Title: Introduction to Intermediate Coding and Classification Systems
Course: Intermediate Coding and Classification Systems > Section: Module 1: Introduction to Intermediate Classifications and Codings

Introduction

Welcome to the HIM 2284C Intermediate Coding and Classification online course. Your journey is continuing into the professional world of coding so let’s start by going over what will be covered in this course. This course is the second course you will have in ICD-9-CM and ICD-10-PCS coding classification system for Procedural coding. You have already completed the Introduction course on diagnosis coding, now you will focus on the procedure coding in ICD. You will use what you have already learned for the diagnosis portions in this course and the same books.

There is one additional textbook you will need in this course:

- ICD-10-PCS: An Applied Approach, Kuehn and Jorwic, AHIMA. 2013 edition.

You will use your previous textbooks published by the AHA from the HIM 2229C Introduction to Coding and Classification Systems course you have already taken. You will now cover Chapter 7 in the ICD-9-CM Coding handbook and Chapters 8, 9, 10, and 11 in your ICD-10-CM and ICD-10-PCS Coding handbook first.

After these five chapters are completed, you will use the ICD-10-PCS: An Applied Approach textbook published by AHIMA for the remainder of the course, your software and your coding manual for PCS.

In addition, you will have access to all the software, materials and resources that were available to you in your first coding course.

To summarize, these are the texts you will need for this course:

- Lynn Kuehn, MS, RHIA, CCS-P, FHIMA, ICD-10-PCS: An Applied Approach. American Health Information Management Association. 2013 or current edition.

From previous Course - HIM 2229C:

- Nelly Leon-Chisen, RHIA. ICD-10-CM/ICD-10-PCS Coding Handbook. American Hospital Association, AHA Press, 2013 or current edition.
- Nelly Leon-Chisen, RHIA. ICD-9-CM/ICD-9-CM Coding Handbook. American Hospital Association, AHA Press, 2012 or current edition.
- Hart, Anita, ICD-9-CM Expert for Hospitals and Payers, Vol 1,2 and 3. OPTUM/INGENIX, 2013 or current edition.

IMPORTANT: These software applications are not currently compatible with MAC OS and do not function properly with the Safari web browser. It is best to use IE9 for full functionality. A suggested course schedule has been provided for your planning purposes in the course resources. Please access your course materials on the COURSE CONTENT page within this course’s online learning system. Discussion forums will be provided to enhance your learning experience focusing on relevant topics within each module in the course. These will be part of your grade along with each module’s tests. Please refer to the course syllabus provided on the course resources page for your grading scale and breakdown.

I suggest that you complete all exercises assigned as some of these questions may be on the exams you take for each modules. In this week, you will work in Chapter 7 (AHA ICD-9-CM Coding handbook) and Chapter 8 in (AHA ICD-10-PCS Coding Handbook) from the last course. Chapter 7 is the introduction to the ICD-9-CM procedural coding system (Volume 3) of ICD-9-CM. Volume 3 is only used in the hospital inpatient setting for coding procedures performed during hospitalization of the patient. Chapter 8 in the ICD-10-PCS handbook will introduce you to the new ICD-10-PCS coding system.

Carefully read the guidelines and work all the exercises. As you progress through this course you will be required to use both the diagnosis coding and procedure coding in some coding exercises. Your tests may have both diagnosis and procedure coding questions after you learn each individual body system. Each module will have a test with 20-25 questions worth 2 points each.

You will cover 5 chapters in your AHA coding Handbooks for procedure coding and an additional 23 chapters in the ICD-10-PCS: An Applied Approach text book from AHIMA. A total of 28 chapters will be addressed in this course to give you a firm foundation in coding procedures in both ICD-9 and ICD-10-PCS: Learning the organization and structure of ICD-10-PCS is crucial to coding procedures correctly and is completely different than ICD-9. It is important to clarify that ICD-9-CM (volume 3) and ICD-10-PCS is used to code inpatient hospital cases ONLY.

Course Outcomes

- Describes the basic coding steps for coding medical procedures in both ICD-9-CM and ICD-10-PCS. (1)
- Interprets the basic coding guidelines established by the American Hospital Association for both ICD-9-CM and ICD-10-PCS. (2)
- Converts medical documentation into both ICD-9-CM and ICD-10-PCS codes. (3)
- Applies the official coding guidelines to the coding of medical procedures for all body systems (circulatory, respiratory, musculoskeletal, urinary, blood organs, reproductive, gastrointestinal, etc.) (4)
- Resolves discrepancies in medical documentation and accurate code assignment through the physician query process. (5)
- Analyzes medical documentation to assign accurate codes for reimbursement of health care services. (6)
- Evaluates and assigns accurate medical procedure codes through analysis of case studies. (7)
- Compares and contrasts the differences between the ICD-9-CM and ICD-10-PCS classification systems. (8)

Objectives

Upon completion of this module, the student will be able to:

- Locate the procedure terms in the Alphabetic Index of Volume of 3 ICD-9-CM.
- Code procedures for surgeries, biopsies, stent and shunt insertions.
- Code canceled and incomplete procedures.
- Explain the structure, format and conventions of ICD-10-PCS.
- Know and define the following terms:
  - Character
  - Value
  - Approach
  - Qualifier
  - Root Operation
- Identify the body system and body part, or anatomical site where the procedure was performed.
- Understand the structure of the tables within each Section of the coding system.

Readings & Resources

- Chapter 7 (AHA ICD-9-CM Coding handbook) and Chapter 8 in (AHA ICD-10-PCS Coding Handbook).
- Completion of all exercises.
- Review anatomy and physiology on Quantim or 3M.
- Review medical terminology on Quantim or 3M.
- Medicare coding website
- AHA Coding Central
- Convert from ICD -9 to ICD -10
- ICD-10 Medicare and Medicaid Service Centers
- CMS ICD-10 Website
- To access the following online resources you must be a subscriber to the AHIMA Virtual Lab applications through your college or university. Your school's HIT program manager/director will register you for the V-Lab if your school is a subscriber and give you the Username and Password to sign on.
- Web access for QuadraMed Quantim Coding Reimbursement System
- Web access for 3M Coding and Reimbursement System: http://3M.ahima.org