ICD10 Complete Training

7/25/2019 ICD10 Complete Training

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ICD-10-CM Training

LART Consulting Group, Inc. 2015 1

Kimatta !inson, R"IALART Consulting Group, Inc.


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#cto$%r 1, 2015

ICD-10-CM Gr%at%r &%tail,

granularit

Introduction

2LART Consulting Group, Inc. 2015


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Introduction

'%ssion 1( Co&ing proc%ss

)LART Consulting Group, Inc. 2015


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Introduction

*+,000 ICD-10-CM

1,000

ICD-+-CM

'p%cicit

'i/t an& s%%nt &igit%/t%nsions ar% r%uir%&.

LART Consulting Group, Inc. 2015


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ICD-9-CM ICD-10-CM Consists of three to ve

digits First digit is numeric or

alpha (E or ! "econd# third# fourth#

and fth digits arenumeric

$l%a&s at least threedigits

Decimal placed after therst three digits

$lpha characters are not

case- sensitive

Consists o3 tr%% to s%%ncaract%rs

4irst caract%r is alpa All l%tt%rs ar% us%& %/c%pt Caract%r 2 al6as num%ric Caract%rs ) troug 7 can

$% alpa or num%ric D%cimal plac%& a3t%r t%

rst tr%% caract%rs Alpa caract%rs ar% not

cas%-s%nsiti%

ICD-9-CM Code Format ICD-10-CM Co&% 4ormat

) categor& etiolog

anatomic site#manifestation

9 9 9 . 9 9 9 9cat%gor %tiolog, %/t%nsion anatomic sit%, s%%rit

Introduction

Co&% 'tructur%



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Capt%r 1T% Co&ing :roc%ss

4irst s%u%nc%&, most important

T% ni3orm "ospital Discarg% Data '%t;"DD'< &%nition stat%s( =tat con&ition

%sta$lis%& a3t%r stu& to $% ci%>r%sponsi$l% 3or occasioning t% a&mission o3t% pati%nt to t% ospital 3or car%.?

:rincipal &iagnosis@rst list%& co&%(s%u%ncing $as%& rst on con%ntions

o s%u%ncing instructions( $as%& on t%con&ition tat $rougt pati%nt

'%l%ction o3 :rincipal or 4irst List%& Diagnosis

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BList t% principal@rst list%&&iagnosis

BAssign t% co&% to t% ig%stl%%l o3 sp%cicit.

B%%r us% a =rul%-out,? =pro$a$l%,?

=possi$l%,? or =susp%ct? stat%m%ntB% sp%cic

ICD-10-CM an& M%&ical %c%ssit



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ICD-10-CM co&%s partn%rsip 6it

C:T proc%&ural Diagnosis co&%s i&%nti3 t%

m%&ical n%c%ssit

C:T co&%s nor ICD-10-CM co&%scan stan& alon%

ICD-10-CM an& M%&ical %c%ssit

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Acut% an& cronic con&itions.

I&%nti3 acut% con&ition ;i.%.coma, loss o3 consciousn%ss,%morrag%


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Diagnos%s( r%sponsi$ilit o3 t%r%n&%ring proi&%r.

oint %Hort is %ss%ntial

Gui&%lin%s 6%r% &%%lop%& toassist

G%n%ral Co&ing Gui&%lin%s



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't%ps in t% Co&ing :roc%ss

Alpa$%tic In&%/ ;!olum% 2< an& t%Ta$ular List ;!olum% 1


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'i/ ss%ntial 't%ps

't%p 1( I&%nti3 t% main t%rm.

't%p 2( Locat% in t% Alpa$%tic In&%/,

!olum% 2. 't%p )( R%3%r to an cross-r%3%r%nc%s an&

not%s.

't%p ( R%3%r to an mo&i%rs.

't%p 5( !%ri3 t% co&% num$%r in t%Ta$ular List, !olum% 1.

't%p *( Co&% to t% ig%st l%%l o3

sp%cicit. 12LART Consulting Group, Inc. 2015


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Do not co&% &iagnos%s as =pro$a$l%,? =possi$l%,?=susp%ct%&,? =u%stiona$l%,? or =rul% out.?

Co&% t% signs, smptoms, an& a$normal t%str%sult;s< or ot%r r%ason 3or t% isit.

Mani3%stations ar% caract%ristic signs or smptomso3 an illn%ss.

'igns an& smptoms tat point rat%r &%nit%l to agi%n &iagnosis ar% assign%& to t% appropriat% ICD-10-CM co&%.

Co&ing nc%rtain Diagnos%s

1)LART Consulting Group, Inc. 2015


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'ign or smptom us%& onl 6%nno &%niti% &iagnosis

Conrm%& prior to co&ing ...

Gui&%lin% Tip



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ilat%ral sit%s( 4inal caract%r in&icat%s

lat%ralit. Rigt si&%( Caract%r 1

L%3t si&%( Caract%r 2

ilat%ral co&%( Al6as )

nsp%ci%& si&% co&% %it%r a caract%r 0or +

Lat%ralit



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Assign tr%%-caract%r co&%s onl i3 t%r% ar% no 3ourt-

caract%r co&%;s< 6itin tat co&% cat%gor. Assign a 3ourt-caract%r co&% onl i3 t%r% is no 3t-

caract%r su$classication 3or tat cat%gor.

Assign t% 3t- or si/t-caract%r su$classication co&% 3ortos% cat%gori%s 6%r% it %/ists.

DonJt 3org%t to assign t% s%%nt-caract%r %/t%nsion 6ic

3urt%r i&%nti%s t% con&ition i3 aaila$l%, an& us% &ummplac%ol&%rs =/? 6%n a 3t or si/t caract%r is not &%n%&in t% co&%.

4ollo6 t%s%gui&%lin%s

1*LART Consulting Group, Inc. 2015


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Capt%r 2

'%ssion 2( #%ri%6 o3 Cont%nt an&4ormat



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Capt%r 2#%ri%6 o3 Cont%nt an& 4ormat

n&%rstan&(

4ormat

Alpa$%tic In&%/ an& Ta$ular List L%%l o3 sp%cicit

D%monstrat% no6l%&g% o3 t% ICD-10-CM

cont%nt an& 3ormat

LART Consulting Group, Inc. 2015 1E


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Alpanum%ric cat%gori%s rat%r tan num%riccat%gori%s.

R%arrang%& capt%rs. Titl% cang%s.

R%group%& con&itions.

ICD-10 as almost t6ic% as man cat%gori%s as ICD-+.

Minor cang%s a% $%%n ma&% in t% co&ing rul%s 3ormortalit.

ot%( Cat%gor r%structuring an& co&% r%organiation

LART Consulting Group, Inc. 2015 1+


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T6o parts(

'%ction 1In&%/ to Dis%as%s an& atur% o3 InFur.

%oplasm Ta$l%.

Ta$l% o3 Drugs an& C%micals.

'%ction 2 In&%/ to /t%rnal Caus%s.

Alpa$%tic In&%/



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/ampl%(

$*errant (congenital! N see also Malposition, cong%nital- a&r%nal glan& OE+.1

- art%r ;p%rip%ral< O27.E

-- $asilar C O2E.1

-- c%r%$ral O2E.)- $r%ast OE).E

Alpa$%tic In&%/



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Coding +ip,T%s% co&%s 6oul& $% r%a&(

OE+.1, Cong%nital mal3ormations o3 a&r%nalglan&

O27.E, #t%r sp%ci%& cong%nital mal3ormationso3 p%rip%ral ascular sst%m

O2E.1, #t%r mal3ormations o3 pr%c%r%$ral%ss%ls

O2E.), #t%r mal3ormation o3 c%r%$ral %ss%ls

OE).E, #t%r cong%nital mal3ormations o3 $r%ast

Alpa$%tic In&%/



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Morpolog co&%s

o long%r in Alpa$%tic In&%/ Mani3%station co&%s


Alpa$%tic In&%/

LART Consulting Group, Inc. 2015 2)


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21 capt%rs

'u$&ii&%&( locs o3 tr%%alpanum%ric caract%r cat%gori%s

Ta$ular List



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/ampl%(

Capt%r 7( Dis%as%s o3 t% %% an& a&n%/a;"00-"5+ @rgani


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Chapter 9: "iseases of the circulator,s,ste! (00 . 99)

Cang%s( #r&%r o3 con&itions( Isc%mic %art &is%as%

;I20-I25< ICD-+-CM( Acut% mocar&ial in3arction

ICD-10-CM( Angina p%ctoris


p#rganiation an& Classication o3 Dis%as%s an&

Disor&%rs

Capt%r 5


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Examples:ICD-+-CM 10, Acut% mocar&ial in3arction

ICD-10-CM I21, 'T %l%ation ;'TMI< an& non-'T

%l%ation ;'TMI< mocar&ial in3arctionICD-+-CM 11.1, Int%rm%&iat% coronar sn&rom%

ICD-10-CM I20.0, nsta$l% angina

ICD-+-CM 11.E1, Acut% coronar occlusion 6itout

mocar&ial in3arction

ICD-10-CM I2.0, Acut% coronar trom$osis not r%sultingin mocar&ial in3arction



Disor&%rs

Capt%r 5


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'om% r%classications(

Gangr%n%

ICD-+-CM 7E5.

Capt%r 1*

ICD-10-CM

I+* Capt%r +

ins6ang%rJs &is%as% I*7.)

LART Consulting Group, Inc. 2015 E0


Disor&%rs

Capt%r 5


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"p%rt%nsion ICD-+-CM classi3 tp%

%nign

Malignant

nsp%ci%&

ICD-10-CM

o long%r classi3 tp%


#rganiation an& Classication o3 Dis%as%s an&Disor&%rs

Capt%r 5


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$ctivit& . Chapter 9 @rgani


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Chapter 10: "iseases of the respirator,s,ste! (300-399)

'imilar to ICD-+-CM Dis%as%s r%arrang%&

p-to-&at% t%rminolog

LART Consulting Group, Inc. 2015 E)


Capt%r 5


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)( mps%ma :anlo$ular %mps%ma

C%ntrilo$ular %mps%ma

5( Astma

Mil& int%rmitt%nt

Mil& p%rsist%nt

Mo&%rat% p%rsist%nt

'%%r% p%rsist%nt

LART Consulting Group, Inc. 2015 E


Capt%r 5


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ICD-10-CM Acut% r%curr%nt sinusitis

ICD-+-CM o sp%cic co&% 3or acut% r%curr%nt

sinusitis

10.E /pan&%&

20 R%>%ct mani3%stations o3 acut%

$roncitis LART Consulting Group, Inc. 2015 E5


Capt%r 5


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Chapter 11: "iseases of the di%estives,ste! (400-49&)

%6 su$capt%rs Dis%as%s o3 t% li%r

T%rminolog cang%s

R%isions



Capt%r 5


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"%morrag%( ulc%rs

l%%&ing( gastritis, &uo&%nitis,&i%rticulosis, &i%rticulitis

K25.0, Acut% gastric ulc%r 6it%morrag%

K2+.01, Acut% gastritis 6it $l%%&ing

K57.)1, Di%rticulosis o3 larg% int%stin%6itout p%r3oration or a$sc%ss 6it$l%%&ing

LART Consulting Group, Inc. 2015 EE


Capt%r 5# i i & Cl i i 3 i &


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K50, CronJs &is%as% /pan&%& 3ourt, 3t, si/t caract%r

4ourt caract%r( sp%ci%s sit%

4i3t caract%r( complication pr%s%nt 'i/t caract%r( classi%s sp%cic

complication

LART Consulting Group, Inc. 2015 E+


Capt%r 5# i i & Cl i i 3 Di &


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ICD-+-CM #$struction

:r%s%nc% or a$s%nc%

Classi3ing ulc%rs

ICD-10-CM #$struction

o long%r part o3 ulc%r co&% structur%

LART Consulting Group, Inc. 2015 +0


Capt%r 5# i ti & Cl i ti 3 Di &


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Chapter 12: "iseases of s5in andsubcutaneous tissue (600-699)

Compl%t% r%structuring

Gr%at%r sp%cicit 4ourt-

4i3t-

'i/t-

/pan&%& to nin% su$capt%rs





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#rganiational cang% 'u$capt%r

Ra&iation r%lat%& Disor&%rs sin, su$cutan%ous tissu%

LART Consulting Group, Inc. 2015 +)




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Titl% cang%sTo&aJs t%rminolog

An&rog%nic alop%cia

ot in ICD-+-CM

Classication impro%m%nt A&&ition o3 caract%rs

D%cu$itus ulc%r 'it% an& s%%rit

LART Consulting Group, Inc. 2015 +


Capt%r 5#rgani ation an& Classication o3 Dis%as%s an&


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ICD-+-CM :r%ssur% ulc%r stag%s, 4U 200+

R%uir% t6o co&%s 3or sp%cicit

ICD-10-CM

'it%, lat%ralit, stag%

#n% co&%



Capt%r 5#rganiation an& Classication o3 Dis%as%s an&


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Chapter 1$: "iseases of the!usculos5eletal s,ste! andconnective tissue (*00-*99)

Man mor% su$capt%rs

Almost %%r co&% %/pan&%&

Co&%s mo%& to Capt%r 1)





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/ampl%s( Cat%gor 27, Gout in ICD-+-CM, Capt%r )( n&ocrin%,

utritional an& M%ta$olic Dis%as%s an& Immunit Disor&%rs M10, Gout, in ICD-10-CM Capt%r 1)

Co&% 2*E.2, #st%omalacia, unsp%ci%& in ICD-+-CM Capt%r) ME), A&ult ost%omalacia, in ICD-10-CM Capt%r 1)

Co&% 52., Malocclusion, unsp%ci%& in ICD-+-CM Capt%r+( Dis%as%s o3 t% Dig%sti% 'st%m M2*., Malocclusion, unsp%ci%&, in ICD-10-CM Capt%r 1)

Cat%gor ME0 Tp%s o3 ost%oporosis

#n% com$ination co&%

LART Consulting Group, Inc. 2015 +E




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'%%nt caract%rs(

A initial %ncount%r 3or 3ractur%

D su$s%u%nt %ncount%r 3or 3ractur% 6it routin%%aling

G su$s%u%nt %ncount%r 3or 3ractur% 6it &%la%&%aling

K su$s%u%nt %ncount%r 3or 3ractur% 6itnonunion

: su$s%u%nt %ncount%r 3or 3ractur% 6itmalunion

' s% u%la% LART Consulting Group, Inc. 2015 ++




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Chapter 1#: "iseases of the %enitourinar,s,ste! (00-99)

Classi%& %ls%6%r% #6n cat%gor

n& o3 %ac $loc

Cat%gor 0E, Glom%rular Glom%rulon%pritis, n%pritis, an&

n%propat





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Mal% %r%ctil% &s3unction Cat%gor 52, ICD-10-CM

'ingl% co&%, *07.E, ICD-+-CM





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Co&ing Tip( :ost-traumatic ur%tral strictur%

I&%nti3 g%n&%r in ICD-10-CM ot n%c%ssar in ICD-+-CM





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Capt%r *

'%ssion *( #rganiation an&Classication o3 Dis%as%s an&

Disor&%rs

ICD-10-CM Capt%rs 15 - 21


Capt%r *#rganiation an& Classication o3 Dis%as%s an&


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Chapter 1&: Pre%nanc, childbirth andthe puerperiu! (700-79A)

Classication cang%s ICD-10-CM i&%nti%s trim%st%r

4i3t- an& si/t- caract%r l%%l

o long%r %piso&% o3 car%


LART Consulting Group, Inc. 2015 10*



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Co&% titl% cang%s ICD-+-CM

Inl%t contraction o3 p%lis, *5).2

ICD-10-CM Mat%rial car% 3or &isproportion &u% to inl%t

contractions o3 p%lis, #)).2





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#t%r %/ampl%s o3 titl% cang%s(ICD-+-CM *5, A$normalit o3 organs an& so3t tissu%s o3p%lis

ICD-10-CM #), Mat%rnal car% 3or a$normalit o3 p%licorgans

ICD-+-CM **, Trauma to p%rin%um an& ula &uring

&%li%rICD-10-CM #70, :%rin%al lac%ration &uring &%li%r





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l%cti% a$ortion L%gal or t%rap%utic

ICD-+-CM, a$ortion co&%s

l%cti% a$ortion ;6itout complication< ICD-10-CM, Capt%r 21

V)).2, ncount%r 3or %l%cti% a$ortion o3 pr%gnanc

Complications o3 in&uc%& t%rmination o3pr%gnanc Cat%gor #0





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/ampl%(@46 Maternal care for malpresentation of fetus

#n% o3 t% 3ollo6ing s%%nt caract%rs is to $% assign%&

to %ac co&% un&%r cat%gor #)2.

0 not applica$l% or unsp%ci%&

1 3%tus 1

2 3%tus 2

) 3%tus )

3%tus

5 3%tus 5

* ot%r 3%tus





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#$struct%& la$or co&%s ICD-+-CM

2 co&%s #$struct%& la$or &u% to 3ac% pr%s%ntation

**0.09, #$struction caus%& $ malposition o3 3%tus atons%t o3 la$or

*52.9, 4ac% or $ro6 pr%s%ntation

ICD-10-CM 1 co&%

#*.299-, #$struct%& la$or &u% to 3ac% pr%s%ntation





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Chapter 1+: Certain conditionsori%inatin% in the perinatal period (P00-P9+)

%6 su$capt%rs

R%spirator an& car&ioascular &isor&%rs

Group%& tog%t%r, $loc :1+-:2+





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T%rminolog cang%s :00-:0, %6$orns aH%ct%& $ mat%rnal 3actors an& $

complications o3 pr%gnanc, la$or, an& &%li%r

='usp%ct%& to $%?

on%ss%ntial mo&i%r

/ampl%s(

:00.), %6$orn ;susp%ct%& to $%< aH%ct%& $ ot%r mat%rnalcirculator an& r%spirator &is%as%s

:00., %6$orn ;susp%ct%& to $%< aH%ct%& $ mat%rnalnutritional &isor&%rs

:00.5, %6$orn ;susp%ct%& to $%< aH%ct%& $ mat%rnal inFur


# ga a o a & C ass ca o o s%as%s a &Disor&%rs



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Classication r%isions :05, Disor&%rs o3 n%6$orn r%lat%& to slo6

gro6t an& 3%tal malnutrition 'u$classication 3or 2500 g

o long%r an option


gDisor&%rs



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$ctivit& . Chapter 1A @rgani


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Chapter 1/: Con%enital !alfor!ationsdefor!ations and chro!oso!alabnor!alities (800-899)

Impro%& arrang%m%nt p-to-&at% t%rminolog

/ampl%

BA1 C&stic idne& disease O*1.0, Cong%nital r%nal cst

O*1.1, :olcstic i&n%, in3antil% tp%

O*1.2, :olcstic i&n%, a&ult tp%LART Consulting Group, Inc. 2015 117

gDisor&%rs



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Classication cang%s/ampl%s(

O)5.1, Cl%3t ar& palat%

O)5.), Cl%3t so3t palat%O)5.5, Cl%3t ar& palat% 6it cl%3t so3tpalat%

O)5.7, Cl%3t uulaO)5.+, Cl%3t palat%, unsp%ci%&


gDisor&%rs



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Chapter 1': S,!pto!s si%ns andabnor!al clinical and laborator,ndin%s not elsehere classied (;00-;99)

#rganiational cang%s G%n%ral smptoms an& signs

R%lat%& sp%cicall to a $o& sst%m


gDisor&%rs



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Examples:ICD-+-CM ;Capt%r 7< 27.E+, #t%r sp%ci%& car&iac

&srtmias

ICD-10-CM ;Capt%r 1E< R00.1, ra&car&ia, unsp%ci%&

ICD-+-CM ;Capt%r E< 511.0, :l%uris 6itout m%ntion o3

%Husion or curr%nt tu$%rculosis

ICD-10-CM ;Capt%r 1E< R0+.1, :l%uris

ICD-+-CM ;Capt%r +< 527.7, Distur$anc% o3 saliar s%cr%tion

ICD-10-CM ;Capt%r 1E< R*E.2, Dr mout, unsp%ci%&


Disor&%rs



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Classication cang% "%maturia

Co&%& in Capt%r 1Enl%ss inclu&%& 6it un&%rling

con&ition

Co&% in Capt%r 1


Disor&%rs



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$ctivit& . Chapter 1> @rgani


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Chapter 19: n'')

ICD-+-CMTp% o3 inFur, rst a/is o3 classication

ICD-10-CM

o& r%gion inFur%&


Disor&%rs



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Con&itions tat 3ollo6 sit%( 'up%rcial inFur

#p%n 6oun&

4ractur%

Dislocation an& sprain

InFur o3 n%r%s

InFur o3 $loo& %ss%ls

InFur o3 muscl% an& t%n&on Crusing inFur

Traumatic amputation

#t%r an& unsp%ci%& inFuri%sLART Consulting Group, Inc. 2015 125

Disor&%rs



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Titl% cang%s

ICD-10-CM &%scriptors( Displac%&

on&isplac%&

ot us%& in ICD-+-CM

LART Consulting Group, Inc. 2015 12*

Disor&%rs



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locs T20-T)2 Classi3 $urns an& corrosions

Corrosion n%6 in ICD-10-CM

urn co&%sT%rmal $urns, %/c%pt sun$urns

l%ctricit an& ra&iation

Corrosion C%mical $urns


Disor&%rs



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Classication cang%T)*-T50, :oisonings $ an& a&%rs% %H%ct

o3 &rugs, m%&icam%nts, an& $iologicalsu$stanc%s

%6 t%rm

n&%r&osing


Disor&%rs


i &


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Example:+A)1 /oisoning * adverse eect of#and underdosing of calcium-channel

*locers T*.191, :oisoning $ calcium-cann%l $loc%r, acci&%ntal

;unint%ntional

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