Clinical documentation, Hospital inpatient, Training
These tables of new ICD-10-PCS codes (from all sections excluding the Medical and Surgical section) are organized by body system and operation for easy use that will allow coding professionals to quickly find the new codes.
Clinical documentation, Hospital inpatient, Training
These tables of new ICD-10-PCS codes in the Medical and Surgical section are organized by body system and operation for easy use that will allow coding professionals to quickly find the new codes.
Clinical documentation, Hospital inpatient, Training
Multiple organ dysfunction syndrome (MODS) is a severe condition characterized by the failure of more than one organ system, often induced by a critical illness or injury. Because MODS does not have a specific ICD-10-CM code, coders face the challenge of capturing the full complexity of the condition. As a result, each organ dysfunction within the syndrome must be individually identified and coded.
Understanding the various organ systems involved and recognizing the specific dysfunctions can help coders accurately report the condition, ensuring precise documentation and contributing to better clinical outcomes. Below are characteristics for the dysfunctions of commonly affected organs so that coders know what to look for in the medical record.
Clinical documentation, Hospital inpatient, Training
This exercise is designed to help coders practice reading and interpreting operative reports related to the gastrointestinal system. As you review the operative information, your task is to assign the correct ICD-10-CM and ICD-10-PCS codes. Pay close attention to the specific terminology used in the report, including diagnoses, procedures, and any relevant anatomical references, and remember to reference coding guidelines. Once you have filled in your codes, you may scroll further down to reveal the answers.
Clinical documentation, Hospital inpatient, Training
This infographic provides coders with guidelines for properly selecting a principal diagnosis when one is not clearly established, which can help promote consistency, reduce the risk of coding errors, and enhance overall coding accuracy.
Coders can use this infographic to access a collection of reliable, up-to-date ICD-11 training references and resources, allowing them to navigate the complexities of the new coding standards ahead of the change. This information was taken from the HCPro webinar “ICD-11: Change is Coming,” presented by Michelle Badore, a global clinical and nosology content manager at Solventum, and Kaycie LeSage, MSHCM, RHIA, CCS, CDIP, CPC, the domestic clinical nosology manager at Solventum.
