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Dr. Evan Gwilliam
• Education
• Bachelor’s of Science, Accounting - Brigham Young University
• Master’s of Business Administration - Broadview University
• Doctor of Chiropractic, Valedictorian - Palmer College of Chiropractic
• Certifications
• Certified Professional Coder (CPC) - AAPC
• Nationally Certified Insurance Coding Specialist (NCICS) - NCCT
• Certified Chiropractic Professional Coder (CCPC) - AAPC
• ChiroCode Certified Chiropractic Professional Coder (CCCPC) - ChiroCode
• Certified Professional Coder – Instructor (CPC-I) - AAPC
• Medical Compliance Specialist – Physician (MCS-P) - MCS
• Certified Professional Medical Auditor (CPMA) – AAPC, NAMAS
• Certified ICD-10 Trainer - AAPC
2
Overview
• Part 1 - ICD-10 fundamentals and navigation
• Part 2 - Coding conventions and guidelines
• Part 3 - ICD-10 code selection strategies
• Part 4 - Documentation improvement
***Specialty specific training
3
Tabular list layout
Chapter
21 of them
from A to Z
(body system
or condition)
Block
Ranges of
categories
(related
conditions)
Categories
3 characters
(more specific
condition)
Subcategories
4th or 5th
characters
(etiology,
location, etc.)
Codes
6th or 7th
characters
(laterality,
encounter, etc.)
4
5
Tabular
List
Chapter: 5,
Mental, Behavioral
and
Neurodevelopmen
tal disorders
(FØ1-F99)
Tabular list layout
Chapter
21 of them
from A to Z
(body system
or condition)
Block
Ranges of
categories
(related
conditions)
Categories
3 characters
(more specific
condition)
Subcategories
4th or 5th
characters
(etiology,
location, etc.)
Codes
6th or 7th
characters
(laterality,
encounter, etc.)
6
Tabular
List
7
Block: MOOD [AFFECTIVE]
DISORDERS (F30-F39)
(Always bold CAPS, lined above and
below)
Tabular list layout
Chapter
21 of them
from A to Z
(body system
or condition)
Block
Ranges of
categories
(related
conditions)
Categories
3 characters
(more specific
condition)
Subcategories
4th or 5th
characters
(etiology,
location, etc.)
Codes
6th or 7th
characters
(laterality,
encounter, etc.)
8
Tabular
List
9
Category:
F30- MANIC EPISODE
(Always all CAPS)
Tabular list layout
Chapter
21 of them
from A to Z
(body system
or condition)
Block
Ranges of
categories
(related
conditions)
Categories
3 characters
(more specific
condition)
Subcategories
4th or 5th
characters
(etiology,
location, etc.)
Codes
6th or 7th
characters
(laterality,
encounter, etc.)
10
Tabular
List
Subcategory:
F30.1- Manic episode without
psychotic symptoms
(Codes not in bold are incomplete)
11
Tabular list layout
Chapter
21 of them
from A to Z
(body system
or condition)
Block
Ranges of
categories
(related
conditions)
Categories
3 characters
(more specific
condition)
Subcategories
4th or 5th
characters
(etiology,
location, etc.)
Codes
6th or 7th
characters
(laterality,
encounter, etc.)
12
Note: Codes may be complete with fewer than 6 characters. Some codes only have 3.
Tabular
List
Highest specificity code:
F30.11 Manic episode without
psychotic symptoms, mild
(Complete codes are bolded.)
13
1. Find an ICD-10 category (three characters) you will frequently
use
2. Identify the fourth character descriptions and note key
differences
3. Identify the fifth character description (if applicable) for each
four-character subcategory and note key differences
4. Do the same for the sixth character (if applicable)
5. Check the guidelines at each level:
1. Code
2. Subcategory
3. Category
4. Block
5. Chapter
ICD-10 code breakdown
1. Find an ICD-10 category (three characters) you will frequently
use
2. Identify the fourth character descriptions and note key
differences
3. Identify the fifth character description (if applicable) for each
four-character subcategory and note key differences
4. Do the same for the sixth character (if applicable)
5. Check the guidelines at each level:
1. Code
2. Subcategory
3. Category
4. Block
5. Chapter
ICD-10 code breakdown
16
TabularList
1. Find an ICD-10 category (three characters) you will frequently
use
2. Identify the fourth character descriptions and note key
differences
3. Identify the fifth character description (if applicable) for each
four-character subcategory and note key differences
4. Do the same for the sixth character (if applicable)
5. Check the guidelines at each level:
1. Code
2. Subcategory
3. Category
4. Block
5. Chapter
ICD-10 code breakdown
18
TabularList
19
TabularList
1. Find an ICD-10 category (three characters) you will frequently
use
2. Identify the fourth character descriptions and note key
differences
3. Identify the fifth character description (if applicable) for each
four-character subcategory and note key differences
4. Do the same for the sixth character (if applicable)
5. Check the guidelines at each level:
1. Code
2. Subcategory
3. Category
4. Block
5. Chapter
ICD-10 code breakdown
21
TabularList
1. Find an ICD-10 category (three characters) you will frequently
use
2. Identify the fourth character descriptions and note key
differences
3. Identify the fifth character description (if applicable) for each
four-character subcategory and note key differences
4. Do the same for the sixth character (if applicable)
5. Check the guidelines at each level:
1. Code
2. Subcategory
3. Category
4. Block
5. Chapter
ICD-10 code breakdown
23
TabularList
1. Find an ICD-10 category (three characters) you will frequently
use
2. Identify the fourth character descriptions and note key
differences
3. Identify the fifth character description (if applicable) for each
four-character subcategory and note key differences
4. Do the same for the sixth character (if applicable)
5. Check the guidelines at each level:
1. Code
2. Subcategory
3. Category
4. Block
5. Chapter
ICD-10 code breakdown
25
TabularList
1. Find an ICD-10 category (three characters) you will frequently
use
2. Identify the fourth character descriptions and note key
differences
3. Identify the fifth character description (if applicable) for each
four-character subcategory and note key differences
4. Do the same for the sixth character (if applicable)
5. Check the guidelines at each level:
1. Code
2. Subcategory
3. Category
4. Block
5. Chapter
ICD-10 code breakdown
27
TabularList
1. Find an ICD-10 category (three characters) you will frequently
use
2. Identify the fourth character descriptions and note key
differences
3. Identify the fifth character description (if applicable) for each
four-character subcategory and note key differences
4. Do the same for the sixth character (if applicable)
5. Check the guidelines at each level:
1. Code
2. Subcategory
3. Category
4. Block
5. Chapter
ICD-10 code breakdown
29
ICD-9blocks
30
ICD-10blocks
31
ICD-10categories
32
33
FindACode
34
ProviderDocumentationGuide
35
ProviderDocumentationGuide
36
ProviderDocumentationGuide
37
ProviderDocumentationGuide
38
ProviderDocumentationGuide
39
ProviderDocumentationGuide
40
ProviderDocumentationGuide
41
ProviderDocumentationGuide
42
ProviderDocumentationGuide
43
ProviderDocumentationGuide
44
45
46
47
1. Find an ICD-10 category (three characters) you will frequently
use
2. Identify the fourth character descriptions and note key
differences
3. Identify the fifth character description (if applicable) for each
four-character subcategory and note key differences
4. Do the same for the sixth character (if applicable)
5. Check the guidelines at each level:
1. Code
2. Subcategory
3. Category
4. Block
5. Chapter
ICD-10 code breakdown
34 specialty specific
ICD-10 books
• More than 40 pages which teach
• Conventions
• Guidelines
• Implementation steps
• Specialty specific
• DSMICD-10 mapping
• ICD-9ICD-10 mapping
• Alpha Index
• Abridged Tabular List
Use “CureMD20” to save
$20 at InstaCode.com
50
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ICD-10 Training For Counseling, Psychology & Psychiatry.

  • 1. 1
  • 2. Dr. Evan Gwilliam • Education • Bachelor’s of Science, Accounting - Brigham Young University • Master’s of Business Administration - Broadview University • Doctor of Chiropractic, Valedictorian - Palmer College of Chiropractic • Certifications • Certified Professional Coder (CPC) - AAPC • Nationally Certified Insurance Coding Specialist (NCICS) - NCCT • Certified Chiropractic Professional Coder (CCPC) - AAPC • ChiroCode Certified Chiropractic Professional Coder (CCCPC) - ChiroCode • Certified Professional Coder – Instructor (CPC-I) - AAPC • Medical Compliance Specialist – Physician (MCS-P) - MCS • Certified Professional Medical Auditor (CPMA) – AAPC, NAMAS • Certified ICD-10 Trainer - AAPC 2
  • 3. Overview • Part 1 - ICD-10 fundamentals and navigation • Part 2 - Coding conventions and guidelines • Part 3 - ICD-10 code selection strategies • Part 4 - Documentation improvement ***Specialty specific training 3
  • 4. Tabular list layout Chapter 21 of them from A to Z (body system or condition) Block Ranges of categories (related conditions) Categories 3 characters (more specific condition) Subcategories 4th or 5th characters (etiology, location, etc.) Codes 6th or 7th characters (laterality, encounter, etc.) 4
  • 6. Tabular list layout Chapter 21 of them from A to Z (body system or condition) Block Ranges of categories (related conditions) Categories 3 characters (more specific condition) Subcategories 4th or 5th characters (etiology, location, etc.) Codes 6th or 7th characters (laterality, encounter, etc.) 6
  • 7. Tabular List 7 Block: MOOD [AFFECTIVE] DISORDERS (F30-F39) (Always bold CAPS, lined above and below)
  • 8. Tabular list layout Chapter 21 of them from A to Z (body system or condition) Block Ranges of categories (related conditions) Categories 3 characters (more specific condition) Subcategories 4th or 5th characters (etiology, location, etc.) Codes 6th or 7th characters (laterality, encounter, etc.) 8
  • 10. Tabular list layout Chapter 21 of them from A to Z (body system or condition) Block Ranges of categories (related conditions) Categories 3 characters (more specific condition) Subcategories 4th or 5th characters (etiology, location, etc.) Codes 6th or 7th characters (laterality, encounter, etc.) 10
  • 11. Tabular List Subcategory: F30.1- Manic episode without psychotic symptoms (Codes not in bold are incomplete) 11
  • 12. Tabular list layout Chapter 21 of them from A to Z (body system or condition) Block Ranges of categories (related conditions) Categories 3 characters (more specific condition) Subcategories 4th or 5th characters (etiology, location, etc.) Codes 6th or 7th characters (laterality, encounter, etc.) 12 Note: Codes may be complete with fewer than 6 characters. Some codes only have 3.
  • 13. Tabular List Highest specificity code: F30.11 Manic episode without psychotic symptoms, mild (Complete codes are bolded.) 13
  • 14. 1. Find an ICD-10 category (three characters) you will frequently use 2. Identify the fourth character descriptions and note key differences 3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences 4. Do the same for the sixth character (if applicable) 5. Check the guidelines at each level: 1. Code 2. Subcategory 3. Category 4. Block 5. Chapter ICD-10 code breakdown
  • 15. 1. Find an ICD-10 category (three characters) you will frequently use 2. Identify the fourth character descriptions and note key differences 3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences 4. Do the same for the sixth character (if applicable) 5. Check the guidelines at each level: 1. Code 2. Subcategory 3. Category 4. Block 5. Chapter ICD-10 code breakdown
  • 17. 1. Find an ICD-10 category (three characters) you will frequently use 2. Identify the fourth character descriptions and note key differences 3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences 4. Do the same for the sixth character (if applicable) 5. Check the guidelines at each level: 1. Code 2. Subcategory 3. Category 4. Block 5. Chapter ICD-10 code breakdown
  • 20. 1. Find an ICD-10 category (three characters) you will frequently use 2. Identify the fourth character descriptions and note key differences 3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences 4. Do the same for the sixth character (if applicable) 5. Check the guidelines at each level: 1. Code 2. Subcategory 3. Category 4. Block 5. Chapter ICD-10 code breakdown
  • 22. 1. Find an ICD-10 category (three characters) you will frequently use 2. Identify the fourth character descriptions and note key differences 3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences 4. Do the same for the sixth character (if applicable) 5. Check the guidelines at each level: 1. Code 2. Subcategory 3. Category 4. Block 5. Chapter ICD-10 code breakdown
  • 24. 1. Find an ICD-10 category (three characters) you will frequently use 2. Identify the fourth character descriptions and note key differences 3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences 4. Do the same for the sixth character (if applicable) 5. Check the guidelines at each level: 1. Code 2. Subcategory 3. Category 4. Block 5. Chapter ICD-10 code breakdown
  • 26. 1. Find an ICD-10 category (three characters) you will frequently use 2. Identify the fourth character descriptions and note key differences 3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences 4. Do the same for the sixth character (if applicable) 5. Check the guidelines at each level: 1. Code 2. Subcategory 3. Category 4. Block 5. Chapter ICD-10 code breakdown
  • 28. 1. Find an ICD-10 category (three characters) you will frequently use 2. Identify the fourth character descriptions and note key differences 3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences 4. Do the same for the sixth character (if applicable) 5. Check the guidelines at each level: 1. Code 2. Subcategory 3. Category 4. Block 5. Chapter ICD-10 code breakdown
  • 32. 32
  • 44. 44
  • 45. 45
  • 46. 46
  • 47. 47
  • 48. 1. Find an ICD-10 category (three characters) you will frequently use 2. Identify the fourth character descriptions and note key differences 3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences 4. Do the same for the sixth character (if applicable) 5. Check the guidelines at each level: 1. Code 2. Subcategory 3. Category 4. Block 5. Chapter ICD-10 code breakdown
  • 49. 34 specialty specific ICD-10 books • More than 40 pages which teach • Conventions • Guidelines • Implementation steps • Specialty specific • DSMICD-10 mapping • ICD-9ICD-10 mapping • Alpha Index • Abridged Tabular List Use “CureMD20” to save $20 at InstaCode.com
  • 50. 50
  • 51. 51

Notas do Editor

  1. Let’s see how this looks in a coding manual. This is the beginning of chapter 8, which covers Diseases of the Ear and Mastoid Process. Every code in this chapter begins with the letter “H”. It spans the range of H60 to H95. Notice all of the rules listed under the chapter heading. These guidelines apply to every code in this chapter, so it is important to come back to them from time to time to make sure your code is the right one.
  2. A chapter is divided into blocks, or a range of three-digit categories. This one is Diseases of Middle Ear and Mastoid (H65-H75). If there were guidelines that pertained to the whole block, they would appear under this heading. The formatting here makes it easy to see when a new block begins.
  3. Blocks are divided into three-digit categories. This one, H65.-, is for “nonsuppurative otitis media”. Notice that the formatting here makes it easy to spot when you are at the beginning of a new category because of the line above the three-character heading. Also notice that H65.- is followed by a hyphen, which indicates that this is not a complete code. All of the complete codes on this page lack a hyphen and are in bold. Some complete codes on this page have five and six characters.
  4. Once you add a fourth or fifth character you have entered a subcategory. This one is ‘acute serous otitis media,’ which is a condition where fluid is trapped in the middle ear and can become infected. Notice that the subcategory is still not a complete code because it is not in bold and it has a hyphen, which tips off the reader that he or she needs to keep adding characters. However, there is a second diagnosis present under the subcategory description that indicates these codes also apply to patients diagnosed with ‘acute and subacute secretory otitis’ This is when thee fluid that has accumulated behind the eardrum, during the acute infection, remains after the infection resolves. The fifth character specifies laterality. We will come back and visit this code category in a minute.
  5. A complete code may contain anywhere from three to seven characters. Complete codes are listed in bold print and do not have a hyphen. When a bolded, six-character code is followed by an underscore (_) in this book, it signifies a 7th and final character is required to complete the code.
  6. The examples shown to you were from the InstaCode ICD-10 specialty books. There are 24 different specialties, each with their own customized ICD-10 guide and Tabular List. Come to our booth to see some examples and get a flyer. We have special pricing available for those who wish to order one today.