Additional Information
Book Details
Abstract
‘Learn by doing’ with this comprehensive guide to facility-based coding! ICD-10-CM/PCS Coding: Theory and Practice, 2017 Edition provides an in-depth understanding of inpatient diagnosis and procedure coding. It combines basic coding principles, clear examples, plenty of challenging exercises, and the ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting to ensure coding accuracy using the latest codes. From leading medical coding authority and AHIMA-approved ICD-10 Trainer Karla Lovaasen, this expert resource will help you succeed whether you’re learning to code for the first time or making the transition to ICD-10!
- F 30-day access to TruCode® encoder on the Evolve companion website provides realistic practice with using an encoder.
- Coding examples and exercises let you apply concepts and practice coding with ICD-10-CM/PCS codes.
- UPDATED Illustrations and examples of key diseases help you understand how commonly encountered conditions relate to ICD-10-CM coding.
- ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting provide fast, easy access instruction on proper application of codes.
- Coverage of both common and complex procedures prepares you for inpatient procedural coding using ICD-10-PCS.
- Illustrated, full-color design emphasizes important content such as anatomy and physiology and visually reinforces key concepts.
- Coverage of medical records provides a context for coding and familiarizes you with documents you will encounter on the job.
- Coverage of common medications promotes coding accuracy by introducing medication names commonly seen in medical records.
- NEW Coding Medical and Surgical Procedures chapter is added to this edition.
- UPDATED content includes revisions to icd-10 code and coding guidelines, ensuring you have the latest coding information.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | cover | ||
| Inside Front Cover | ifc1 | ||
| ICD-10-CM/PCS Coding: Theory and Practice, 2017 Edition | i | ||
| Copyright Page | ii | ||
| Dedication | iii | ||
| Reviewers | v | ||
| Foreword | vii | ||
| Preface | ix | ||
| Organization | ix | ||
| Distinctive Features | x | ||
| Additional Resources | x | ||
| Acknowledgments | xi | ||
| Table Of Contents | xiii | ||
| 1 The Rationale for and History of Coding | 1 | ||
| Chapter Outline | 1 | ||
| Learning Objectives | 1 | ||
| Abbreviations/Acronyms | 1 | ||
| Background of Coding | 2 | ||
| What Is Coding, and What Are Its Applications? | 2 | ||
| Nomenclature and Classification | 2 | ||
| History of Coding | 3 | ||
| Coding Organizations and Credentials | 3 | ||
| Coding Ethics | 4 | ||
| Compliance | 6 | ||
| Confidentiality | 7 | ||
| Chapter Review Exercise | 7 | ||
| Chapter Glossary | 8 | ||
| References | 9 | ||
| 2 The Health Record as the Foundation of Coding | 10 | ||
| Chapter Outline | 10 | ||
| Learning Objectives | 10 | ||
| Abbreviations/Acronyms | 10 | ||
| The Health Record | 11 | ||
| Sections of the Health Record | 12 | ||
| Administrative Data | 12 | ||
| Clinical Data | 12 | ||
| Emergency Room Record | 12 | ||
| Admission History and Physical Examination | 16 | ||
| Physician Orders | 16 | ||
| Progress Notes | 16 | ||
| Nursing Notes | 16 | ||
| Anesthesia Forms | 16 | ||
| Operative Report | 22 | ||
| Consultations | 22 | ||
| Laboratory, Radiology, and Pathology Reports | 22 | ||
| Discharge Summary | 32 | ||
| Exercise 2-1 | 33 | ||
| Uniform Hospital Discharge Data Set (UHDDS) Reporting Standards for Diagnoses and Procedures | 34 | ||
| Principal Diagnosis | 34 | ||
| Principal Procedure | 35 | ||
| Other Diagnoses | 35 | ||
| Clinical Evaluation | 36 | ||
| Therapeutic Treatment | 36 | ||
| Diagnostic Procedures | 36 | ||
| Extended Length of Hospital Stay | 36 | ||
| Increased Nursing Care and/or Other Monitoring | 36 | ||
| Previous Conditions | 37 | ||
| Reporting of Coexisting Chronic Conditions | 37 | ||
| Integral versus Nonintegral Conditions | 37 | ||
| Abnormal Findings | 38 | ||
| Exercise 2-2 | 38 | ||
| Coding From Documentation Found in the Health Record | 39 | ||
| The Use of Queries in the Coding Process | 40 | ||
| When to Query | 40 | ||
| How to Query | 41 | ||
| Query Format | 41 | ||
| Query Retention Policy | 41 | ||
| Leading Query | 41 | ||
| Who to Query | 42 | ||
| Elements of a Query Form | 42 | ||
| Chapter Review Exercise | 42 | ||
| Chapter Glossary | 44 | ||
| References | 44 | ||
| 3 ICD-10-CM Format and Conventions | 45 | ||
| Chapter Outline | 45 | ||
| Learning Objectives | 45 | ||
| Abbreviations/Acronyms | 45 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 45 | ||
| Format of Tabular List of Diseases and Injuries | 51 | ||
| Blocks/Sections | 51 | ||
| Categories | 51 | ||
| Subcategories | 52 | ||
| Exercise 3-1 | 52 | ||
| Placeholder Character | 52 | ||
| Exercise 3-2 | 53 | ||
| Format of Alphabetic Index to Diseases and Injuries | 53 | ||
| Index to Diseases and Injuries | 53 | ||
| Exercise 3-3 | 55 | ||
| Exercise 3-4 | 56 | ||
| Coding Conventions | 56 | ||
| Abbreviations | 57 | ||
| Punctuation | 57 | ||
| Brackets | 57 | ||
| Parentheses | 57 | ||
| Exercise 3-5 | 59 | ||
| Colons | 59 | ||
| Instructional Notes | 60 | ||
| Inclusion Notes | 60 | ||
| Inclusion Terms | 61 | ||
| Exclusion Notes | 61 | ||
| Exercise 3-6 | 62 | ||
| Etiology and Manifestation Convention | 62 | ||
| Exercise 3-7 | 66 | ||
| Linking Terms | 66 | ||
| Cross-References | 66 | ||
| Default Codes | 67 | ||
| Syndromes | 67 | ||
| Exercise 3-8 | 67 | ||
| Chapter Review Exercise | 68 | ||
| Chapter Glossary | 69 | ||
| 4 Basic Steps of Coding | 70 | ||
| Chapter Outline | 70 | ||
| Learning Objectives | 70 | ||
| Abbreviations/Acronyms | 70 | ||
| Basic Steps of Coding | 70 | ||
| Review of the Health Record | 70 | ||
| Alphabetic Index | 71 | ||
| Locate the Main Term in the Index to Diseases | 71 | ||
| Exercise 4-1 | 72 | ||
| Exercise 4-2 | 75 | ||
| Tabular List | 75 | ||
| Chapter Review Exercise | 76 | ||
| Chapter Glossary | 76 | ||
| 5 General Coding Guidelines for Diagnosis | 78 | ||
| Chapter Outline | 78 | ||
| Learning Objectives | 78 | ||
| Abbreviations/Acronyms | 78 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 78 | ||
| General Coding Guidelines | 79 | ||
| Exercise 5-1 | 80 | ||
| Exercise 5-2 | 81 | ||
| Exercise 5-3 | 82 | ||
| Exercise 5-4 | 83 | ||
| Exercise 5-5 | 84 | ||
| Exercise 5-6 | 84 | ||
| Exercise 5-7 | 87 | ||
| Selection of Principal Diagnosis | 87 | ||
| Reporting Additional Diagnoses | 90 | ||
| Chapter Review Exercise | 91 | ||
| Chapter Glossary | 92 | ||
| 6 Introduction to ICD-10-PCS | 93 | ||
| Chapter Outline | 93 | ||
| Learning Objectives | 93 | ||
| Abbreviations/Acronyms | 93 | ||
| History of ICD-10-PCS | 93 | ||
| Format and Organization of ICD-10-PCS | 94 | ||
| Alphabetic Index and Tables | 94 | ||
| Exercise 6-1 | 96 | ||
| Medical and Surgical Section | 97 | ||
| Body Systems | 97 | ||
| Exercise 6-2 | 98 | ||
| Root Operations | 98 | ||
| Exercise 6-3 | 100 | ||
| Body Part | 101 | ||
| Approaches | 102 | ||
| Computer and Robotic-Assisted Surgery | 102 | ||
| Exercise 6-4 | 104 | ||
| Device | 105 | ||
| Exercise 6-5 | 106 | ||
| Qualifier | 106 | ||
| ICD-10-PCS Coding Guidelines | 107 | ||
| ICD-10-PCS Coding Guidelines (2016) | 109 | ||
| Exercise 6-6 | 115 | ||
| Chapter Review Exercise | 116 | ||
| Chapter Glossary | 118 | ||
| 7 General Coding Guidelines for Other Medical- and Surgical-Related Procedures and Ancillary Procedures | 120 | ||
| Chapter Outline | 120 | ||
| Learning Objectives | 120 | ||
| Abbreviations/Acronyms | 120 | ||
| ICD-10-PCS Coding Guidelines (2016) | 120 | ||
| Other Medical- and Surgical-Related Procedures | 121 | ||
| Obstetrics | 121 | ||
| Exercise 7-1 | 123 | ||
| Placement | 123 | ||
| Administration | 124 | ||
| Exercise 7-2 | 125 | ||
| Measurement and Monitoring | 125 | ||
| Extracorporeal Assistance and Performance | 126 | ||
| Extracorporeal Therapies | 126 | ||
| Exercise 7-3 | 127 | ||
| Osteopathic | 128 | ||
| Other Procedures | 128 | ||
| Chiropractic | 129 | ||
| Exercise 7-4 | 130 | ||
| Ancillary Sections | 130 | ||
| Imaging | 130 | ||
| Nuclear Medicine | 131 | ||
| Radiation Oncology | 132 | ||
| Exercise 7-5 | 132 | ||
| Physical Rehabilitation and Diagnostic Audiology | 133 | ||
| Mental Health | 134 | ||
| Substance Abuse Treatment Section | 135 | ||
| Exercise 7-6 | 136 | ||
| New Technology Section | 136 | ||
| Chapter Review Exercise | 137 | ||
| Chapter Glossary | 137 | ||
| 8 Coding Medical and Surgical Procedures | 140 | ||
| Chapter Outline | 140 | ||
| Learning Objectives | 140 | ||
| Abbreviations/Acronyms | 140 | ||
| UHDDS Definitions | 141 | ||
| Principal Procedure | 141 | ||
| Significant Procedure | 141 | ||
| Procedure Codes That Should Be Reported | 142 | ||
| Facility Policy | 142 | ||
| Bilateral Procedures | 142 | ||
| Closed Surgical Procedures and Conversion to Open Procedures | 143 | ||
| Planned and Canceled Procedures | 144 | ||
| Biopsy Procedures | 145 | ||
| Medical and Surgical Section | 146 | ||
| Operative Report for Left Hip Uncemented Hemiarthoplasty | 146 | ||
| Title of Operation. | 146 | ||
| Indications for Surgery. | 146 | ||
| Preoperative Diagnosis. | 146 | ||
| Postoperative Diagnosis. | 146 | ||
| Anesthesia. | 146 | ||
| Specimen (Bacteriologic, Pathologic, or Other). | 146 | ||
| Prosthetic Device/Implant (DEVICE). | 146 | ||
| Surgeon’s Narrative. | 146 | ||
| Root Operations | 147 | ||
| Root Operations to Remove Some/All of a Body Part | 147 | ||
| Exercise 8-1 | 150 | ||
| Root Operations to Remove Solids/Fluids/Gases from a Body Part | 150 | ||
| Exercise 8-2 | 153 | ||
| Root Operations That Involve Cutting or Separation Only | 153 | ||
| Exercise 8-3 | 153 | ||
| Root Operations That Put In/Put Back or Move Some/All of a Body Part | 153 | ||
| Exercise 8-4 | 155 | ||
| Root Operations That Alter the Diameter/Route of a Tubular Body Part | 156 | ||
| Exercise 8-5 | 158 | ||
| Root Operations That Always Involve a Device | 158 | ||
| Exercise 8-6 | 160 | ||
| Root Operations That Involve Examination Only | 160 | ||
| Exercise 8-7 | 161 | ||
| Root Operations That Include Other Repairs | 161 | ||
| Exercise 8-8 | 162 | ||
| Root Operations That Include Other Objectives | 162 | ||
| Exercise 8-9 | 163 | ||
| Chapter Review Exercise | 163 | ||
| Chapter Glossary | 164 | ||
| 9 Symptoms, Signs, and Abnormal Clinical and Laboratory Findings Not Elsewhere Classified, and Z Codes | 165 | ||
| Chapter Outline | 165 | ||
| Learning Objectives | 165 | ||
| Abbreviations/Acronyms | 165 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 166 | ||
| Anatomy and Physiology | 167 | ||
| Disease Conditions | 167 | ||
| Symptoms and Signs (R00-R69) | 168 | ||
| Exercise 9-1 | 170 | ||
| Abnormal Findings and Abnormal Tumor Markers (R70-R97) | 170 | ||
| Exercise 9-2 | 171 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes Z00-Z99) | 171 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 172 | ||
| Exercise 9-3 | 183 | ||
| Procedures | 184 | ||
| Exercise 9-4 | 184 | ||
| Chapter Review Exercise | 184 | ||
| Chapter Glossary | 185 | ||
| 10 Certain Infectious and Parasitic Diseases | 186 | ||
| Chapter Outline | 186 | ||
| Learning Objectives | 186 | ||
| Abbreviations/Acronyms | 186 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 187 | ||
| Anatomy and Physiology | 193 | ||
| Disease Conditions | 194 | ||
| Intestinal Infectious Diseases (A00-A09) | 195 | ||
| Clostridium difficile | 195 | ||
| Gastroenteritis | 195 | ||
| Tuberculosis (A15-A19) | 195 | ||
| Exercise 10-1 | 196 | ||
| Certain Zoonotic Bacterial Diseases (A20-A28) | 197 | ||
| Anthrax | 197 | ||
| Other Bacterial Diseases (A30-A49) | 197 | ||
| Mycobacterium Avium Complex | 197 | ||
| Meningococcal Infection | 197 | ||
| Sepsis | 197 | ||
| Exercise 10-2 | 199 | ||
| Infections With a Predominantly Sexual Mode of Transmission (A50-A64) | 199 | ||
| Syphilis | 199 | ||
| Gonorrhea | 200 | ||
| Herpes Simplex I and II | 200 | ||
| Exercise 10-3 | 201 | ||
| Other Spirochetal Diseases (A65-A69) | 201 | ||
| Viral and Prion Infections of the Central Nervous System (A80-A89) | 202 | ||
| Arthropod-Borne Viral Fevers and Viral Hemorrhagic Fevers (A90-A99) | 202 | ||
| Dengue Fever | 202 | ||
| West Nile | 202 | ||
| Viral Infections Characterized by Skin and Mucous Membrane Lesions (B00-B09) | 203 | ||
| Hand, Foot, and Mouth Disease | 203 | ||
| Herpes Zoster | 203 | ||
| Exercise 10-4 | 203 | ||
| Viral Hepatitis (B15-B19) | 203 | ||
| Hepatitis | 203 | ||
| Human Immunodeficiency Virus (HIV) Disease (B20) | 204 | ||
| AIDS and Pregnancy | 206 | ||
| Encounters for Testing for HIV | 206 | ||
| Exercise 10-5 | 206 | ||
| Other Viral Diseases (B25-B34) | 206 | ||
| Infectious Mononucleosis | 206 | ||
| Mycoses (B35-B49) | 207 | ||
| Candidiasis | 207 | ||
| Histoplasmosis | 207 | ||
| Protozoal Diseases (B50-B64) | 207 | ||
| Toxoplasmosis | 207 | ||
| Helminthiases (B65-B83) | 207 | ||
| Helminthiases | 207 | ||
| Pediculosis, Acariasis, and Other Infestations (B85-B89) | 208 | ||
| Sequelae of Infectious and Parasitic Diseases (B90-B94) | 208 | ||
| Bacterial and Viral Infectious Agents (B95-B97) | 209 | ||
| Exercise 10-6 | 209 | ||
| Factors Influencing Health Status and Contact With Health Services (Z Codes) | 210 | ||
| Chapter 10: Infectious and Parasitic Diseases | 210 | ||
| Exercise 10-7 | 212 | ||
| Common Treatments | 212 | ||
| Procedures | 212 | ||
| Chapter Review Exercise | 213 | ||
| Chapter Glossary | 213 | ||
| References | 214 | ||
| 11 Neoplasms | 215 | ||
| Chapter Outline | 215 | ||
| Learning Objectives | 215 | ||
| Abbreviations/Acronyms | 216 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 216 | ||
| Anatomy and Physiology | 222 | ||
| Neoplasm Table | 224 | ||
| Exercise 11-1 | 225 | ||
| Primary and Secondary Neoplasms | 226 | ||
| Exercise 11-2 | 230 | ||
| Contiguous Sites | 230 | ||
| Disease Conditions | 232 | ||
| Malignant Neoplasm of Lip, Oral Cavity, and Pharynx (C00-C14) | 232 | ||
| Exercise 11-3 | 233 | ||
| Malignant Neoplasm of Digestive Organs (C15-C26) | 233 | ||
| Exercise 11-4 | 234 | ||
| Malignant Neoplasm of Respiratory and Intrathoracic Organs (C30-C39) | 234 | ||
| Exercise 11-5 | 235 | ||
| Malignant Neoplasm of Bone, Articular Cartilage, and Skin (C40-C44) | 235 | ||
| Exercise 11-6 | 236 | ||
| Malignant Neoplasm of Mesothelial and Soft Tissue (C45-C49) | 236 | ||
| Exercise 11-7 | 236 | ||
| Malignant Neoplasm of Breast, Female and Male Genitourinary Organs (C50-C68) | 236 | ||
| Exercise 11-8 | 237 | ||
| Malignant Neoplasm of Eye, Brain, and Other Parts of Central Nervous System (C69-C72) and Malignant Neoplasm of Thyroid and Other Endocrine Glands (C73-C75) | 238 | ||
| Exercise 11-9 | 239 | ||
| Neuroendocrine Tumors (C7A, C7B and D3A) | 239 | ||
| Exercise 11-10 | 239 | ||
| Malignant Neoplasm of Ill-defined, Secondary, and Unspecified Sites (C76-C80) | 239 | ||
| Exercise 11-11 | 240 | ||
| Malignant Neoplasm of Lymphoid, Hematopoietic, and Related Tissue (C81-C96) | 240 | ||
| Exercise 11-12 | 241 | ||
| In Situ Neoplasms (D00-D09) | 241 | ||
| Exercise 11-13 | 241 | ||
| Benign Neoplasms (D10-D36) | 241 | ||
| Exercise 11-14 | 243 | ||
| Neoplasms of Uncertain Behavior, Polycythemia and Myelodysplastic Syndromes (D37-D48) | 243 | ||
| Exercise 11-15 | 244 | ||
| Coding and Sequencing of Neoplasms | 244 | ||
| Malignancy as Principal Diagnosis | 244 | ||
| Recurrence of Primary Malignancy | 244 | ||
| Complications as Principal Diagnosis | 245 | ||
| Principal Diagnosis for Encounters for Chemotherapy/Immunotherapy and Radiation | 246 | ||
| Coding of Previously Excised Malignancies | 246 | ||
| Exercise 11-16 | 246 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 247 | ||
| Exercise 11-17 | 250 | ||
| Common Treatments | 250 | ||
| Procedures | 251 | ||
| Chemotherapy/Immunotherapy/Radiation | 251 | ||
| Biopsy | 252 | ||
| Surgery | 253 | ||
| Exercise 11-18 | 254 | ||
| Chapter Review Exercise | 255 | ||
| Chapter Glossary | 256 | ||
| References | 257 | ||
| 12 Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism | 258 | ||
| Chapter Outline | 258 | ||
| Learning Objectives | 258 | ||
| Abbreviations/Acronyms | 259 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 259 | ||
| Anatomy and Physiology | 260 | ||
| Disease Conditions | 261 | ||
| Nutritional Anemias (D50-D53) | 261 | ||
| Exercise 12-1 | 263 | ||
| Hemolytic Anemias (D55D59) | 263 | ||
| Exercise 12-2 | 264 | ||
| Aplastic and Other Anemias and Other Bone Marrow Failure Syndromes (D60-D64) | 265 | ||
| Exercise 12-3 | 266 | ||
| Coagulation Defects, Purpura, and Other Hemorrhagic Conditions (D65-D69) | 266 | ||
| Exercise 12-4 | 268 | ||
| Other Disorders of Blood and Blood-Forming Organs (D70-D77) | 268 | ||
| Exercise 12-5 | 269 | ||
| Certain Disorders Involving the Immune Mechanism (D80-D89) | 269 | ||
| Exercise 12-6 | 270 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 270 | ||
| Exercise 12-7 | 271 | ||
| Common Treatments | 272 | ||
| Procedures | 272 | ||
| Exercise 12-8 | 274 | ||
| Chapter Review Exercise | 274 | ||
| Chapter Glossary | 275 | ||
| References | 276 | ||
| 13 Endocrine, Nutritional, and Metabolic Diseases | 277 | ||
| Chapter Outline | 277 | ||
| Learning Objectives | 277 | ||
| Abbreviations/Acronyms | 277 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 278 | ||
| Anatomy and Physiology | 279 | ||
| Disease Conditions | 282 | ||
| Disorders of Thyroid Gland (E00-E07) | 282 | ||
| Goiter | 282 | ||
| Hypothyroidism | 283 | ||
| Hyperthyroidism/Graves’ Disease | 283 | ||
| Exercise 13-1 | 285 | ||
| Diabetes Mellitus (E08-E13) and Other Disorders of Glucose Regulation and Pancreatic Internal Secretion (E15-E16) | 286 | ||
| Diabetes Mellitus | 286 | ||
| Secondary Diabetes | 289 | ||
| Hypoglycemia | 290 | ||
| Hyperglycemia | 290 | ||
| Gestational Diabetes | 290 | ||
| Exercise 13-2 | 290 | ||
| Disorders of Other Endocrine Glands (E20-E35) | 291 | ||
| Hypoparathyroidism | 291 | ||
| Hyperparathyroidism | 291 | ||
| Hyperpituitarism | 291 | ||
| Hypopituitarism | 291 | ||
| Diabetes Insipidus | 292 | ||
| Cushing’s Syndrome | 293 | ||
| Addison’s Disease | 294 | ||
| Exercise 13-3 | 295 | ||
| Malnutrition (E40-E46) and Other Nutritional Deficiencies (E50-E64) | 295 | ||
| Malnutrition | 295 | ||
| Vitamin Deficiencies | 295 | ||
| Exercise 13-4 | 296 | ||
| Overweight, Obesity, and Other Hyperalimentation (E65-E68) | 296 | ||
| Obesity | 296 | ||
| Hypervitaminosis | 297 | ||
| Exercise 13-5 | 297 | ||
| Metabolic Disorders (E70-E88) | 297 | ||
| Cystic Fibrosis | 297 | ||
| Disorders of Fluid, Electrolyte, and Acid-Base Balance | 298 | ||
| Tumor Lysis Syndrome | 299 | ||
| Dysmetabolic Syndrome X | 299 | ||
| Exercise 13-6 | 299 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 300 | ||
| Exercise 13-7 | 301 | ||
| Common Treatments | 301 | ||
| Procedures | 302 | ||
| Bariatric Surgery | 302 | ||
| Insulin Pumps | 303 | ||
| Exercise 13-8 | 304 | ||
| Chapter Review Exercise | 304 | ||
| Chapter Glossary | 305 | ||
| References | 307 | ||
| 14 Mental, Behavioral, and Neurodevelopmental Disorders | 308 | ||
| Chapter Outline | 308 | ||
| Learning Objectives | 308 | ||
| Abbreviations/Acronyms | 308 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 309 | ||
| Anatomy and Physiology | 310 | ||
| Disease Conditions | 310 | ||
| Mental Disorders due to Known Physiological Conditions (F01-F09) | 310 | ||
| Dementia | 310 | ||
| Exercise 14-1 | 311 | ||
| Mental and Behavioral Disorders due to Psychoactive Substance Abuse (F10-F19) | 311 | ||
| Alcohol/Drug Dependence and Abuse and Associated Psychoses | 311 | ||
| Exercise 14-2 | 313 | ||
| Schizophrenia, Schizotypal, Delusional, and Other Non-mood Psychotic Disorders (F20-F29) | 313 | ||
| Schizophrenia | 313 | ||
| Schizoaffective Disorders | 313 | ||
| Exercise 14-3 | 314 | ||
| Mood [Affective] Disorders (F30-F39) | 314 | ||
| Mood Disorders | 314 | ||
| Exercise 14-4 | 315 | ||
| Anxiety, Dissociative, Stress-related, Somatoform, and Other Nonpsychotic Mental Disorders (F40-F48) | 315 | ||
| Anxiety Disorders | 315 | ||
| Exercise 14-5 | 316 | ||
| Behavioral Syndromes Associated with Physiological Disturbances and Physical Factors (F50-F59) | 316 | ||
| Eating Disorders | 316 | ||
| Sexual Problems | 316 | ||
| Exercise 14-6 | 317 | ||
| Disorders of Adult Personality and Behavior (F60-F69) | 317 | ||
| Personality Disorders | 317 | ||
| Sexual Disorder | 317 | ||
| Exercise 14-7 | 318 | ||
| Intellectual Disabilities (F70-F79) | 318 | ||
| Genetic Causes | 318 | ||
| External Causes | 319 | ||
| Exercise 14-8 | 319 | ||
| Pervasive and Specific Developmental Disorders (F80-F89) and Behavioral and Emotional Disorders With Onset Usually Occurring in Childhood and Adolescence (F90-F98) | 319 | ||
| Learning Disorders | 319 | ||
| Attention Deficit Disorder | 320 | ||
| Oppositional Defiant Disorder | 320 | ||
| Exercise 14-9 | 320 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 320 | ||
| Exercise 14-10 | 323 | ||
| Common Treatments | 324 | ||
| Procedures | 324 | ||
| Electroconvulsive Therapy | 324 | ||
| Detoxification and Rehabilitation | 325 | ||
| Exercise 14-11 | 325 | ||
| Chapter Review Exercise | 325 | ||
| Chapter Glossary | 326 | ||
| 15 Diseases of the Nervous System, Diseases of the Eye and Adnexa, and Diseases of the Ear and Mastoid Process | 328 | ||
| Chapter Outline | 328 | ||
| Learning Objectives | 329 | ||
| Abbreviations/Acronyms | 329 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 329 | ||
| Anatomy and Physiology | 333 | ||
| Central Nervous System | 333 | ||
| Peripheral Nervous System | 333 | ||
| Disease Conditions | 333 | ||
| Inflammatory Diseases of the Central Nervous System (G00-G09) | 336 | ||
| Exercise 15-1 | 337 | ||
| Extrapyramidal and Movement Disorders (G20-G26) | 338 | ||
| Other Degenerative Diseases of the Nervous System (G30-G32) | 338 | ||
| Episodic and Paroxysmal Disorders (G40-G47) | 339 | ||
| Different Types of Seizures | 339 | ||
| Transient Ischemic Attack | 340 | ||
| Sleep Disorders | 340 | ||
| Polyneuropathy and Other Disorders of the Peripheral Nervous System (G60-G65) | 340 | ||
| Diseases of the Myoneural Junction and Muscle (G70-G73) | 341 | ||
| Cerebral Palsy and Other Paralytic Syndromes (G80-G83) | 341 | ||
| Other Disorders of the Nervous System (G89-G99) | 343 | ||
| Exercise 15-2 | 344 | ||
| Diseases of the Eye and Adnexa (H00-H59) | 345 | ||
| Disorders of the Lens (H25-H28) | 345 | ||
| Disorders of the Choroid and the Retina (H30-H36) | 345 | ||
| Glaucoma (H40-H42) | 346 | ||
| Visual Disturbances and Blindness (H53-H54) | 347 | ||
| Diseases of the Ear and the Mastoid Process (H60-H95) | 347 | ||
| Diseases of the Middle Ear and Mastoid (H65-H75) | 347 | ||
| Exercise 15-3 | 349 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 349 | ||
| Exercise 15-4 | 350 | ||
| Common Treatments | 351 | ||
| Procedures | 351 | ||
| Lumbar Puncture | 351 | ||
| Deep Brain Stimulation | 351 | ||
| Ventricular Shunting | 352 | ||
| Vagal Nerve Stimulation | 352 | ||
| Cataract Extraction | 353 | ||
| Exercise 15-5 | 354 | ||
| Chapter Review Exercise | 354 | ||
| Chapter Glossary | 355 | ||
| 16 Diseases of the Circulatory System | 356 | ||
| Chapter Outline | 356 | ||
| Learning Objectives | 356 | ||
| Abbreviations/Acronyms | 357 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 357 | ||
| Anatomy and Physiology | 361 | ||
| The Heart | 361 | ||
| Blood Vessels | 363 | ||
| Lymphatic System | 363 | ||
| Disease Conditions | 363 | ||
| Acute Rheumatic Fever (I00-I02) and Chronic Rheumatic Heart Disease (I05-I09) | 364 | ||
| Hypertensive Diseases (I10-I15) | 365 | ||
| Hypertensive Heart, Renal, and Heart and Renal Disease | 366 | ||
| Exercise 16-1 | 367 | ||
| Ischemic Heart Disease (I20-I25) | 367 | ||
| Acute Myocardial Infarction | 367 | ||
| Exercise 16-2 | 371 | ||
| Pulmonary Heart Disease and Diseases of Pulmonary Circulation (I26-I28) | 371 | ||
| Pulmonary Embolism | 371 | ||
| Pulmonary Hypertension | 371 | ||
| Other Forms of Heart Disease (I30-I52) | 372 | ||
| Pericarditis | 372 | ||
| Endocarditis | 372 | ||
| Non–rheumatic Valve Disorders | 372 | ||
| Cardiomyopathy | 373 | ||
| Conduction Disorders | 373 | ||
| Exercise 16-3 | 377 | ||
| Cerebrovascular Diseases (I60-I69) | 377 | ||
| Sequelae of Cerebrovascular Disease | 381 | ||
| Exercise 16-4 | 381 | ||
| Diseases of the Arteries, Arterioles, and Capillaries (I70-I79) | 381 | ||
| Diseases of Veins, Lymphatic Vessels, and Lymph Nodes, Not Elsewhere Classified (I80-I89) | 383 | ||
| Phlebitis, Thrombophlebitis, and Deep Vein Thrombosis | 383 | ||
| Exercise 16-5 | 384 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 385 | ||
| Exercise 16-6 | 386 | ||
| Common Treatments | 386 | ||
| Procedures | 386 | ||
| Diagnostic Cardiac Catheterization | 386 | ||
| Angioplasty | 387 | ||
| Coronary Artery Bypass Graft | 390 | ||
| Electrophysiologic Studies/Procedures | 392 | ||
| Pacemaker/Defibrillators (AICD) | 393 | ||
| Aneurysm Repair | 396 | ||
| Central Lines/Catheters | 397 | ||
| Exercise 16-7 | 398 | ||
| Chapter Review Exercise | 398 | ||
| Chapter Glossary | 400 | ||
| References | 400 | ||
| 17 Diseases of the Respiratory System | 401 | ||
| Chapter Outline | 401 | ||
| Learning Objectives | 401 | ||
| Abbreviations/Acronyms | 401 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 402 | ||
| Anatomy and Physiology | 404 | ||
| Disease Conditions | 404 | ||
| Acute Upper Respiratory Infections (J00-J06) and Other Diseases of Upper Respiratory Tract (J30-J39) | 405 | ||
| Exercise 17-1 | 407 | ||
| Influenza and Pneumonia (J09-J18) | 407 | ||
| Exercise 17-2 | 409 | ||
| Other Acute Lower Respiratory Infections (J20-J22) | 409 | ||
| Exercise 17-3 | 409 | ||
| Chronic Lower Respiratory Diseases (J40-J47) | 409 | ||
| Exercise 17-4 | 411 | ||
| Lung Diseases Due to External Agents (J60-J70) | 411 | ||
| Exercise 17-5 | 412 | ||
| Other Respiratory Diseases Principally Affecting the Interstitium (J80-J84) | 413 | ||
| Pulmonary Edema | 413 | ||
| Acute Pulmonary Edema of Noncardiac Origin | 413 | ||
| Exercise 17-6 | 413 | ||
| Suppurative and Necrotic Conditions of the Lower Respiratory Tract (J85-J86) and Other Diseases of the Pleura (J90-J94) | 413 | ||
| Empyema and Lung Abscess | 413 | ||
| Pleural Effusion | 413 | ||
| Pneumothorax | 414 | ||
| Exercise 17-7 | 414 | ||
| Other Diseases of the Respiratory System (J96-J99) | 414 | ||
| Respiratory Failure | 414 | ||
| Respiratory Disorders in Diseases Classified Elsewhere | 415 | ||
| Exercise 17-8 | 416 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 416 | ||
| Exercise 17-9 | 417 | ||
| Common Treatments | 417 | ||
| Procedures | 417 | ||
| Mechanical Ventilation | 417 | ||
| Noninvasive Ventilation | 418 | ||
| Bronchoscopy | 419 | ||
| Thoracentesis | 420 | ||
| Thoracostomy | 421 | ||
| Tracheostomy | 421 | ||
| Pulmonary Resection | 422 | ||
| Exercise 17-10 | 424 | ||
| Chapter Review Exercise | 424 | ||
| Chapter Glossary | 425 | ||
| References | 426 | ||
| 18 Diseases of the Digestive System | 427 | ||
| Chapter Outline | 427 | ||
| Learning Objectives | 427 | ||
| Abbreviations/Acronyms | 427 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 428 | ||
| Anatomy and Physiology | 428 | ||
| Disease Conditions | 429 | ||
| Diseases of the Oral Cavity and Salivary Glands (K00-K14) | 429 | ||
| Exercise 18-1 | 430 | ||
| Diseases of the Esophagus, Stomach, and Duodenum (K20-K31) | 430 | ||
| Esophageal Conditions | 430 | ||
| Exercise 18-2 | 431 | ||
| Ulcers of the Stomach and Small Intestine | 431 | ||
| Gastrointestinal Hemorrhage | 432 | ||
| Exercise 18-3 | 432 | ||
| Diseases of the Appendix (K35-K38) | 433 | ||
| Hernia (K40-K46) | 433 | ||
| Noninfectious Enteritis and Colitis (K50-K52) | 434 | ||
| Crohn’s Disease | 434 | ||
| Ulcerative Colitis | 434 | ||
| Other Diseases of Intestines and Peritoneum (K55-K68) | 435 | ||
| Intestinal Obstruction | 435 | ||
| Diverticulitis and Diverticulosis | 436 | ||
| Exercise 18-4 | 436 | ||
| Diseases of Peritoneum and Retroperitoneum (K65-K68) | 437 | ||
| Diseases of the Liver (K70-K77) | 437 | ||
| Cirrhosis of the Liver | 437 | ||
| Hepatitis | 437 | ||
| Disorders of the Gallbladder, Billiary Tract, and Pancreas (K80-K87) | 438 | ||
| Cholelithiasis and Cholecystitis | 438 | ||
| Exercise 18-5 | 439 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 439 | ||
| Exercise 18-6 | 440 | ||
| Common Treatments | 440 | ||
| Procedures | 441 | ||
| Procedures of the Stomach | 441 | ||
| Procedures of the Intestine | 442 | ||
| Procedures of the Gallbladder and Biliary System | 444 | ||
| Lysis of Adhesions | 445 | ||
| Hernia Repair | 446 | ||
| Transjugular Intrahepatic Portosystemic Shunt (TIPS) | 446 | ||
| Exercise 18-7 | 447 | ||
| Chapter Review Exercise | 447 | ||
| Chapter Glossary | 448 | ||
| 19 Diseases of the Skin and Subcutaneous Tissue | 450 | ||
| Chapter Outline | 450 | ||
| Learning Objectives | 450 | ||
| Abbreviations/Acronyms | 450 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 451 | ||
| Anatomy and Physiology | 452 | ||
| Disease Conditions | 453 | ||
| Infections of the Skin and Subcutaneous Tissue (L00-L08) | 453 | ||
| Carbuncle and Furuncle | 453 | ||
| Cellulitis/Abscess of the Skin | 453 | ||
| Exercise 19-1 | 454 | ||
| Bullous Disorders (L10-L14) | 455 | ||
| Pemphigus | 455 | ||
| Dermatitis and Eczema (L20-L30) | 455 | ||
| Papulosquamous Disorders (L40-L45) | 456 | ||
| Urticaria and Erythema (L49-L54) | 456 | ||
| Exercise 19-2 | 457 | ||
| Radiation-Related Disorders of the Skin and Subcutaneous Tissue (L55-L59) | 457 | ||
| Disorders of Skin Appendages (L60-L75) | 457 | ||
| Other Disorders of Skin and Subcutaneous Tissue (L80-L99) | 457 | ||
| Pressure Ulcer | 458 | ||
| Non–Pressure Chronic Ulcer of the Lower Limb | 459 | ||
| Exercise 19-3 | 459 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 460 | ||
| Exercise 19-4 | 460 | ||
| Common Treatments | 460 | ||
| Procedures | 460 | ||
| Incision and Drainage | 460 | ||
| Debridement | 461 | ||
| Excisional Debridement | 461 | ||
| Nonexcisional Debridement | 461 | ||
| Excision of Lesion | 462 | ||
| 20 Diseases of the Musculoskeletal System and Connective Tissue | 468 | ||
| Chapter Outline | 468 | ||
| Learning Objectives | 468 | ||
| Abbreviations/Acronyms | 468 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 469 | ||
| Anatomy and Physiology | 470 | ||
| Disease Conditions | 471 | ||
| Infectious (M00-M02) and Inflammatory Arthropathies (M05-M14) | 473 | ||
| Exercise 20-1 | 474 | ||
| Osteoarthritis (M15-M19) and Other Joint Disorders (M20-M25) | 474 | ||
| Osteoarthritis | 474 | ||
| Exercise 20-2 | 476 | ||
| Systemic Connective Tissue Disorders (M30-M36) | 476 | ||
| Collagen Diseases | 476 | ||
| Polymyalgia Rheumatica | 477 | ||
| Exercise 20-3 | 477 | ||
| Deforming Dorsopathies (M40-M43), Spondylopathies (M45-M49), and Other Dorsopathies (M50-M54) | 477 | ||
| Spinal Deformities | 477 | ||
| Exercise 20-4 | 480 | ||
| Disorders of Muscles (M60-M63), Synovium, Tendon (M65-M67), and Other Soft Tissue (M70-M79) | 481 | ||
| Bursitis | 481 | ||
| Necrotizing Fasciitis | 481 | ||
| Fibromyalgia | 481 | ||
| Exercise 20-5 | 481 | ||
| Disorders of Bone Density and Structure (M80-M85), Other Osteopathies (M86-M90), and Chondropathies (M91-M94) | 481 | ||
| Osteoporosis | 481 | ||
| Pathologic Fractures and Fracture Aftercare | 482 | ||
| Osteomyelitis | 483 | ||
| Exercise 20-6 | 483 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 484 | ||
| Exercise 20-7 | 486 | ||
| Common Treatments | 486 | ||
| Procedures | 487 | ||
| Arthroscopic Surgery | 487 | ||
| Joint Replacement | 488 | ||
| Vertebroplasty/Kyphoplasty | 489 | ||
| Fusion Procedures of the Spine | 490 | ||
| Exercise 20-8 | 492 | ||
| Chapter Review Exercise | 493 | ||
| Chapter Glossary | 494 | ||
| 21 Diseases of the Genitourinary System | 496 | ||
| Chapter Outline | 496 | ||
| Learning Objectives | 496 | ||
| Abbreviations/Acronyms | 497 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 497 | ||
| Anatomy and Physiology | 498 | ||
| Urinary Tract | 498 | ||
| Male Genital Tract | 499 | ||
| Female Genital Tract | 499 | ||
| Breast | 500 | ||
| Disease Conditions | 500 | ||
| Glomerular Diseases (N00-N08) | 501 | ||
| Nephritic Syndrome/Nephrotic Syndrome | 501 | ||
| Glomerulonephritis | 501 | ||
| Exercise 21-1 | 502 | ||
| Renal Tubulo-Interstitial Diseases (N10-N16) | 502 | ||
| Exercise 21-2 | 504 | ||
| Acute Renal Failure and Chronic Kidney Disease (N17-N19) and Urolithiasis (N20-N23) | 504 | ||
| Acute Renal Failure | 504 | ||
| Chronic Kidney Disease (CKD) | 504 | ||
| Hypertension and Chronic Kidney Disease | 505 | ||
| Urolithiasis | 505 | ||
| Exercise 21-3 | 506 | ||
| Other Disorders of the Kidney and Ureter (N25-N29) and Other Diseases of the Urinary System (N30-N39) | 506 | ||
| Urinary Tract Infections | 506 | ||
| Urinary Incontinence | 509 | ||
| Exercise 21-4 | 509 | ||
| Diseases of the Male Genital Organs (N40-N53) | 509 | ||
| Prostate | 509 | ||
| Exercise 21-5 | 511 | ||
| Disorders of Breast (N60-N65) | 511 | ||
| Breast | 511 | ||
| Exercise 21-6 | 512 | ||
| Inflammatory Diseases of Female Pelvic Organs (N70-N77) | 512 | ||
| Pelvic Inflammatory Disease | 512 | ||
| Exercise 21-7 | 513 | ||
| Noninflammatory Disorders of Female Genital Tract (N80-N98) | 513 | ||
| Endometriosis | 513 | ||
| Genital Prolapse | 514 | ||
| Fistulas | 515 | ||
| Cervical and Vulvular Dysplasia | 515 | ||
| Exercise 21-8 | 516 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 516 | ||
| Exercise 21-9 | 518 | ||
| Common Treatments | 518 | ||
| Procedures | 518 | ||
| Dialysis | 519 | ||
| Kidney Transplantation | 521 | ||
| Prostate Procedures | 522 | ||
| Breast Biopsies and Reconstruction | 523 | ||
| Removal of Stones | 524 | ||
| Exercise 21-10 | 525 | ||
| Chapter Review Exercise | 525 | ||
| Chapter Glossary | 526 | ||
| References | 528 | ||
| 22 Pregnancy, Childbirth, and the Puerperium | 529 | ||
| Chapter Outline | 529 | ||
| Learning Objectives | 529 | ||
| Abbreviations/Acronyms | 530 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 530 | ||
| Anatomy and Physiology | 539 | ||
| Common Pregnancy Definitions | 540 | ||
| Conditions of Pregnancy, Childbirth, and Puerperium | 540 | ||
| Coding of Pregnancy | 541 | ||
| Exercise 22-1 | 543 | ||
| Pregnancy With Abortive Outcome (O00-O08) | 543 | ||
| Ectopic and Molar Pregnancy | 543 | ||
| Types of Abortion | 545 | ||
| Exercise 22-2 | 546 | ||
| Supervision of High-Risk Pregnancy (O09) | 546 | ||
| Edema, Proteinuria, and Hypertensive Disorders in Pregnancy, Childbirth, and the Puerperium (O10-O16) | 546 | ||
| Hypertension in Pregnancy | 546 | ||
| Other Maternal Disorders Predominantly Related to Pregnancy (O20-O29) | 547 | ||
| Maternal Care Related to the Fetus and Amniotic Cavity and Possible Delivery Problems (030-048) | 547 | ||
| Exercise 22-3 | 548 | ||
| Complications of Labor and Delivery (O60-O77) | 550 | ||
| Encounter for Delivery (O80, O82) | 551 | ||
| Complications Predominantly Related to the Puerperium (O85-O92) | 551 | ||
| Other Obstetric Conditions, Not Elsewhere Classified (O94-O9a) | 551 | ||
| Exercise 22-4 | 551 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 552 | ||
| Common Treatments | 555 | ||
| Procedures | 556 | ||
| Labor | 557 | ||
| Delivery | 557 | ||
| Cesarean Section | 559 | ||
| Sterilization | 559 | ||
| Exercise 22-5 | 560 | ||
| Chapter Review Exercise | 561 | ||
| Chapter Glossary | 562 | ||
| Key Reference | 563 | ||
| 23 Certain Conditions Originating in the Perinatal Period, and Congenital Malformations, Deformations, and Chromosomal Abnormalities | 564 | ||
| Chapter Outline | 564 | ||
| Learning Objectives | 565 | ||
| Abbreviations/Acronyms | 565 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 565 | ||
| Exercise 23-1 | 568 | ||
| Disease Conditions | 569 | ||
| Coding the Birth of an Infant | 569 | ||
| Apgar Scores | 570 | ||
| Newborn Affected by Maternal Factors and by Complications of Pregnancy, Labor, and Delivery (P00-P04) | 571 | ||
| Disorders of the Newborn Related to Length of Gestation and Fetal Growth (P05-P08) | 571 | ||
| Birth Trauma (P10-P15) | 571 | ||
| Respiratory and Cardiovascular Disorders Specific to the Perinatal Period (P19-P29) | 571 | ||
| Respiratory Problems After Birth | 571 | ||
| Transitory Tachypnea of Newborn (TTN). | 571 | ||
| Apnea of the Newborn. | 572 | ||
| Respiratory Distress Syndrome (RDS). | 572 | ||
| Meconium Aspiration Syndrome | 572 | ||
| Bronchopulmonary Dysplasia (BPD) | 572 | ||
| Infections Specific to the Perinatal Period (P35-P39) | 572 | ||
| Infection in the Perinatal Period | 572 | ||
| Newborn Sepsis. | 572 | ||
| Hemorrhagic and Hematological Disorders of Newborn (P50-P61) | 573 | ||
| Other Problems With the Newborn (P84) | 573 | ||
| Fetal Distress | 573 | ||
| Other Disorders Originating in the Perinatal Period (P90-P96) | 573 | ||
| Feeding Problems in Newborns | 573 | ||
| Exercise 23-2 | 574 | ||
| Congenital Malformations of the Nervous System (Q00-Q07) | 575 | ||
| Chapter 17 Congenital Malformations, Deformations, and Chromosomal Abnormalities | 575 | ||
| Congenital Malformations of the Circulatory System (Q20-Q28) | 576 | ||
| Tetralogy of Fallot | 576 | ||
| Cleft Lip and Cleft Palate (Q35-Q37) | 577 | ||
| Other Congenital Malformations of the Digestive System (Q38-A45) | 578 | ||
| Meckel’s Diverticulum | 578 | ||
| Congenital Malformations of Genital Organs (Q50-Q56) | 578 | ||
| Congenital Malformations of the Urinary System (Q60-Q64) | 579 | ||
| Congenital Malformations and Deformations of the Musculoskeletal System (Q65-Q79) | 579 | ||
| Other Congenital Malformations (Q80-Q89) | 579 | ||
| Marfan’s Syndrome | 580 | ||
| Chromosomal Abnormalities, Not Elsewhere Classified (Q90-Q99) | 580 | ||
| Exercise 23-3 | 581 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 582 | ||
| Chapter Review Exercise | 583 | ||
| Chapter Glossary | 584 | ||
| 24 Injury and Certain Other Consequences of External Causes and External Causes of Morbidity | 585 | ||
| Chapter Outline | 585 | ||
| Learning Objectives | 585 | ||
| Abbreviations/Acronyms | 586 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 586 | ||
| Exercise 24-1 | 592 | ||
| Anatomy and Physiology | 592 | ||
| Disease Conditions | 592 | ||
| Types of Injuries | 594 | ||
| Superficial Injuries | 594 | ||
| Exercise 24-2 | 594 | ||
| Contusion With Intact Skin Surface | 596 | ||
| Exercise 24-3 | 596 | ||
| Laceration/Open Wounds | 596 | ||
| Exercise 24-4 | 597 | ||
| Fractures | 597 | ||
| Skull Fractures | 600 | ||
| Spine Fractures | 600 | ||
| Upper Limb Fractures | 600 | ||
| Lower Limb Fractures | 602 | ||
| Traumatic Fractures and Fracture Aftercare | 603 | ||
| Exercise 24-5 | 605 | ||
| Dislocations | 605 | ||
| Exercise 24-6 | 606 | ||
| Sprains and Strains | 606 | ||
| Exercise 24-7 | 606 | ||
| Injury to Nerves/Spinal Cord and Blood Vessel | 606 | ||
| Exercise 24-8 | 607 | ||
| Internal Injuries | 607 | ||
| Intracranial Injury, Excluding Those With Skull Fracture | 607 | ||
| Exercise 24-9 | 607 | ||
| Internal Injury of Thorax, Abdomen, and Pelvis | 608 | ||
| Exercise 24-10 | 609 | ||
| Crush Injuries and Amputations | 609 | ||
| Exercise 24-11 | 610 | ||
| Certain Early Complications of Trauma | 610 | ||
| Exercise 24-12 | 610 | ||
| Effects of Foreign Body Entering Through Orifice | 611 | ||
| Exercise 24-13 | 611 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 611 | ||
| Admission for Observation Following an Injury | 612 | ||
| Exercise 24-14 | 612 | ||
| Common Treatments | 612 | ||
| Procedures | 613 | ||
| Fracture Treatment | 613 | ||
| Repair of Lacerations | 614 | ||
| Exercise 24-15 | 614 | ||
| Chapter Review Exercise | 615 | ||
| Chapter Glossary | 616 | ||
| Key Reference | 616 | ||
| 25 Burns, Adverse Effects, and Poisonings | 617 | ||
| Chapter Outline | 617 | ||
| Learning Objectives | 617 | ||
| Abbreviations/Acronyms | 617 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 618 | ||
| Anatomy and Physiology | 622 | ||
| Disease Conditions | 622 | ||
| Burns and Corrosions (T20-T32) and Frostbite (T33-T34) | 623 | ||
| Frostbite | 625 | ||
| Exercise 25-1 | 625 | ||
| Poisoning by, Adverse Effect of, and Underdosing of Drugs, Medicaments, and Biological Substances (T36-T50) | 625 | ||
| Exercise 25-2 | 627 | ||
| Exercise 25-3 | 628 | ||
| Poisonings | 628 | ||
| Exercise 25-4 | 629 | ||
| Toxic Effects of Substances Chiefly Nonmedicinal as to Source (T51-T65) | 629 | ||
| Exercise 25-5 | 629 | ||
| Other and Unspecified Effects of External Causes (T66-T78) | 630 | ||
| Adult/Child Abuse | 630 | ||
| Systemic Inflammatory Response Syndrome (SIRS) | 630 | ||
| Rhadomyolysis | 630 | ||
| Exercise 25-6 | 632 | ||
| Late Effects of Injuries, Poisonings, Toxic Effects, and Other External Causes | 632 | ||
| Exercise 25-7 | 633 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 633 | ||
| Exercise 25-8 | 635 | ||
| Common Treatments | 635 | ||
| Procedures | 635 | ||
| Debridement | 635 | ||
| Hyperbaric Oxygen Therapy | 636 | ||
| Exercise 25-9 | 636 | ||
| Chapter Review Exercise | 636 | ||
| Chapter Glossary | 638 | ||
| 26 Complications of Surgical and Medical Care | 639 | ||
| Chapter Outline | 639 | ||
| Learning Objectives | 639 | ||
| Abbreviations/Acronyms | 639 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 640 | ||
| Anatomy and Physiology | 644 | ||
| Coding Complications | 644 | ||
| Locating Complication Codes in the Alphabetic Index | 644 | ||
| Locating External Causes of Injury and Poisoning to Correspond With Complication Coding | 646 | ||
| Chapter-Specific Complications | 646 | ||
| Complications of the Digestive System | 646 | ||
| Complications of Gastrostomy, Colostomy, Enterostomy | 647 | ||
| Complications of the Genitourinary System | 648 | ||
| Complications of Dialysis | 648 | ||
| Complications of the Musculoskeletal System | 648 | ||
| Malunion/Nonunion of Fractures | 649 | ||
| Complications of the Nervous System and Sense Organs | 650 | ||
| Complications of the Respiratory System | 650 | ||
| Exercise 26-1 | 651 | ||
| Complications of Surgical and Medical Care Not Elsewhere Classified (T80-T88) | 652 | ||
| Complications Following Infusion, Transfusion, and Therapeutic Injection | 652 | ||
| Complications of Procedures, Not Elsewhere Classified | 653 | ||
| Complications of Internal Prosthetic Devices, Implants, and Grafts | 653 | ||
| Mechanical Complications | 654 | ||
| Infections and Inflammatory Reactions Due to Prosthetic Device, Implants, and Grafts | 654 | ||
| Other Specified Complications | 655 | ||
| Complications of Transplanted Organs and Tissue | 655 | ||
| Complications Peculiar to Reattachment and Amputation | 655 | ||
| Other Complications of Surgical and Medical Care, Not Elsewhere Classified | 656 | ||
| Exercise 26-2 | 656 | ||
| Chapter Review Exercise | 656 | ||
| Chapter Glossary | 657 | ||
| Glossary | 658 | ||
| Abbreviations/Acronyms | 671 | ||
| Illustration Credits | 675 | ||
| Chapter 1 | 675 | ||
| Chapter 2 | 675 | ||
| Chapter 6 | 675 | ||
| Chapter 10 | 675 | ||
| Chapter 11 | 675 | ||
| Chapter 12 | 675 | ||
| Chapter 13 | 675 | ||
| Chapter 15 | 675 | ||
| Chapter 16 | 675 | ||
| Chapter 17 | 676 | ||
| Chapter 18 | 676 | ||
| Chapter 19 | 676 | ||
| Chapter 20 | 676 | ||
| Chapter 21 | 676 | ||
| Chapter 22 | 676 | ||
| Chapter 23 | 677 | ||
| Chapter 24 | 677 | ||
| Chapter 25 | 677 | ||
| Chapter 26 | 677 | ||
| Index | 678 | ||
| A | 678 | ||
| B | 679 | ||
| C | 680 | ||
| D | 682 | ||
| E | 683 | ||
| F | 684 | ||
| G | 684 | ||
| H | 685 | ||
| I | 685 | ||
| J | 687 | ||
| K | 687 | ||
| L | 687 | ||
| M | 687 | ||
| N | 688 | ||
| O | 689 | ||
| P | 690 | ||
| Q | 691 | ||
| R | 692 | ||
| S | 692 | ||
| T | 693 | ||
| U | 694 | ||
| V | 695 | ||
| W | 695 | ||
| X | 695 | ||
| Y | 695 | ||
| Z | 695 | ||
| Inside Back Cover | ibc1 |