
Introduction to ICD-10-CM Outpatient Diagnostic Coding
Course Title: Introduction to ICD-10-CM Diagnostic Coding
Course Description: This introductory course provides a comprehensive overview of the ICD-10-CM coding system, focusing on the fundamental principles and practical application of diagnostic coding. Students will learn how to accurately assign codes to diagnoses, understand the structure and guidelines of the ICD-10-CM manual, and develop the skills necessary for entry-level coding positions in healthcare settings.
Course Objectives: Upon successful completion of this course, students will be able to:
Understand the history and purpose of ICD-10-CM.
Navigate the ICD-10-CM manual effectively.
Apply the general coding guidelines and conventions.
Accurately assign ICD-10-CM codes to common diagnoses.
Understand the relationship between diagnosis codes and healthcare reimbursement.
Recognize the importance of accurate coding in healthcare documentation.
Course Outline/Topics:
Module 1: Introduction to ICD-10-CM
History and purpose of ICD-10-CM
Structure of the ICD-10-CM manual (Alphabetic Index, Tabular List)
Key terminology and definitions
Overview of the general coding guidelines
Module 2: ICD-10-CM Coding Conventions
"Includes" and "Excludes" notes
"Code also" and "Use additional code" instructions
"See" and "See also" references
Abbreviations and symbols
"NEC" and "NOS"
Laterality
Module 3: General Coding Guidelines
Locating codes in the Alphabetic Index and Tabular List
Importance of accurate documentation
Coding to the highest level of specificity
Coding signs and symptoms vs. definitive diagnoses
Acute vs. Chronic conditions
Module 4: Coding Specific Conditions (Part 1)
Coding infectious and parasitic diseases
Coding neoplasms (cancers)
Coding diseases of the blood and blood-forming organs
Coding Endocrine, nutritional and metabolic diseases.
Module 5: Coding Specific Conditions (Part 2)
Coding mental and behavioral disorders
Coding diseases of the nervous system
Coding diseases of the eye and ear
Coding diseases of the circulatory system.
Module 6: Coding Specific Conditions (Part 3)
Coding diseases of the respiratory system
Coding diseases of the digestive system
Coding diseases of the skin and subcutaneous tissue
Coding diseases of the musculoskeletal system and connective tissue.
Module 7: Coding Specific Conditions (Part 4)
Coding diseases of the genitourinary system.
Coding pregnancy, childbirth, and the puerperium.
Coding certain conditions originating in the perinatal period.
Coding congenital malformations, deformations, and chromosomal abnormalities.
Module 8: Coding Injuries and External Causes
Coding injuries, poisonings, and certain other consequences of external causes
Use of external cause codes (V, W, X, Y codes)
Sequencing external cause codes.
Module 9: Practical Application and Review
Case studies and coding exercises
Review of coding guidelines and conventions
Discussion of common coding errors
Overview of the relationship between coding and reimbursement.
Module 10: Professionalism and Career Development
HIPAA and patient privacy.
The importance of accurate and ethical coding.
Career paths in medical coding.
Resources for continued learning and certification.
Assessment Methods:
Quizzes
Coding exercises
Case study assignments
Final examination
Required Materials:
ICD-10-CM code book (current edition)
This outline provides a solid foundation for an introductory ICD-10-CM coding course. Remember to adapt the content and assessment methods to your specific audience and learning objectives.
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Module 1: Introduction to the ICD-10-CM
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Module 2: ICD-10-CM Coding Conventions
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Lesson 5: "Includes" and "Excludes" Notes – Deciphering the Fine Print
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Lesson 6: "Code Also" and "Use Additional Code" Instructions – Capturing the Complete Clinical Picture
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Lesson 7: "See" and "See Also" References – Your Navigational Guides
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Lesson 8: Abbreviations and Symbols – Deciphering the Shorthand
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Lesson 9: "NEC" and "NOS" – Understanding the Unspecified and Unclassified
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Lesson 10: Laterality – Right, Left, or Bilateral?
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Module 3: General Coding Guidelines
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Module 4: Coding Specific Conditions (Part 1)
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Module 5: Coding Specific Conditions (Part 2)
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Module 6: Coding Specific Conditions (Part 3)
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Module 7: Coding Specific Conditions (Part 4)
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Module 8: Coding Injuries and External Causes
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Module 9: Practical Application and Review
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Module 10: Professionalism and Career Development