ICD-10 notes..
Table of Contents
Other Learning Helper.
- Becoming a Clinical Coder Trainee.
- ICD-10 for Kindergarten.
- The (next) Official index
Overview.
- use the tabular index 00:10:13
- laterality 1: right, 2:left, 3 bilateral
- If documentation states bilateral but not bilateral code is available code each side separately.
- Combination: classify 2 diagnoses:
- A diagnosis with an associated secondary process or
- An associated complication.
- Sequela: A residual effect produced after the acute phase of an illness or injury is past.
- Signs or symptoms codes: Used when the diagnosis has not been established by the end of the encounter
- Not used for signs and symptoms that are integral to a given diagnosis.
- If symptoms are present beyond what is integral to a given diagnosis code those symptoms.
Chapter1 A00-B99
Certain Infections & Parasitic Diseases.
- Which appear in so many different diseases so here as entities &|or as appearing so often as combination & multiple coding.
- B97-B97, Bacterial & Infectious Agents.
infectious codes in other chapter do not contain causal organism.
- Codes from this range are used as additional codes to infections coded in other chapters.
- Infection codes provide instructions referencing B95-B97.
- Infection resistant to antibiotics.
- Any documented antibiotic resistance must be coded.
Z16
, resistance to antimicrobial drugs if infection code does not specify resistance.
Z16
codes are not used when methicillin resistance is identify in the MRSA.- Do not assign additional B95 category MRSA codes if combination codes are available. Example A41.02 (sepsis due to methicillin resistance staphylococcus aureus)
- Any documented antibiotic resistance must be coded.