ICD-10 Webinars • ICD-10 On-Site Training • On-Line ICD-10 Tutorials
Coding Tutorials are FREE to all HCS Clients!
On October 1, 2014, the United States
health care system will transition from the current
International Classification of Diseases, ICD-9-CM,
diagnosis and inpatient procedure codes to a more
detailed Tenth Edition-ICD-10-CM. ICD-10-PCS
(Procedure Coding System) is an alphanumeric
procedure classification system that will be
implemented for inpatient hospital settings only and
will replace Volume 3 of ICD-9-CM.
The digestive system includes all of
the organs and structures that aid in the digestion
and elimination of food. It includes the
gastrointestinal tract, also known as the alimentary
canal, as well as other accessory organs. The
gastrointestinal tract includes all of the
structures and organs extending from the mouth to
the anus. The accessory organs are all of the organs
that aid in digestion, such as the liver,
gallbladder, and pancreas.
genitourinary system includes organs of the
reproductive and urinary systems. They are
included together due to their proximity and because
they share common pathways. One important
distinction between coding in the ICD-10-CM and ICD-9-CM is that the
ICD-10-CM requires more specificity in terms of the site of
The respiratory system, also
sometimes called the pulmonary system, is the body
system responsible for supplying the blood with
oxygen, which is then transported throughout the
body. While this is the most important function of
the respiratory system, there are many other
The circulatory system is made up of the heart and
the blood vessels that carry the blood throughout
our bodies. The heart is the hard-working muscle
whose function is to pump the blood through the
vessels. There are three basic types of blood
vessels: arteries, veins, and capillaries. You
will learn more about each of these later in the
The human body has three
types of joints: fibrous, cartilaginous, and synovial. Fibrous joints are sometimes called
fixed joints. The joints connecting the bones that make up the skull are examples of fibrous joints. Cartilaginous joints are only slightly moveable. The
synovial joints of our body allow for the largest range of motion. There are 6 types of synovial joints.
body has over 640 skeletal muscles that make up the bulk of our body and
more than half of its weight. There are three types of muscles in our
bodies: involuntary (smooth), cardiac, and skeletal (striated). While
there are distinctions among the different types of muscles, they all
have the ability to contract, relax, be excited by a stimulus, and
return to their original size and shape.
skeletal system has many important functions. Our bones are
strong enough to bear weight, yet light enough to allow for
flexible movement. In addition, many of our bones provide
protection for our internal organs. For example, our skull
protects our brain, and our rib cage protects our heart,
kidneys, and other organs. Our bones also store materials our
body needs, such as calcium, magnesium, phosphorus, and bone
nervous system consists of the brain, spinal cord, and all of
the nerves inside and outside those structures. It receives sensory information from all the parts of your
body, processes that information, and stimulates muscles and
glands to move or secrete hormones. In addition, it allows
people to engage in cognitive tasks, such as retrieving
memories, learning new information, and communicating with other
On June 25, 2010, President Obama
signed into law the “Preservation of Access to Care
for Medicare Beneficiaries and Pension Relief Act of
2010.” One part of the law pertains to Medicare’s
policy for payment of outpatient services provided
on either the date of a beneficiary’s inpatient
admission or during the three calendar days
immediately preceding the date of a beneficiary’s
CPT codes are maintained by the American Medical
Association and are updated quarterly. This main
update was done January 1, 2013. CPT
five-digit codes, descriptions, and other data only
are copyrighted by the American Medical Association
(AMA). The CPT code changes for 2013
include: 186 new codes, 263 revised codes & 119 deleted
It is time again for the
ICD-9 CM coding updates effective October 1, 2013. This tutorial
will look at the new ICD-9 CM diagnosis and procedure codes and
describe diagnostic and procedural information to help you better
understand the codes.
The Office of Statewide
Health Planning & Development (OSHPD) is a California state
agency that is tasked with promoting healthcare accessibility
through facilitating analysis of California’s healthcare
infrastructure, providing information about healthcare outcomes,
and promoting a diverse and competent healthcare workforce, in
addition to other roles. As part of this mission, OSHPD
requires that hospitals submit particular data on a regular
basis. This tutorial will provide descriptions of some of the
data elements required in these reports.
HCPCs codes are
required to be used for all Medicare outpatients.
G-Codes, a subset of HCPCs coding set are used by
HIM coding professionals to identify professional
health care procedures and services that would
otherwise be coded in CPT, but for which no CPT code
exists. New and changed HCPCS codes are introduced
every January 1. This tutorial will list the most
common of the current G codes in use and will
discuss the coding guidelines in reporting these G
codes. New technology codes must be used if they
exist in place of the HCPCS codes. The new
technology codes are not discussed in this tutorial.
Coding emergency room visits is not as difficult as the coding of
inpatients, but it does require the application of the outpatient coding
guidelines. A standard set of procedures typically relates to this
patient type, and varies slightly by facility. This tutorial will
discuss the coding guidelines for both ICD-9-CM diagnosis and CPT-4
procedure coding. Typical procedures to look for in the ED setting will
be discussed as well.
many as 40 million people suffer from some form of pain. Since
the new codes for pain were introduced in 2006, coders have been
challenged in their use. This tutorial will help the coder
understand the pain condition and how to apply the diagnostic
codes according to official coding guidelines.
Coding of the Human Immunodeficiency Virus, (HIV), and associated conditions can
be a challenge to coders. California law poses even further cause for concern,
as certain HIV related codes cannot be reported for patients seen in the
California health care system. This tutorial will help coders understand the
disease, conditions and symptomatology involved and how they are translated into
diagnostic coding. California HIV reporting requirements will also
Modifier 73 and 74 were established to assist hospital
outpatient reporting associated with the use of resources in the
event a surgical or diagnostic procedure is cancelled due to
extenuating circumstances or those that threaten the well-being
of the patient. This tutorial will instruct the coder in the
correct use of these two modifiers.
Respiratory failure is a serious
life-threatening condition and is usually caused by an underlying disease.
This tutorial will update you on the latest coding.
With the inception of the MS-DRG,
(Medicare Severity-Diagnostic Related Group), system, October 1, 2007,
the addition of an MCC, (Major Co-morbid condition), or CC, (co-morbid
condition), could mean the difference of several thousand dollars per
DRG case. This tutorial will discuss those MCCs or CCS which are
commonly missed and what documentation to look for.
repairs take into consideration many coding
guidelines which can cause confusion for coders.
Physician documentation is paramount in reporting
the correct type, site and size of the repair. This
tutorial will educate the coder on the various wound
closures with respect to CPT coding rules and guidelines.
Failure, (CHF), is the condition in which heart disease, causes
breathlessness and abnormal sodium and water retention, often
resulting in edema. Approximately 4.7 million people in the U.S. suffer from
congestive heart failure. This tutorial will provide an
understanding of the causes and manifestations of this disease
and help coders in applying the governing coding guidelines.
The Office of
Inspector General, (OIG), is targeting wound debridement and
wound care for medical necessity and correctness of coding.
This tutorial will describe the debridement process for skin,
soft tissue and bone, providing definitions and examples.
Active wound care and fracture care related to debridements will
be delineated. The differences between ICD9 and CPT debridement
coding guidelines will be discussed.
Coding cardiology diagnosis and
procedures can be a allenge to even a seasoned coder. In
this tutorial you will learn some of the most current
cardiology procedures, terminology and coding applications,
including electrophysiolgic studies and automatic
defibrillator insertions, and replacements.
Coding obstetrics and delivery
follow their own separate guidelines and rules. This
tutorial provides coders guidance and coding applications
that will give clarity to coding obstetric and delivery
& Sigmoidoscopy Coding
presentation gives information regarding the diagnostic and
procedural coding guidelines for the accurate reporting of
colonoscopies and sigmoidoscopies. Screening definitions and the
use of G codes are discussed.
As of January 1, 2005, a new form of
reimbursement was established by CMS for Psychiatric facilities,
to report Medicare patients. This tutorial presents the DRG
methodology based reimbursement system, termed Inpatient
Psychiatric Facility Prospective Payment System.
patients present for outpatient testing or therapy
per a physician's order. The order must give a
reason, (diagnosis), for the test. A diagnosis of
"rule out" is not acceptable and the physician
should be queried for a more definitive diagnosis.
Sepsis and septicemia have
previously been considered synonymous terms used heavily in the
medical field. Despite this, coding guidelines now place these
terms into two separately identifiable disease states. This
educational tutorial will discuss this difference between the two as
well as their related conditions.
New and changed
CPT4 codes are introduced for 2009. These changes are effective January
1, 2009. This tutorial will list the new codes and changes. New
technology codes must be used if they exist in place of the CPT code.
The new technology codes are not discussed in this tutorial.
Customer Service: 866.427.7828 Fax: 949.759.1253 Business: 949.721.2795
HCS © 2013