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.
