Intro to ICD-9 Coding.ppt

Intro to ICD-9 Coding Nancy Clark, M.Ed. Director of Medical Informatics Education FSU College of Medicine Class Resources Needed ICD-9 Coding book Pages refer to Medicode book. Page numbers may not match other books. A medical reference with ICD-9 codes Online ICD-9 coder at CDC Wonder PDA Coding Programs InfoRetriever Epocrates ICD Bluefish RX ICD and CPT CodeMeister ICD Notes Pocket ICD/CPT StatICD, StatEM, others ICD-9-CM pocket Objectives Learner will correctly describe a diagnosis so that a billing clerk can assign an ICD-9 code(s) to the encounter Learner will correctly assign an ICD-9 code(s) to an encounter using the ICD-9 book Learner will correctly assign an ICD-9 code(s) to an encounter using a computer program, PDA program or web site. International Classification of Disease, 9th Revision 1948 - WHO developed to track diseases 1977 - 9th revision published 1988 - Congress passed Medicare Catastrophic Coverage Act requiring use of ICD-9 on all claims. 1996 - mandated codes be of highest possible specificity. HCFA Guidelines Identify each service, procedure, or supply with an ICD-9 code from 001.0 through V82.9 to describe the diagnosis, symptom, complaint, condition, or problem Identify services or visits for circumstances other than disease or injury, such as follow-up care after chemotherapy, with V codes provided for this purpose. HCFA Guidelines Code the primary diagnosis first, followed by the secondary, tertiary and so on. Code any coexisting conditions that affect the treatment of the patient for that visit or procedure as supplementary information. Do not code a diagnosis that is no longer applicable. HCFA Guidelines Code to the highest degree of specificity. Carry the numerical code to the 4th or 5th digit when necessary. Remember, there are only approximately 100 valid three digit codes; all other ICD-9 codes require additional digits HCFA Guidelines Code a chronic diagnosis as often as it is applicable to the patient’s treatment at