(1)
Influenza and Pneumonia (Category Codes J09-J18)
259(1)
Other Acute Lower Respiratory Infections (Category Codes J20-J22)
260(1)
Other Diseases of Upper Respiratory Tract (Category Codes J30-J39)
260(1)
Chronic Lower Respiratory Diseases (Category Codes J40-J47)
261(1)
Lung Diseases Due to External Agents (Category Codes J60-J70)
262(1)
Other Respiratory Diseases Principally Affecting the Interstitium (Category Codes J80-J84)
262(1)
Suppurative and Necrotic Conditions of the Lower Respiratory Tract (Category Codes J85-J86)
262(1)
Other Diseases of the Pleura (Category Codes J90-J94) and Intraoperative and Postprocedural Complications and Disorders of Respiratory System, Not Elsewhere Classified (Category Code J95)
263(1)
Other Diseases of the Respiratory System (Category Codes J96-J99)
263(1)
Summary
264(1)
Internet Links
264(1)
Chapter Review
265(1)
Coding AssignmentsCoding
266(1)
Case Studies
267(3)
Chapter 16 Diseases of the Digestive System
270(17)
Introduction
271(1)
Introduction to the Body System
271(1)
Coding Diseases of the Digestive System
272(8)
Diseases of the Oral Cavity and Salivary Glands (Category
Codes K00-K14)
272(1)
Disease of Esophagus, Stomach, and Duodenum (Category Codes K20-K31)
273(2)
Diseases of Appendix (Category Codes K35-K38)
275(1)
Hernia (Category Codes K40-K46)
276(1)
Noninfective Enteritis and Colitis (Category Code K50-K52)
277(1)
Other Diseases of the Intestines (Category Codes K55-K64)
277(1)
Diseases of Peritoneum and Retroperitoneum (Category
Codes K65-K68)
278(1)
Disease of Liver (Category Codes K70-K77)
278(1)
Disorders of Gall Bladder, Biliary Tract, and Pancreas (Category
Codes K80-K87)
278(2)
Other Diseases of the Digestive System (Category Codes
K90-K95)
280(1)
Summary
280(1)
Internet Links
280(1)
Chapter Review
280(1)
Coding AssignmentsCoding
281(1)
Case Studies
282(5)
Chapter 17 Diseases of the Skin and Subcutaneous Tissue
287(17)
Introduction
288(1)
Introduction to the Body System
288(1)
Coding of Diseases of the Skin and Subcutaneous Tissue
289(8)
Infections of Skin and Subcutaneous Tissue (Category Codes L00-L08)
289(3)
Bullous Disorders (Category Codes L10-L14)
292(1)
Dermatitis and Eczema (Category Codes L20-L30)
292(1)
Papulosquamous Disorders (Category Codes L40-L45) and Urticaria and Erythema (Category Codes L49-L54)
293(1)
Radiation-Related Disorders of the Skin and Subcutaneous Tissue (Category Codes L55-L59)
293(1)
Disorders of Skin Appendages (Category Codes L60-L75)
294(1)
Intraoperative and Postprocedural Complications of Skin and Subcutaneous Tissue (Category CodeL76)
294(1)
Other Diseases of the Skin and Subcutaneous Tissue (Category Codes L80-L99)
294(3)
Summary
297(1)
Internet Links
297(1)
Chapter Review
297(1)
Coding AssignmentsCoding
298(1)
Case Studies
299(5)
Chapter 18 Diseases of the Musculoskeletal System and Connective Tissue
304(18)
Introduction
305(1)
Introduction to the Body System
305(2)
Coding of Diseases of the Musculoskeletal System and Connective Tissue
307(8)
Infectious Arthropathies (Category Codes M00-M02)
308(1)
Autoinflammatory Syndromes (M04) and Inflammatory Polyarthropathies (Category Codes M05-M14)
308(1)
Osteoarthritis (Category Codes M15-M19)
309(1)
Other Joint Disorders (Category Codes M20-M25)
309(1)
Dentofacial Anomalies [ Including Malocclusion] and Other Disorders of Jaw (Category Codes M26-M27)
310(1)
Systemic Connective Tissue Disorders (Category Codes M30-M36)
310(1)
Dorsopathies (Category Codes M40-M54)
311(1)
Soft Tissue Disorders (Category Codes M60-M79)
311(1)
Osteopathies and Chondropathies (Category Codes M80-M94)
312(3)
Other Disorders of the Musculoskeletal System and Connective Tissue (Category Code M95)
315(1)
Intraoperative and Postprocedural Complications and Disorders of Musculoskeletal System, Not Elsewhere Classified (Category Code M96) Periprosthetic Fracture Around Internal Prosthetic Joint (Category Code M97) and Biomechanical Lesions, Not Elsewhere Classified (Category Code M99)
315(1)
Summary
315(1)
Internet Links
316(1)
Chapter Review
316(1)
Coding AssignmentsCoding
317(1)
Case Studies
318(4)
Chapter 19 Diseases of the Genitourinary System
322(18)
Introduction
323(1)
Introduction to the Body System
323(2)
Coding Diseases of the Genitourinary System
325(8)
Glomerular Diseases (Category Codes N00-N08)
325(1)
Renal Tubulo-lnterstitial Diseases (Category Codes N10-N16)
326(1)
Acute Kidney Failure and Chronic Kidney Disease (Category Codes N17-N19)
327(1)
Urolithiasis (Category Codes N20-N23)
328(1)
Other Disorders of Kidney and Ureter (Category Codes N25-N29)
329(1)
Other Diseases of the Urinary System (Category Codes N30-N39)
329(2)
Diseases of Male Genital Organs (Category Codes N40-N53)
331(1)
Disorders of Breast (Category Codes N60-N65)
331(1)
Inflammatory Diseases of Female Pelvic Organs (Category Codes N70-N77)
332(1)
Noninflammatory Disorders of the Female Genital Tract (Category Codes N80-N98)
332(1)
Intraoperative and Postprocedural Complications and Disorders of Genitourinary System, Not Elsewhere Classified (Category Code N99)
333(1)
Summary
333(1)
Internet Links
333(1)
Chapter Review
333(1)
Coding AssignmentsCoding
334(1)
Case Studies
335(5)
Chapter 20 Pregnancy, Childbirth, and the Puerperium
340(22)
Introduction
341(1)
Introduction to the Body System
341(1)
Coding for Pregnancy, Childbirth, and the Puerperium
342(14)
Pregnancy with Abortive Outcome (Category Codes 000-008) and Supervision of High-Risk Pregnancy (Category CodeO09)
344(3)
Routine Outpatient Prenatal Visits
347(1)
Edema, Proteinuria, and Hypertensive Disorders in Pregnancy, Childbirth, and the Puerperium (Category Codes 010-016)
347(1)
Other Maternal Disorders Predominantly Related to Pregnancy (Category Codes 020-029)
348(1)
Maternal Care Related to the Fetus and Amniotic Cavity and Possible Delivery Problems (Category Codes 030-048)
349(2)
Complications of Labor and Delivery (Category Codes 060-077)
351(1)
Encounter for Delivery (Category Codes O80 and 082)
352(2)
Complications Predominately Related to the Puerperium (Category Codes 085-092)
354(1)
Other Obstetric Conditions, Not Elsewhere Classified (Category Codes 094-09A)
354(2)
Additional Coding Guidelines
356(1)
Summary
356(1)
Internet Links
356(1)
Chapter Review
356(1)
Coding AssignmentsCoding
357(1)
Case Studies
358(4)
Chapter 21 Certain Conditions Originating in the Perinatal Period
362(13)
Introduction
362(1)
Coding Guidelines for Certain Conditions Originating in the Perinatal Period
363(6)
Newborn Affected by Maternal Factors and by Complications of Pregnancy, Labor, and Delivery (Category Codes P00-P04)
364(1)
Disorders of Newborn Related to Length of Gestation and Fetal Growth (Category Codes P05-P08)
365(1)
Abnormal Findings on Neonatal Screening (Category Code P09)
365(1)
Birth Trauma (Category Codes P10-P15)
365(1)
Respiratory and Cardiovascular Disorders Specific to the Perinatal Period (Category Codes P19-P29)
366(1)
Infections Specific to the Perinatal Period (Category Codes P35-P39)
366(1)
Hemorrhagic and Hematologic Disorders of Newborn (Category Codes P50-P61)
367(1)
Transitory Endocrine and Metabolic Disorders Specific to Newborn (Category Codes P70-P74)
368(1)
Digestive System Disorders of Newborn (Category Codes P76-P78)
368(1)
Conditions Involving the Integument and Temperature Regulation of Newborn (Category Codes P80-P83) and Other Problems with Newborns (Category Code P84)
368(1)
Other Disorders Originating in the Perinatal Period (Category Codes P90-P96)
368(1)
Summary
369(1)
Internet Links
369(1)
Chapter Review
369(1)
Coding AssignmentsCoding
370(1)
Case Studies
371(4)
Chapter 22 Congenital Malformations, Deformations, and Chromosomal Abnormalities
375(14)
Introduction
376(1)
Introduction to the Body System
376(1)
Coding Congenital Malformations, Deformations, and Chromosomal Abnormalities
376(7)
Congenital Malformations of the Nervous System (Category Codes Q00-Q07)
377(1)
Congenital Malformations of Eye, Ear, Face, and Neck (Category CodesQ10-Q18)
378(1)
Congenital Malformations of the Circulatory System (Category Codes Q20-Q28)
379(1)
Congenital Malformations of the Respiratory System (Category Codes Q30-Q34)
379(1)
Cleft Lip and Cleft Palate (Category Codes Q35-Q37)
379(1)
Other Congenital Malformations of the Digestive System (Category Codes Q38-Q45)
380(1)
Congenital Malformations of Genital Organs (Category Codes Q50-Q56)
380(1)
Congenital Malformations of the Urinary System (Category Codes Q60-Q64)
381(1)
Congenital Malformations and Deformations of the Musculoskeletal System (Category Codes Q65-Q79)
382(1)
Other Congenital Malformations (Category Codes Q80-Q89) and Chromosomal Abnormalities, Not Elsewhere Classified (Category Codes Q90-Q99)
383(1)
Summary
383(1)
Internet Links
383(1)
Chapter Review
384(1)
Coding AssignmentsCoding
384(1)
Case Studies
385(4)
Chapter 23 Symptoms, Signs, and Abnormal Clinical Laboratory Findings
389(5)
Introduction
390(1)
Coding of Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified
390(2)
Coding Guidelines for Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified
392(2)
Guideline for Principal Diagnosis
392(1)
Symptoms and Signs as Secondary Codes
393(1)
Difference Between Inpatient and Outpatient Coding Guidelines
393(1)
Chapter 18 Specific Coding Guidelines
394(13)
Symptoms and Signs Involving the Circulatory and Respiratory Systems (Category Codes R00-R09)
394(1)
Symptoms and Signs Involving the Digestive System and Abdomen (Category Codes R10-R19)
395(1)
Symptoms and Signs Involving the Skin and Subcutaneous Tissue (Category Codes R20-R23)
395(1)
Symptoms and Signs Involving the Nervous and Musculoskeletal Systems (Category Codes R25-R29)
395(1)
Symptoms and Signs Involving the Genitourinary System (Category Codes R30-R39)
396(1)
Symptoms and Signs Involving Cognition, Perception, Emotional State, and Behavior (Category Codes R40-R46)
396(1)
Symptoms and Signs Involving Speech and Voice (Category Codes R47-R49)
397(1)
General Symptoms and Signs (Category Codes R50-R69)
398(1)
Abnormal Findings on Examination of Blood Without Diagnosis (Category Codes R70-R79) and Abnormal Findings on Examination of Urine Without Diagnosis (Category Codes R80-R82)
399(1)
Abnormal Findings on Examination of Other Body Fluids, Substances, and Tissues, Without Diagnosis (Category Codes R83-R89)
399(1)
Abnormal Findings on Diagnostic Imaging and in Function Studies, Without Diagnosis (Category Codes R90-R94), Abnormal Tumor Markers (Category Code R97), and Ill-defined and Unknown Cause of Mortality (Category Code R99)
400(1)
Summary
401(1)
Chapter Review
401(1)
Coding AssignmentsCoding
402(1)
Case Studies
403(4)
Chapter 24 Injury, Poisoning, and Certain Other Consequences of External Causes
407(25)
Introduction
408(1)
Coding Guidelines
409(1)
Terminology
410(3)
Fractures
410(2)
Gustilo Classification of Fractures
412(1)
S Codes
413(4)
Injuries to the Head (Category Codes S00-S09)
414(1)
Injuries to the Neck (Category CodesS10-S19)
414(1)
Injuries to the Thorax (Category Codes S20-29)
415(1)
Injuries to the Abdomen, Lower Back, Lumbar Spine, Pelvis, and External Genitals (Category Codes S30-S39)
415(1)
Injuries to the Shoulder and Arm, Elbow, Wrist, and Hand (Category Codes S40-S69)
415(1)
Injuries to the Hip, Thigh, Knee, Lower Leg, Ankle, Foot, and Toes (Category Codes S70-S99)
416(1)
T Codes
417(8)
Injuries Involving Unspecified Multiple Body Regions (Category CodeT07)
417(1)
Injury of Unspecified Body Region (Category Code T14)
417(1)
Effects of Foreign Body Entering Through Natural Orifice (Category Codes T15-T19)
417(1)
Burns and Corrosions (Category Codes T20-T32)
417(3)
Frostbite (Category Codes T33-T34)
420(1)
Poisoning by Adverse Effects of and Underdosing of Drugs, Medicaments, and Biological Substances (Category Codes T36-T50)
420(2)
Toxic Effects of Substances Chiefly Nonmedicinal as to Source (Category Codes T51-T65)
422(1)
Other and Unspecified Effects of External Causes (Category Codes T66-T78)
422(1)
Complications of Surgical and Medical Care, Not Elsewhere Classified (Category Codes T80-T88)
423(2)
Summary
425(1)
Internet Links
425(1)
Chapter Review
425(1)
Coding AssignmentsCoding
426(2)
Case Studies
428(4)
Chapter 25 External Causes of Morbidity
432(22)
Introduction
433(1)
Coding External Causes of Morbidity
434(6)
Transport Accidents (Category Codes V00-V99)
436(1)
Pedestrian Injured in Transport Accident (Category Codes V00-V09)
437(1)
Pedal Cycle Rider Injured in Transport Accident (Category CodesV10-V19)
437(1)
Motorcycle Rider Injured in Transport Accident (Category Codes V20-V29)
437(1)
Occupant of Three-Wheeled Motor Vehicle Injured in Transport Accident (Category Codes V30-V39)
437(1)
Car Occupant Injured in Transport Accident (Category Codes V40-V49)
438(1)
Occupant of Pickup Truck or Van Injured in Transport Accident (Category Codes V50-V59)
438(1)
Occupant of Heavy Transport Vehicle Injured in Transport Accident (Category Codes V60-V69)
439(1)
Bus Occupant Injured in Transport Accident (Category Codes V70-V79)
439(1)
Other Land Transport Accidents (Category Codes V80-V89)
439(1)
Water Transport Accidents (Category Codes V90-V94)
439(1)
Air and Space Transport Accidents (Category Codes V95-V97)
440(1)
Other and Unspecified Transport Accidents (Category Codes V98-V99)
440(1)
Other External Causes of Accidental Injury (Category Codes W00-X58)
440(4)
Slipping, Tripping, Stumbling, and Falls (Category Codes W00-W19)
440(1)
Exposure to Inanimate Mechanical Forces (Category Codes W20-W49)
441(1)
Exposure to Animate Mechanical Forces (Category Codes W50-W64)
442(1)
Accidental Non-Transport Drowning and Submersion (Category Codes W65-W74)
442(1)
Exposure to Electric Current, Radiation, and Extreme Ambient Air Temperature and Pressure (Category Codes W85-W99)
442(1)
Exposure to Smoke, Fire, and Flames (Category Codes X00-X08)
442(1)
Contact with Heat and Hot Substances (Category Codes X10-X19)
443(1)
Exposure to Forces of Nature (Category Codes X30-X39)
443(1)
Overexertion and Strenuous or Repetitive Movement (Category Code X50) and Accidental Exposure to Other Specified Factors (Category Codes X52, X58)
443(1)
Intentional Self-Harm (Category Codes X71-X83)
443(1)
Assault (Category Codes X92-Y09)
443(1)
Event of Undetermined Intent (Category Codes Y21-Y33)
444(1)
Legal Intervention, Operations of War, Military Operations, and Terrorism (Category Codes Y35-Y38)
444(1)
Complications of Medical and Surgical Care (Category Codes Y62-Y84)
444(4)
Supplementary Factors Related to Causes of Morbidity Classified Elsewhere (Category Codes Y90-Y99)
445(3)
Summary
448(1)
Chapter Review
448(2)
Coding AssignmentsCoding
450(1)
Case Studies
451(3)
Chapter 26 Factors Influencing Health Status and Contact with Health Services
454(28)
Introduction
455(1)
Introduction to Z Codes
455(18)
Persons Encountering Health Services for Examinations (Category Codes Z00-Z13)
456(4)
Genetic Carrier and Genetic Susceptibility to Disease (Category Codes Z14-Z15)
460(3)
Resistance to Antimicrobial Drugs (Category Code Z16)
463(1)
Estrogen Receptor Status (Category Code Z17)
463(1)
Persons with Potential Health Hazards Related to Communicable Diseases (Category Codes Z20-Z29)
463(1)
Persons Encountering Health Services in Circumstances Related to Reproduction (Category Codes Z30-Z39)
464(2)
Encounters for Other Specific Health Care (Category Codes Z40-Z53)
466(3)
Persons with Potential Health Hazards Related to Socioeconomic and Psychosocial Circumstances (Category Codes Z55-Z65)
469(1)
Do Not Resuscitate Status (Category Code Z66)
469(1)
Blood Type (Category Code Z67)
469(1)
Body Mass Index (BMI) (Category Code Z68)
469(1)
Persons Encountering Health Services in Other Circumstances (Category Codes Z69-Z76)
469(1)
Persons with Potential Health Hazards Related to Family and Personal History and Certain Conditions Influencing Health Status (Category Codes Z77-Z99)
470(3)
Additional Guidelines
473(2)
Summary
475(1)
Internet Links
475(1)
Chapter Review
476(1)
Coding AssignmentsCoding
477(1)
Case Studies
478(4)
Chapter 27 Introduction to ICD-IO-PCS
482(11)
Introduction
483(1)
Code Structure
483(1)
Format
484(3)
Introduction
484(1)
Index
485(1)
Tables
486(1)
ICD-10-PCS Coding Guidelines
487(3)
Selection of Principal Procedure
489(1)
Summary
490(1)
Chapter Review
490(3)
Chapter 28 Medical and Surgical Section
493(28)
Introduction
494(1)
Medical and Surgical Section Character Meanings
494(18)
Section
494(1)
Body Systems
494(1)
ICD-10-PCS Official Coding Guidelines Relating to Body System
495(1)
Root Operations
496(5)
ICD-10-PCS Official Coding Guidelines Relating to Root Operation
501(5)
Body Part
506(1)
ICD-10-PCS Official Coding Guidelines Relating to Body Part
507(2)
Approach
509(1)
ICD-10-PCS Official Coding Guidelines Relating to Approach
510(1)
Device
511(1)
ICD-10-PCS Official Coding Guidelines Relating to Device
511(1)
Qualifier
512(1)
Principles for the Medical and Surgical Section
512(3)
Appendices in ICD-10-PCS
513(2)
Summary
515(1)
Internet Links
515(1)
Chapter Review
515(1)
Coding AssignmentsCoding
516(1)
Case Studies
517(4)
Chapter 29 Obstetrics Section
521(11)
Introduction
522(1)
ICD-10-PCS Official Coding Guidelines for Obstetric Section
522(1)
Obstetrics Section of the ICD-10-PCS
522(4)
Section
522(1)
Body System
522(1)
Root Operation
523(1)
Body Part
523(1)
Approach
523(1)
Device
524(1)
Qualifier
524(2)
Procedure Highlights
526(2)
Abortion
526(1)
Amniocentesis
526(1)
Delivery
526(1)
Cesarean Deliveries
526(1)
Forceps Extraction
526(2)
Summary
528(1)
Internet Links
528(1)
Chapter Review
528(1)
Coding AssignmentsCoding
528(1)
Case Studies
529(3)
Chapter 30 Placement Section
532(7)
Introduction
533(1)
Placement Section of the ICD-10-PCS
533(2)
Section
533(1)
Body System: Anatomical Regions and Anatomical Orifices
533(1)
Root Operation
533(1)
Body Part: Regions and Orifices
533(1)
Approach
533(2)
Device
535(1)
Qualifier
535(1)
Procedure Highlights
535(1)
Cast Application
535(1)
Dressing Application
536(1)
Packing
536(1)
Summary
536(1)
Internet Link
536(1)
Chapter Review
536(1)
Coding AssignmentsCoding
537(1)
Case Studies
537(2)
Chapter 31 Administration Section
539(10)
Introduction
539(1)
Administration Section of the ICD-10-PCS
540(5)
Section
540(1)
Body System: Physiological Systems and Anatomical Regions
540(1)
Root Operation
540(1)
Body/System Region
540(1)
Approach
541(1)
Substance
542(1)
Qualifier
542(3)
Summary
545(1)
Chapter Review
546(1)
Coding AssignmentsCoding
546(1)
Case Studies
547(2)
Chapter 32 Measurement and Monitoring Section
549(7)
Introduction
550(1)
Measurement and Monitoring Section of the ICD-10-PCS
550(3)
Section
550(1)
Body System
550(1)
Root Operation
550(1)
Body System
550(1)
Approach
550(1)
Function
551(1)
Qualifier
552(1)
Summary
553(1)
Chapter Review
553(1)
Coding AssignmentsCoding
553(1)
Case Studies
554(2)
Chapter 33 Extracorporeal or Systemic Assistance and Performance and Extracorporeal or Systemic Therapies Sections
556(8)
Introduction
557(1)
Extracorporeal or Systemic Assistance and Performance Section of ICD-10-PCS
557(2)
Section
557(1)
Body System/Physiological System
557(1)
Root Operation
557(1)
Body System
558(1)
Duration
558(1)
Function
559(1)
Qualifier
559(1)
Extracorporeal or Systemic Therapies Section of ICD-10-PCS
559(2)
Section
559(1)
Body System/Physiological System
559(1)
Root Operation
559(1)
Body System
560(1)
Duration
560(1)
Function
560(1)
Qualifier
560(1)
Summary
561(1)
Chapter Review
561(1)
Coding AssignmentsCoding
562(1)
Case Studies
562(2)
Chapter 34 Osteopathic, Other Procedures, and Chiropractic Sections
564(8)
Introduction
565(1)
Osteopathic Section
565(1)
Anatomical Region and Root Operation
565(1)
Body Region
565(1)
Approach, Method, and Qualifier
565(1)
Other Procedures
566(2)
Root Operation
566(1)
Body Region
566(1)
Approach
566(1)
Method
567(1)
Qualifier
567(1)
Chiropractic Section
568(1)
Root Operation
568(1)
Body Region
568(1)
Approach, Method, Qualifier
568(1)
Summary
568(1)
Internet Links
569(1)
Chapter Review
569(1)
Coding AssignmentsCoding
569(1)
Case Studies
570(2)
Chapter 35 Imaging, Nuclear Medicine, and Radiation Therapy Sections
572(12)
Introduction
573(1)
Imaging Section
573(2)
Body System and Type
573(1)
Body Part
573(1)
Contrast
574(1)
Qualifier
574(1)
Nuclear Medicine Section
575(2)
Body System
575(1)
Type
575(1)
Body Part or Region
575(1)
Radionuclide
576(1)
Qualifier
576(1)
Radiation Therapy Section
577(3)
Body System
578(1)
Modality
578(1)
Treatment Site
578(1)
Modality Qualifier
579(1)
Isotope
579(1)
Qualifier
579(1)
Summary
580(1)
Internet Links
580(1)
Chapter Review
580(1)
Coding AssignmentsCoding
581(1)
Case Studies
582(2)
Chapter 36 Physical Rehabilitation and Diagnostic Audiology Section
584(6)
Introduction
585(1)
Physical Rehabilitation and Diagnostic Audiology Section
585(2)
Section Qualifier
585(1)
Type
585(1)
Body System and Region
585(1)
Type Qualifier
586(1)
Equipment and Qualifier
586(1)
Summary
587(1)
Internet Links
587(1)
Chapter Review
587(1)
Coding AssignmentsCoding
587(1)
Case Studies
588(2)
Chapter 37 Mental Health and Substance Abuse Treatment
590(9)
Introduction
591(1)
Mental Health Section
591(2)
Type
591(1)
Qualifier
592(1)
Qualifier
593(1)
Substance Abuse Treatment Section
593(1)
Type
593(1)
Qualifier
594(1)
Qualifiers
594(1)
Summary
594(1)
Internet Links
595(1)
Chapter Review
595(1)
Coding AssignmentsCoding
596(1)
Case Studies
597(2)
Chapter 38 New Technology Section
599(5)
Introduction
599(1)
New Technology Section Character Meanings
600(2)
Section Organization
600(1)
Body System
600(1)
Root Operation
600(1)
Body Part
601(1)
Approach
601(1)
Device/Substance/Technology
601(1)
Qualifier
602(1)
Coding Guidelines for Section X of ICD-10-PCS
602(1)
Summary
602(1)
Internet Links
603(1)
Chapter Review
603(1)
Coding AssignmentsCoding
603(1)
Appendix A This appears in the MINDTAP & Student Companion Site
Appendix B This appears in the MINDTAP & Student Companion Site Glossary 604(14)
Index 618
Mary Jo Bowie, M.S., B.S., A.A.S., R.H.I.A., R.H.I.T., is the owner of Health Information Professional Services in Binghamton, New York. Her organization provides consulting services for all aspects of health information management. Previously, Ms. Bowie served as director of the Health Information Management and Medical Coding program at Mount Wachusett Community College in Gardner, Massachusetts. Widely respected in the field, she has consulted with health facilities for more than 35 years, conducted national training seminars on coding and health information management topics and regularly speaks at regional and national professional events. In addition to creating content for Cengage, Ms. Bowie develops instructional content for ICD-10-CM/PCS, CPT®/HCPCS and health data courses. She also teaches a variety of health information technology courses and is an active member of the American Health Information Management Association (AHIMA). In addition, she is a registered health information administrator, an accredited health information technician and was an AHIMA ICD-10-CM/PCS-approved trainer. Her education credentials include associate, bachelor's and master's degrees.