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Book Details
Abstract
With ICD-10-CM/PCS Coding: Theory and Practice, 2018 Edition, you will learn facility-based coding by actually working with codes. This comprehensive guide provides an in-depth understanding of inpatient diagnosis and procedure coding if you’re just learning to code, or are an experienced professional who needs to solidify and expand your knowledge. 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 accuracy using the latest codes. From leading medical coding authority and AHIMA-approved ICD-10 Trainer Karla Lovaasen, this expert resource offers all a well-rounded understanding of the necessity and functions of ICD-10-CM/PCS coding.
- ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting provide fast, easy access instruction on proper application of codes.
- 30-day access to TruCode® encoder on the Evolve companion website provides you with realistic practice with using an encoder.
- Coverage of both common and complex procedures prepares you for inpatient procedural coding using ICD-10-PCS.
- Illustrations and examples of key diseases help in understanding how commonly encountered conditions relate to ICD-10-CM coding.
- Coding examples and exercises let you apply concepts and practice coding with ICD-10-CM/PCS codes.
- 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 encountered in medical records.
- NEW! Zika virus coverage, NIHSS codes, and coding tips ensure you’re learning the most up-to-date coding information.
- UPDATED The latest ICD-10 codes and coding guidelines revisions ensure that you have the most up-to-date information available.
- UPDATED Coding Medical and Surgical Procedures chapter includes enhanced coverage and revised information.
- UPDATED! codes for Pancreatitis, Diabetic Retinopathy, Fractures, GIST Tumors, Hypertension and Myocardial Infarctions.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | cover | ||
| Inside Front Cover | ifc1 | ||
| ICD-10-CM/PCS Coding: Theory and Practice, 2018 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 (2017) | 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 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 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 (2018) | 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 (2018) | 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 (2017) | 166 | ||
| Anatomy and Physiology | 167 | ||
| Disease Conditions | 167 | ||
| Symptoms and Signs (R00-R69) | 169 | ||
| National Institutes of Health Stroke Scale (NIHSS) | 170 | ||
| Glasgow Coma Scale (GCS) | 171 | ||
| Exercise 9-1 | 171 | ||
| Abnormal Findings and Abnormal Tumor Markers (R70-R97) | 171 | ||
| Exercise 9-2 | 172 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes Z00-Z99) | 172 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 173 | ||
| Exercise 9-3 | 184 | ||
| Procedures | 185 | ||
| Exercise 9-4 | 185 | ||
| Chapter Review Exercise | 185 | ||
| Chapter Glossary | 186 | ||
| 10 Certain Infectious and Parasitic Diseases | 187 | ||
| Chapter Outline | 187 | ||
| Learning Objectives | 187 | ||
| Abbreviations/Acronyms | 187 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 188 | ||
| Anatomy and Physiology | 195 | ||
| Disease Conditions | 195 | ||
| Intestinal Infectious Diseases (A00-A09) | 196 | ||
| Clostridium difficile | 196 | ||
| Gastroenteritis | 197 | ||
| Tuberculosis (A15-A19) | 197 | ||
| Exercise 10-1 | 198 | ||
| Certain Zoonotic Bacterial Diseases (A20-A28) | 198 | ||
| Anthrax | 198 | ||
| Other Bacterial Diseases (A30-A49) | 198 | ||
| Mycobacterium Avium Complex | 198 | ||
| Meningococcal Infection | 199 | ||
| Sepsis | 199 | ||
| Exercise 10-2 | 200 | ||
| Infections With a Predominantly Sexual Mode of Transmission (A50-A64) | 201 | ||
| Syphilis | 201 | ||
| Gonorrhea | 201 | ||
| Herpes Simplex I and II | 202 | ||
| Exercise 10-3 | 202 | ||
| Other Spirochetal Diseases (A65-A69) | 203 | ||
| Viral and Prion Infections of the Central Nervous System (A80-A89) | 203 | ||
| Arthropod-Borne Viral Fevers and Viral Hemorrhagic Fevers (A90-A99) | 203 | ||
| Dengue Fever | 203 | ||
| West Nile | 204 | ||
| ZIKA Virus | 204 | ||
| Viral Infections Characterized by Skin and Mucous Membrane Lesions (B00-B09) | 204 | ||
| Hand, Foot, and Mouth Disease | 204 | ||
| Herpes Zoster | 204 | ||
| Exercise 10-4 | 205 | ||
| Viral Hepatitis (B15-B19) | 205 | ||
| Hepatitis | 205 | ||
| Human Immunodeficiency Virus (HIV) Disease (B20) | 205 | ||
| AIDS and Pregnancy | 206 | ||
| Encounters for Testing for HIV | 206 | ||
| Exercise 10-5 | 207 | ||
| Other Viral Diseases (B25-B34) | 208 | ||
| Infectious Mononucleosis | 208 | ||
| Mycoses (B35-B49) | 208 | ||
| Candidiasis | 208 | ||
| Histoplasmosis | 208 | ||
| Protozoal Diseases (B50-B64) | 209 | ||
| Toxoplasmosis | 209 | ||
| Helminthiases (B65-B83) | 209 | ||
| Helminthiases | 209 | ||
| Pediculosis, Acariasis, and Other Infestations (B85-B89) | 209 | ||
| Sequelae of Infectious and Parasitic Diseases (B90-B94) | 210 | ||
| Bacterial and Viral Infectious Agents (B95-B97) | 210 | ||
| Exercise 10-6 | 211 | ||
| Factors Influencing Health Status and Contact With Health Services (Z Codes) | 211 | ||
| Chapter 10: Infectious and Parasitic Diseases | 211 | ||
| Exercise 10-7 | 213 | ||
| Common Treatments | 213 | ||
| Procedures | 213 | ||
| Chapter Review Exercise | 214 | ||
| Chapter Glossary | 215 | ||
| References | 216 | ||
| 11 Neoplasms | 217 | ||
| Chapter Outline | 217 | ||
| Learning Objectives | 217 | ||
| Abbreviations/Acronyms | 218 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 218 | ||
| Anatomy and Physiology | 224 | ||
| Neoplasm Table | 226 | ||
| Exercise 11-1 | 227 | ||
| Primary and Secondary Neoplasms | 228 | ||
| Exercise 11-2 | 232 | ||
| Contiguous Sites | 232 | ||
| Disease Conditions | 234 | ||
| Malignant Neoplasm of Lip, Oral Cavity, and Pharynx (C00-C14) | 234 | ||
| Exercise 11-3 | 235 | ||
| Malignant Neoplasm of Digestive Organs (C15-C26) | 235 | ||
| Exercise 11-4 | 236 | ||
| Malignant Neoplasm of Respiratory and Intrathoracic Organs (C30-C39) | 236 | ||
| Exercise 11-5 | 237 | ||
| Malignant Neoplasm of Bone, Articular Cartilage, and Skin (C40-C44) | 237 | ||
| Exercise 11-6 | 238 | ||
| Malignant Neoplasm of Mesothelial and Soft Tissue (C45-C49) | 238 | ||
| Exercise 11-7 | 238 | ||
| Malignant Neoplasm of Breast, Female and Male Genitourinary Organs (C50-C68) | 239 | ||
| Exercise 11-8 | 239 | ||
| 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) | 240 | ||
| Exercise 11-9 | 241 | ||
| Neuroendocrine Tumors (C7A, C7B and D3A) | 241 | ||
| Exercise 11-10 | 241 | ||
| Malignant Neoplasm of Ill-defined, Secondary, and Unspecified Sites (C76-C80) | 241 | ||
| Exercise 11-11 | 242 | ||
| Malignant Neoplasm of Lymphoid, Hematopoietic, and Related Tissue (C81-C96) | 242 | ||
| Exercise 11-12 | 243 | ||
| In Situ Neoplasms (D00-D09) | 243 | ||
| Exercise 11-13 | 243 | ||
| Benign Neoplasms (D10-D36) | 243 | ||
| Exercise 11-14 | 245 | ||
| Neoplasms of Uncertain Behavior, Polycythemia and Myelodysplastic Syndromes (D37-D48) | 245 | ||
| Exercise 11-15 | 246 | ||
| Coding and Sequencing of Neoplasms | 246 | ||
| Malignancy as Principal Diagnosis | 246 | ||
| Recurrence of Primary Malignancy | 246 | ||
| Complications as Principal Diagnosis | 247 | ||
| Principal Diagnosis for Encounters for Chemotherapy/Immunotherapy and Radiation | 248 | ||
| Coding of Previously Excised Malignancies | 248 | ||
| Exercise 11-16 | 248 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 249 | ||
| Exercise 11-17 | 252 | ||
| Common Treatments | 252 | ||
| Procedures | 253 | ||
| Chemotherapy/Immunotherapy/Radiation | 253 | ||
| Biopsy | 254 | ||
| Surgery | 255 | ||
| Exercise 11-18 | 256 | ||
| Chapter Review Exercise | 257 | ||
| Chapter Glossary | 258 | ||
| References | 259 | ||
| 12 Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism | 260 | ||
| Chapter Outline | 260 | ||
| Learning Objectives | 260 | ||
| Abbreviations/Acronyms | 261 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 261 | ||
| Anatomy and Physiology | 262 | ||
| Disease Conditions | 263 | ||
| Nutritional Anemias (D50-D53) | 263 | ||
| Exercise 12-1 | 265 | ||
| Hemolytic Anemias (D55D59) | 265 | ||
| Exercise 12-2 | 266 | ||
| Aplastic and Other Anemias and Other Bone Marrow Failure Syndromes (D60-D64) | 267 | ||
| Exercise 12-3 | 268 | ||
| Coagulation Defects, Purpura, and Other Hemorrhagic Conditions (D65-D69) | 268 | ||
| Exercise 12-4 | 270 | ||
| Other Disorders of Blood and Blood-Forming Organs (D70-D77) | 270 | ||
| Exercise 12-5 | 271 | ||
| Certain Disorders Involving the Immune Mechanism (D80-D89) | 271 | ||
| Exercise 12-6 | 272 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 272 | ||
| Exercise 12-7 | 273 | ||
| Common Treatments | 274 | ||
| Procedures | 274 | ||
| Exercise 12-8 | 276 | ||
| Chapter Review Exercise | 276 | ||
| Chapter Glossary | 277 | ||
| References | 278 | ||
| 13 Endocrine, Nutritional, and Metabolic Diseases | 279 | ||
| Chapter Outline | 279 | ||
| Learning Objectives | 279 | ||
| Abbreviations/Acronyms | 279 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 280 | ||
| Anatomy and Physiology | 281 | ||
| Disease Conditions | 284 | ||
| Disorders of Thyroid Gland (E00-E07) | 284 | ||
| Goiter | 284 | ||
| Hypothyroidism | 285 | ||
| Hyperthyroidism/Graves’ Disease | 285 | ||
| Exercise 13-1 | 287 | ||
| Diabetes Mellitus (E08-E13) and Other Disorders of Glucose Regulation and Pancreatic Internal Secretion (E15-E16) | 288 | ||
| Diabetes Mellitus | 288 | ||
| Secondary Diabetes | 292 | ||
| Hypoglycemia | 292 | ||
| Hyperglycemia | 292 | ||
| Gestational Diabetes | 293 | ||
| Exercise 13-2 | 293 | ||
| Disorders of Other Endocrine Glands (E20-E35) | 293 | ||
| Hypoparathyroidism | 293 | ||
| Hyperparathyroidism | 293 | ||
| Hyperpituitarism | 294 | ||
| Hypopituitarism | 295 | ||
| Diabetes Insipidus | 295 | ||
| Cushing’s Syndrome | 295 | ||
| Addison’s Disease | 296 | ||
| Exercise 13-3 | 297 | ||
| Malnutrition (E40-E46) and Other Nutritional Deficiencies (E50-E64) | 298 | ||
| Malnutrition | 298 | ||
| Vitamin Deficiencies | 298 | ||
| Exercise 13-4 | 298 | ||
| Overweight, Obesity, and Other Hyperalimentation (E65-E68) | 299 | ||
| Obesity | 299 | ||
| Hypervitaminosis | 300 | ||
| Exercise 13-5 | 300 | ||
| Metabolic Disorders (E70-E88) | 300 | ||
| Cystic Fibrosis | 300 | ||
| Disorders of Fluid, Electrolyte, and Acid-Base Balance | 300 | ||
| Tumor Lysis Syndrome | 302 | ||
| Dysmetabolic Syndrome X | 302 | ||
| Exercise 13-6 | 302 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 303 | ||
| Exercise 13-7 | 304 | ||
| Common Treatments | 304 | ||
| Procedures | 305 | ||
| Bariatric Surgery | 305 | ||
| Insulin Pumps | 306 | ||
| Exercise 13-8 | 307 | ||
| Chapter Review Exercise | 307 | ||
| Chapter Glossary | 308 | ||
| References | 310 | ||
| 14 Mental, Behavioral, and Neurodevelopmental Disorders | 311 | ||
| Chapter Outline | 311 | ||
| Learning Objectives | 311 | ||
| Abbreviations/Acronyms | 311 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 312 | ||
| Anatomy and Physiology | 313 | ||
| Disease Conditions | 313 | ||
| Mental Disorders due to Known Physiological Conditions (F01-F09) | 313 | ||
| Dementia | 313 | ||
| Exercise 14-1 | 314 | ||
| Mental and Behavioral Disorders due to Psychoactive Substance Abuse (F10-F19) | 314 | ||
| Alcohol/Drug Dependence and Abuse and Associated Psychoses | 314 | ||
| Exercise 14-2 | 316 | ||
| Schizophrenia, Schizotypal, Delusional, and Other Non-mood Psychotic Disorders (F20-F29) | 316 | ||
| Schizophrenia | 316 | ||
| Schizoaffective Disorders | 316 | ||
| Exercise 14-3 | 317 | ||
| Mood [Affective] Disorders (F30-F39) | 317 | ||
| Mood Disorders | 317 | ||
| Exercise 14-4 | 318 | ||
| Anxiety, Dissociative, Stress-related, Somatoform, and Other Nonpsychotic Mental Disorders (F40-F48) | 318 | ||
| Anxiety Disorders | 318 | ||
| Exercise 14-5 | 319 | ||
| Behavioral Syndromes Associated with Physiological Disturbances and Physical Factors (F50-F59) | 319 | ||
| Eating Disorders | 319 | ||
| Sexual Problems | 320 | ||
| Exercise 14-6 | 320 | ||
| Disorders of Adult Personality and Behavior (F60-F69) | 320 | ||
| Personality Disorders | 320 | ||
| Sexual Disorder | 321 | ||
| Exercise 14-7 | 321 | ||
| Intellectual Disabilities (F70-F79) | 321 | ||
| Genetic Causes | 322 | ||
| External Causes | 322 | ||
| Exercise 14-8 | 323 | ||
| Pervasive and Specific Developmental Disorders (F80-F89) and Behavioral and Emotional Disorders With Onset Usually Occurring in Childhood and Adolescence (F90-F98) | 323 | ||
| Learning Disorders | 323 | ||
| Attention Deficit Disorder | 323 | ||
| Oppositional Defiant Disorder | 323 | ||
| Exercise 14-9 | 324 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 324 | ||
| Exercise 14-10 | 327 | ||
| Common Treatments | 327 | ||
| Procedures | 328 | ||
| Electroconvulsive Therapy | 328 | ||
| Detoxification and Rehabilitation | 328 | ||
| Exercise 14-11 | 329 | ||
| Chapter Review Exercise | 329 | ||
| Chapter Glossary | 330 | ||
| 15 Diseases of the Nervous System, Diseases of the Eye and Adnexa, and Diseases of the Ear and Mastoid Process | 332 | ||
| Chapter Outline | 332 | ||
| Learning Objectives | 333 | ||
| Abbreviations/Acronyms | 333 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 333 | ||
| Anatomy and Physiology | 337 | ||
| Central Nervous System | 337 | ||
| Peripheral Nervous System | 337 | ||
| Disease Conditions | 337 | ||
| Inflammatory Diseases of the Central Nervous System (G00-G09) | 340 | ||
| Exercise 15-1 | 341 | ||
| Extrapyramidal and Movement Disorders (G20-G26) | 342 | ||
| Other Degenerative Diseases of the Nervous System (G30-G32) | 342 | ||
| Episodic and Paroxysmal Disorders (G40-G47) | 343 | ||
| Different Types of Seizures | 343 | ||
| Migraines and Other Headache Syndromes | 344 | ||
| Transient Ischemic Attack | 344 | ||
| Sleep Disorders | 345 | ||
| Polyneuropathy and Other Disorders of the Peripheral Nervous System (G60-G65) | 345 | ||
| Diseases of the Myoneural Junction and Muscle (G70-G73) | 345 | ||
| Cerebral Palsy and Other Paralytic Syndromes (G80-G83) | 346 | ||
| Other Disorders of the Nervous System (G89-G99) | 346 | ||
| Exercise 15-2 | 349 | ||
| Diseases of the Eye and Adnexa (H00-H59) | 349 | ||
| Disorders of the Lens (H25-H28) | 350 | ||
| Disorders of the Choroid and the Retina (H30-H36) | 350 | ||
| Glaucoma (H40-H42) | 351 | ||
| Visual Disturbances and Blindness (H53-H54) | 352 | ||
| Diseases of the Ear and the Mastoid Process (H60-H95) | 352 | ||
| Diseases of the Middle Ear and Mastoid (H65-H75) | 352 | ||
| Exercise 15-3 | 354 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 354 | ||
| Exercise 15-4 | 355 | ||
| Common Treatments | 356 | ||
| Procedures | 356 | ||
| Lumbar Puncture | 356 | ||
| Deep Brain Stimulation | 356 | ||
| Ventricular Shunting | 357 | ||
| Vagal Nerve Stimulation | 357 | ||
| Cataract Extraction | 358 | ||
| Exercise 15-5 | 359 | ||
| Chapter Review Exercise | 359 | ||
| Chapter Glossary | 360 | ||
| Reference | 360 | ||
| 16 Diseases of the Circulatory System | 361 | ||
| Chapter Outline | 361 | ||
| Learning Objectives | 361 | ||
| Abbreviations/Acronyms | 362 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 362 | ||
| Anatomy and Physiology | 366 | ||
| The Heart | 366 | ||
| Blood Vessels | 368 | ||
| Lymphatic System | 368 | ||
| Disease Conditions | 368 | ||
| Acute Rheumatic Fever (I00-I02) and Chronic Rheumatic Heart Disease (I05-I09) | 369 | ||
| Hypertensive Diseases (I10-I15) | 370 | ||
| Hypertensive Heart, Renal, and Heart and Renal Disease | 371 | ||
| Exercise 16-1 | 372 | ||
| Ischemic Heart Disease (I20-I25) | 372 | ||
| Acute Myocardial Infarction | 372 | ||
| Exercise 16-2 | 376 | ||
| Pulmonary Heart Disease and Diseases of Pulmonary Circulation (I26-I28) | 376 | ||
| Pulmonary Embolism | 376 | ||
| Pulmonary Hypertension | 376 | ||
| Other Forms of Heart Disease (I30-I52) | 377 | ||
| Pericarditis | 377 | ||
| Endocarditis | 377 | ||
| Non–rheumatic Valve Disorders | 377 | ||
| Cardiomyopathy | 378 | ||
| Conduction Disorders | 378 | ||
| Exercise 16-3 | 382 | ||
| Cerebrovascular Diseases (I60-I69) | 382 | ||
| Sequelae of Cerebrovascular Disease | 386 | ||
| Exercise 16-4 | 386 | ||
| Diseases of the Arteries, Arterioles, and Capillaries (I70-I79) | 386 | ||
| Diseases of Veins, Lymphatic Vessels, and Lymph Nodes, Not Elsewhere Classified (I80-I89) | 388 | ||
| Phlebitis, Thrombophlebitis, and Deep Vein Thrombosis | 388 | ||
| Exercise 16-5 | 389 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 390 | ||
| Exercise 16-6 | 391 | ||
| Common Treatments | 391 | ||
| Procedures | 391 | ||
| Diagnostic Cardiac Catheterization | 391 | ||
| Angioplasty | 392 | ||
| Coronary Artery Bypass Graft | 395 | ||
| Electrophysiologic Studies/Procedures | 397 | ||
| Pacemaker/Defibrillators (AICD) | 398 | ||
| Aneurysm Repair | 401 | ||
| Central Lines/Catheters | 402 | ||
| Exercise 16-7 | 403 | ||
| Chapter Review Exercise | 403 | ||
| Chapter Glossary | 405 | ||
| References | 405 | ||
| 17 Diseases of the Respiratory System | 406 | ||
| Chapter Outline | 406 | ||
| Learning Objectives | 406 | ||
| Abbreviations/Acronyms | 406 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 407 | ||
| Anatomy and Physiology | 409 | ||
| Disease Conditions | 409 | ||
| Acute Upper Respiratory Infections (J00-J06) and Other Diseases of Upper Respiratory Tract (J30-J39) | 410 | ||
| Exercise 17-1 | 412 | ||
| Influenza and Pneumonia (J09-J18) | 412 | ||
| Exercise 17-2 | 414 | ||
| Other Acute Lower Respiratory Infections (J20-J22) | 414 | ||
| Exercise 17-3 | 414 | ||
| Chronic Lower Respiratory Diseases (J40-J47) | 414 | ||
| Exercise 17-4 | 416 | ||
| Lung Diseases Due to External Agents (J60-J70) | 416 | ||
| Exercise 17-5 | 417 | ||
| Other Respiratory Diseases Principally Affecting the Interstitium (J80-J84) | 417 | ||
| Pulmonary Edema | 417 | ||
| Acute Pulmonary Edema of Noncardiac Origin | 418 | ||
| Exercise 17-6 | 418 | ||
| Suppurative and Necrotic Conditions of the Lower Respiratory Tract (J85-J86) and Other Diseases of the Pleura (J90-J94) | 418 | ||
| Empyema and Lung Abscess | 418 | ||
| Pleural Effusion | 418 | ||
| Pneumothorax | 419 | ||
| Exercise 17-7 | 419 | ||
| Other Diseases of the Respiratory System (J96-J99) | 419 | ||
| Respiratory Failure | 419 | ||
| Respiratory Disorders in Diseases Classified Elsewhere | 420 | ||
| Exercise 17-8 | 421 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 421 | ||
| Exercise 17-9 | 422 | ||
| Common Treatments | 422 | ||
| Procedures | 422 | ||
| Mechanical Ventilation | 422 | ||
| Noninvasive Ventilation | 423 | ||
| Bronchoscopy | 424 | ||
| Thoracentesis | 425 | ||
| Thoracostomy | 426 | ||
| Tracheostomy | 426 | ||
| Pulmonary Resection | 427 | ||
| Exercise 17-10 | 429 | ||
| Chapter Review Exercise | 429 | ||
| Chapter Glossary | 430 | ||
| References | 431 | ||
| 18 Diseases of the Digestive System | 432 | ||
| Chapter Outline | 432 | ||
| Learning Objectives | 432 | ||
| Abbreviations/Acronyms | 432 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting | 433 | ||
| Anatomy and Physiology | 433 | ||
| Disease Conditions | 434 | ||
| Diseases of the Oral Cavity and Salivary Glands (K00-K14) | 434 | ||
| Exercise 18-1 | 435 | ||
| Diseases of the Esophagus, Stomach, and Duodenum (K20-K31) | 435 | ||
| Esophageal Conditions | 435 | ||
| Exercise 18-2 | 436 | ||
| Ulcers of the Stomach and Small Intestine | 436 | ||
| Gastrointestinal Hemorrhage | 437 | ||
| Exercise 18-3 | 437 | ||
| Diseases of the Appendix (K35-K38) | 438 | ||
| Hernia (K40-K46) | 438 | ||
| Noninfectious Enteritis and Colitis (K50-K52) | 439 | ||
| Crohn’s Disease | 439 | ||
| Ulcerative Colitis | 439 | ||
| Other Diseases of Intestines and Peritoneum (K55-K68) | 440 | ||
| Intestinal Obstruction | 440 | ||
| Diverticulitis and Diverticulosis | 441 | ||
| Exercise 18-4 | 441 | ||
| Diseases of Peritoneum and Retroperitoneum (K65-K68) | 442 | ||
| Diseases of the Liver (K70-K77) | 442 | ||
| Cirrhosis of the Liver | 442 | ||
| Hepatitis | 442 | ||
| Disorders of the Gallbladder, Billiary Tract, and Pancreas (K80-K87) | 443 | ||
| Cholelithiasis and Cholecystitis | 443 | ||
| Exercise 18-5 | 444 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 444 | ||
| Exercise 18-6 | 445 | ||
| Common Treatments | 445 | ||
| Procedures | 446 | ||
| Procedures of the Stomach | 446 | ||
| Procedures of the Intestine | 447 | ||
| Procedures of the Gallbladder and Biliary System | 449 | ||
| Lysis of Adhesions | 450 | ||
| Hernia Repair | 451 | ||
| Transjugular Intrahepatic Portosystemic Shunt (TIPS) | 451 | ||
| Exercise 18-7 | 452 | ||
| Chapter Review Exercise | 452 | ||
| Chapter Glossary | 453 | ||
| Reference | 454 | ||
| 19 Diseases of the Skin and Subcutaneous Tissue | 455 | ||
| Chapter Outline | 455 | ||
| Learning Objectives | 455 | ||
| Abbreviations/Acronyms | 455 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 456 | ||
| Anatomy and Physiology | 457 | ||
| Disease Conditions | 458 | ||
| Infections of the Skin and Subcutaneous Tissue (L00-L08) | 458 | ||
| Carbuncle and Furuncle | 458 | ||
| Cellulitis/Abscess of the Skin | 458 | ||
| Exercise 19-1 | 459 | ||
| Bullous Disorders (L10-L14) | 460 | ||
| Pemphigus | 460 | ||
| Dermatitis and Eczema (L20-L30) | 460 | ||
| Papulosquamous Disorders (L40-L45) | 461 | ||
| Urticaria and Erythema (L49-L54) | 461 | ||
| Exercise 19-2 | 462 | ||
| Radiation-Related Disorders of the Skin and Subcutaneous Tissue (L55-L59) | 462 | ||
| Disorders of Skin Appendages (L60-L75) | 462 | ||
| Other Disorders of Skin and Subcutaneous Tissue (L80-L99) | 462 | ||
| Pressure Ulcer | 463 | ||
| Non–Pressure Chronic Ulcer of the Lower Limb | 464 | ||
| Exercise 19-3 | 464 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 465 | ||
| Exercise 19-4 | 465 | ||
| Common Treatments | 465 | ||
| Procedures | 465 | ||
| Incision and Drainage | 465 | ||
| Debridement | 466 | ||
| Excisional Debridement | 466 | ||
| Nonexcisional Debridement | 466 | ||
| Excision of Lesion | 467 | ||
| 20 Diseases of the Musculoskeletal System and Connective Tissue | 473 | ||
| Chapter Outline | 473 | ||
| Learning Objectives | 473 | ||
| Abbreviations/Acronyms | 473 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 474 | ||
| Anatomy and Physiology | 475 | ||
| Disease Conditions | 476 | ||
| Infectious (M00-M02) and Inflammatory Arthropathies (M05-M14) | 478 | ||
| Exercise 20-1 | 479 | ||
| Osteoarthritis (M15-M19) and Other Joint Disorders (M20-M25) | 479 | ||
| Osteoarthritis | 479 | ||
| Exercise 20-2 | 481 | ||
| Systemic Connective Tissue Disorders (M30-M36) | 481 | ||
| Collagen Diseases | 481 | ||
| Polymyalgia Rheumatica | 482 | ||
| Exercise 20-3 | 482 | ||
| Deforming Dorsopathies (M40-M43), Spondylopathies (M45-M49), and Other Dorsopathies (M50-M54) | 482 | ||
| Spinal Deformities | 482 | ||
| Exercise 20-4 | 485 | ||
| Disorders of Muscles (M60-M63), Synovium, Tendon (M65-M67), and Other Soft Tissue (M70-M79) | 486 | ||
| Bursitis | 486 | ||
| Necrotizing Fasciitis | 486 | ||
| Fibromyalgia | 486 | ||
| Exercise 20-5 | 486 | ||
| Disorders of Bone Density and Structure (M80-M85), Other Osteopathies (M86-M90), Chondropathies (M91-M94), and Periprosthetic Fracture around Internal Prosthetic Joint (M97) | 486 | ||
| Osteoporosis | 486 | ||
| Pathologic Fractures and Fracture Aftercare | 487 | ||
| Atypical Femoral Fractures | 488 | ||
| Osteomyelitis | 488 | ||
| Periprosthetic Fractures | 488 | ||
| Exercise 20-6 | 489 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 489 | ||
| Exercise 20-7 | 492 | ||
| Common Treatments | 492 | ||
| Procedures | 492 | ||
| Arthroscopic Surgery | 492 | ||
| Joint Replacement | 493 | ||
| Vertebroplasty/Kyphoplasty | 495 | ||
| Fusion Procedures of the Spine | 495 | ||
| Exercise 20-8 | 498 | ||
| Chapter Review Exercise | 498 | ||
| Chapter Glossary | 499 | ||
| 21 Diseases of the Genitourinary System | 501 | ||
| Chapter Outline | 501 | ||
| Learning Objectives | 501 | ||
| Abbreviations/Acronyms | 502 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 502 | ||
| Anatomy and Physiology | 503 | ||
| Urinary Tract | 503 | ||
| Male Genital Tract | 504 | ||
| Female Genital Tract | 504 | ||
| Breast | 505 | ||
| Disease Conditions | 505 | ||
| Glomerular Diseases (N00-N08) | 506 | ||
| Nephritic Syndrome/Nephrotic Syndrome | 506 | ||
| Glomerulonephritis | 506 | ||
| Exercise 21-1 | 507 | ||
| Renal Tubulo-Interstitial Diseases (N10-N16) | 507 | ||
| Exercise 21-2 | 509 | ||
| Acute Renal Failure and Chronic Kidney Disease (N17-N19) and Urolithiasis (N20-N23) | 509 | ||
| Acute Renal Failure | 509 | ||
| Chronic Kidney Disease (CKD) | 509 | ||
| Hypertension and Chronic Kidney Disease | 510 | ||
| Urolithiasis | 510 | ||
| Exercise 21-3 | 511 | ||
| Other Disorders of the Kidney and Ureter (N25-N29) and Other Diseases of the Urinary System (N30-N39) | 511 | ||
| Urinary Tract Infections | 511 | ||
| Urinary Incontinence | 514 | ||
| Exercise 21-4 | 514 | ||
| Diseases of the Male Genital Organs (N40-N53) | 514 | ||
| Prostate | 514 | ||
| Exercise 21-5 | 516 | ||
| Disorders of Breast (N60-N65) | 516 | ||
| Breast | 516 | ||
| Exercise 21-6 | 517 | ||
| Inflammatory Diseases of Female Pelvic Organs (N70-N77) | 517 | ||
| Pelvic Inflammatory Disease | 517 | ||
| Exercise 21-7 | 518 | ||
| Noninflammatory Disorders of Female Genital Tract (N80-N98) | 518 | ||
| Endometriosis | 518 | ||
| Genital Prolapse | 519 | ||
| Fistulas | 520 | ||
| Cervical and Vulvular Dysplasia | 520 | ||
| Exercise 21-8 | 521 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 521 | ||
| Exercise 21-9 | 523 | ||
| Common Treatments | 523 | ||
| Procedures | 523 | ||
| Dialysis | 524 | ||
| Kidney Transplantation | 526 | ||
| Prostate Procedures | 527 | ||
| Breast Biopsies and Reconstruction | 528 | ||
| Removal of Stones | 529 | ||
| Exercise 21-10 | 530 | ||
| Chapter Review Exercise | 530 | ||
| Chapter Glossary | 531 | ||
| References | 533 | ||
| 22 Pregnancy, Childbirth, and the Puerperium | 534 | ||
| Chapter Outline | 534 | ||
| Learning Objectives | 534 | ||
| Abbreviations/Acronyms | 535 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 535 | ||
| Anatomy and Physiology | 544 | ||
| Common Pregnancy Definitions | 545 | ||
| Conditions of Pregnancy, Childbirth, and Puerperium | 545 | ||
| Coding of Pregnancy | 546 | ||
| Exercise 22-1 | 548 | ||
| Pregnancy With Abortive Outcome (O00-O08) | 548 | ||
| Ectopic and Molar Pregnancy | 548 | ||
| Types of Abortion | 550 | ||
| Exercise 22-2 | 551 | ||
| Supervision of High-Risk Pregnancy (O09) | 551 | ||
| Edema, Proteinuria, and Hypertensive Disorders in Pregnancy, Childbirth, and the Puerperium (O10-O16) | 551 | ||
| Hypertension in Pregnancy | 551 | ||
| Other Maternal Disorders Predominantly Related to Pregnancy (O20-O29) | 552 | ||
| Maternal Care Related to the Fetus and Amniotic Cavity and Possible Delivery Problems (030-048) | 552 | ||
| Exercise 22-3 | 553 | ||
| Complications of Labor and Delivery (O60-O77) | 555 | ||
| Encounter for Delivery (O80, O82) | 556 | ||
| Complications Predominantly Related to the Puerperium (O85-O92) | 556 | ||
| Other Obstetric Conditions, Not Elsewhere Classified (O94-O9a) | 556 | ||
| Exercise 22-4 | 556 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 557 | ||
| Common Treatments | 561 | ||
| Procedures | 561 | ||
| Labor | 562 | ||
| Delivery | 562 | ||
| Cesarean Section | 564 | ||
| Sterilization | 564 | ||
| Exercise 22-5 | 565 | ||
| Chapter Review Exercise | 566 | ||
| Chapter Glossary | 567 | ||
| Key Reference | 568 | ||
| 23 Certain Conditions Originating in the Perinatal Period, and Congenital Malformations, Deformations, and Chromosomal Abnormalities | 569 | ||
| Chapter Outline | 569 | ||
| Learning Objectives | 570 | ||
| Abbreviations/Acronyms | 570 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 570 | ||
| Exercise 23-1 | 573 | ||
| Disease Conditions | 574 | ||
| Coding the Birth of an Infant | 574 | ||
| Apgar Scores | 575 | ||
| Newborn Affected by Maternal Factors and by Complications of Pregnancy, Labor, and Delivery (P00-P04) | 576 | ||
| Disorders of the Newborn Related to Length of Gestation and Fetal Growth (P05-P08) | 576 | ||
| Birth Trauma (P10-P15) | 576 | ||
| Respiratory and Cardiovascular Disorders Specific to the Perinatal Period (P19-P29) | 576 | ||
| Respiratory Problems After Birth | 576 | ||
| Transitory Tachypnea of Newborn (TTN). | 576 | ||
| Apnea of the Newborn. | 577 | ||
| Respiratory Distress Syndrome (RDS). | 577 | ||
| Meconium Aspiration Syndrome | 577 | ||
| Bronchopulmonary Dysplasia (BPD) | 577 | ||
| Infections Specific to the Perinatal Period (P35-P39) | 577 | ||
| Infection in the Perinatal Period | 577 | ||
| Newborn Sepsis. | 577 | ||
| Hemorrhagic and Hematological Disorders of Newborn (P50-P61) | 578 | ||
| Other Problems With the Newborn (P84) | 578 | ||
| Fetal Distress | 578 | ||
| Other Disorders Originating in the Perinatal Period (P90-P96) | 578 | ||
| Feeding Problems in Newborns | 578 | ||
| Exercise 23-2 | 579 | ||
| Congenital Malformations of the Nervous System (Q00-Q07) | 580 | ||
| Chapter 17 Congenital Malformations, Deformations, and Chromosomal Abnormalities | 580 | ||
| Congenital Malformations of the Circulatory System (Q20-Q28) | 581 | ||
| Tetralogy of Fallot | 581 | ||
| Cleft Lip and Cleft Palate (Q35-Q37) | 582 | ||
| Other Congenital Malformations of the Digestive System (Q38-A45) | 583 | ||
| Meckel’s Diverticulum | 583 | ||
| Congenital Malformations of Genital Organs (Q50-Q56) | 583 | ||
| Congenital Malformations of the Urinary System (Q60-Q64) | 584 | ||
| Congenital Malformations and Deformations of the Musculoskeletal System (Q65-Q79) | 584 | ||
| Other Congenital Malformations (Q80-Q89) | 584 | ||
| Marfan’s Syndrome | 585 | ||
| Chromosomal Abnormalities, Not Elsewhere Classified (Q90-Q99) | 585 | ||
| Exercise 23-3 | 586 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 587 | ||
| Chapter Review Exercise | 588 | ||
| Chapter Glossary | 589 | ||
| 24 Injury and Certain Other Consequences of External Causes and External Causes of Morbidity | 590 | ||
| Chapter Outline | 590 | ||
| Learning Objectives | 590 | ||
| Abbreviations/Acronyms | 591 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 591 | ||
| Exercise 24-1 | 596 | ||
| Anatomy and Physiology | 597 | ||
| Disease Conditions | 597 | ||
| Types of Injuries | 598 | ||
| Superficial Injuries | 599 | ||
| Exercise 24-2 | 599 | ||
| Contusion With Intact Skin Surface | 601 | ||
| Exercise 24-3 | 601 | ||
| Laceration/Open Wounds | 601 | ||
| Exercise 24-4 | 602 | ||
| Fractures | 602 | ||
| Skull Fractures | 605 | ||
| Spine Fractures | 605 | ||
| Upper Limb Fractures | 605 | ||
| Lower Limb Fractures | 607 | ||
| Traumatic Fractures and Fracture Aftercare | 608 | ||
| Exercise 24-5 | 610 | ||
| Dislocations | 610 | ||
| Exercise 24-6 | 611 | ||
| Sprains and Strains | 611 | ||
| Exercise 24-7 | 611 | ||
| Injury to Nerves/Spinal Cord and Blood Vessel | 611 | ||
| Exercise 24-8 | 612 | ||
| Internal Injuries | 612 | ||
| Intracranial Injury, Excluding Those With Skull Fracture | 612 | ||
| Exercise 24-9 | 612 | ||
| Internal Injury of Thorax, Abdomen, and Pelvis | 613 | ||
| Exercise 24-10 | 614 | ||
| Crush Injuries and Amputations | 614 | ||
| Exercise 24-11 | 615 | ||
| Certain Early Complications of Trauma | 615 | ||
| Exercise 24-12 | 615 | ||
| Effects of Foreign Body Entering Through Orifice | 616 | ||
| Exercise 24-13 | 616 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 616 | ||
| Admission for Observation Following an Injury | 617 | ||
| Exercise 24-14 | 617 | ||
| Common Treatments | 617 | ||
| Procedures | 618 | ||
| Fracture Treatment | 618 | ||
| Repair of Lacerations | 619 | ||
| Exercise 24-15 | 619 | ||
| Chapter Review Exercise | 620 | ||
| Chapter Glossary | 621 | ||
| Key Reference | 621 | ||
| 25 Burns, Adverse Effects, and Poisonings | 622 | ||
| Chapter Outline | 622 | ||
| Learning Objectives | 622 | ||
| Abbreviations/Acronyms | 622 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 623 | ||
| Anatomy and Physiology | 627 | ||
| Disease Conditions | 627 | ||
| Burns and Corrosions (T20-T32) and Frostbite (T33-T34) | 628 | ||
| Frostbite | 630 | ||
| Exercise 25-1 | 630 | ||
| Poisoning by, Adverse Effect of, and Underdosing of Drugs, Medicaments, and Biological Substances (T36-T50) | 630 | ||
| Exercise 25-2 | 632 | ||
| Exercise 25-3 | 633 | ||
| Poisonings | 633 | ||
| Exercise 25-4 | 634 | ||
| Toxic Effects of Substances Chiefly Nonmedicinal as to Source (T51-T65) | 634 | ||
| Exercise 25-5 | 634 | ||
| Other and Unspecified Effects of External Causes (T66-T78) | 635 | ||
| Adult/Child Abuse | 635 | ||
| Systemic Inflammatory Response Syndrome (SIRS) | 635 | ||
| Rhadomyolysis | 635 | ||
| Exercise 25-6 | 637 | ||
| Late Effects of Injuries, Poisonings, Toxic Effects, and Other External Causes | 637 | ||
| Exercise 25-7 | 638 | ||
| Factors Influencing Health Status and Contact with Health Services (Z Codes) | 638 | ||
| Exercise 25-8 | 640 | ||
| Common Treatments | 640 | ||
| Procedures | 640 | ||
| Debridement | 640 | ||
| Hyperbaric Oxygen Therapy | 641 | ||
| Exercise 25-9 | 641 | ||
| Chapter Review Exercise | 641 | ||
| Chapter Glossary | 643 | ||
| 26 Complications of Surgical and Medical Care | 644 | ||
| Chapter Outline | 644 | ||
| Learning Objectives | 644 | ||
| Abbreviations/Acronyms | 644 | ||
| ICD-10-CM Official Guidelines for Coding and Reporting (2017) | 645 | ||
| Anatomy and Physiology | 649 | ||
| Coding Complications | 649 | ||
| Locating Complication Codes in the Alphabetic Index | 649 | ||
| Locating External Causes of Injury and Poisoning to Correspond With Complication Coding | 650 | ||
| Chapter-Specific Complications | 651 | ||
| Complications of the Digestive System | 651 | ||
| Complications of Gastrostomy, Colostomy, Enterostomy | 652 | ||
| Complications of the Genitourinary System | 653 | ||
| Complications of Dialysis | 653 | ||
| Complications of the Musculoskeletal System | 653 | ||
| Malunion/Nonunion of Fractures | 654 | ||
| Complications of the Nervous System and Sense Organs | 655 | ||
| Complications of the Respiratory System | 655 | ||
| Exercise 26-1 | 656 | ||
| Complications of Surgical and Medical Care Not Elsewhere Classified (T80-T88) | 657 | ||
| Complications Following Infusion, Transfusion, and Therapeutic Injection | 657 | ||
| Complications of Procedures, Not Elsewhere Classified | 658 | ||
| Complications of Internal Prosthetic Devices, Implants, and Grafts | 658 | ||
| Mechanical Complications | 659 | ||
| Infections and Inflammatory Reactions Due to Prosthetic Device, Implants, and Grafts | 659 | ||
| Other Specified Complications | 660 | ||
| Complications of Transplanted Organs and Tissue | 660 | ||
| Complications Peculiar to Reattachment and Amputation | 660 | ||
| Other Complications of Surgical and Medical Care, Not Elsewhere Classified | 661 | ||
| Exercise 26-2 | 661 | ||
| Chapter Review Exercise | 661 | ||
| Chapter Glossary | 662 | ||
| Reference | 662 | ||
| Glossary | 663 | ||
| Abbreviations/Acronyms | 676 | ||
| Illustration Credits | 681 | ||
| Chapter 1 | 681 | ||
| Chapter 2 | 681 | ||
| Chapter 6 | 681 | ||
| Chapter 10 | 681 | ||
| Chapter 11 | 681 | ||
| Chapter 12 | 681 | ||
| Chapter 13 | 681 | ||
| Chapter 15 | 681 | ||
| Chapter 16 | 681 | ||
| Chapter 17 | 682 | ||
| Chapter 18 | 682 | ||
| Chapter 19 | 682 | ||
| Chapter 20 | 682 | ||
| Chapter 21 | 682 | ||
| Chapter 22 | 682 | ||
| Chapter 23 | 683 | ||
| Chapter 24 | 683 | ||
| Chapter 25 | 683 | ||
| Chapter 26 | 683 | ||
| Index | 684 | ||
| A | 684 | ||
| B | 685 | ||
| C | 686 | ||
| D | 688 | ||
| E | 689 | ||
| F | 690 | ||
| G | 690 | ||
| H | 691 | ||
| I | 691 | ||
| J | 693 | ||
| K | 693 | ||
| L | 693 | ||
| M | 693 | ||
| N | 694 | ||
| O | 695 | ||
| P | 696 | ||
| Q | 697 | ||
| R | 697 | ||
| S | 698 | ||
| T | 699 | ||
| U | 700 | ||
| V | 700 | ||
| W | 701 | ||
| X | 701 | ||
| Y | 701 | ||
| Z | 701 | ||
| Inside Back Cover | ibc1 |