Hi everyone, it's Cindy Johnson your instructor for
HIT 221 and I just wanted to go through the Code Book
and see if we can't, get you a little more familiar with that.
I'm using a document camera which I'm not super familiar with, but
hopefully, this will help me show you things.
So, looking at
the Table of Contents, you can see
the different chapters, those types of things.
Pay attention to here, where we take a look at the steps to correct
coding, the format, the punctuation, the abbreviation,
the additional conventions, different
ways the code book uses edits and color.
The Guidelines, which we'll spend a lot of time on this semester getting
very familiar with the Guidelines and then
the various tables. There's an Index to Diseases and Injuries,
which we just refer to as The Index when I tell you
look at the Alphabetical Index, that is what I'm referring to.
Then there is a Neoplasm Table, which Neoplasms are cancers.
We learn to use the Table of Drugs and Chemicals,
Index to External Causes and then we actually start the Tabular.
You'll see when we read the Steps to Coding
you start by looking up a main term in your Alphabetical Index
and then you take the code you're given and you look that code up
in your Tabular. The Tabular is divided into
various chapters. You will notice that
the chapters, Chapter 1 is Certain Infectious and Parasitic Diseases
does not correspond to Chapter 1 in the
Coding Handbook. Just be aware that they don't correspond and
look for references in the Assignment Schedule that tell you
which chapters. For example, Chapter 14 in the Coding Handbook
corresponds to Chapter 1 in the Code Book.
Some history of ICD-9.
These notes here, that talks about Inclusion Terms, "Excludes 1" and Excludes 2"
these are really important. So, just don't gloss over
punctuation and the instructional notes, because really,
they are like driving a car, and I'll try to make that analogy
throughout the course, if you're driving a car and the speed limit changes
or, there's a caution sign, that's what instructional notes are.
They're giving you instructions in how you move forward in finding your code.
Do pay attention to those. You'll see, this is my
Code Book, I have written notes to myself
about different things throughout the Code Book.
You'll learn more about that as time goes on.
Then you get to the Official Guidelines.
The Official Guidelines for Coding and Reporting and
again we will talk about Guidelines over, and over, and over.
The only way you learn or know a Guideline is to use it, so,
I have many examples on the exercises and
in our exams that will have you referring often back to the Guidelines.
You can see where
I have made my own highlights for different things.
I mentioned in one of the
recordings, I think it was the Assignment Schedule that I
had to learn ICD-10 as well, I learned to code in 9, so,
it's been an education to learn to code in 10. I like it.
It is very different than 9. The Guidelines,
there are several pages of them, you will see some
of them, when you get past some of the General Guidelines you see
Chapter-Specific Guidelines, you will notice that, as you move through these.
I also wanted to show you my tabs.
I tab everything because it helps me
find things quicker. So you can have your own system
of how you want to tab. I identify the Index,
The Alphabetical Index, and then I just have a couple of
alphabet letters, like this is
the letter "D" in the index, the letter "F" in the index
"Pr" for pregnancy in the Index, just to kind of
give me a quick thumb and that is all of the
Alphabetical Index. Then I have a tab for
the Table of Neoplasms, I call it the Neoplasm,
and that's where we start with this Neoplasm Table, again you
see I have some notes up here. This very same note is in here
but it's just written so small, so if I really want to rememeber something
I'll make an extra note up here at the top to help me remember.
We'll learn more about the Neoplasm Table when we get to Chapter 2 in the Code Book.
Let me see if I can show you—see here how we have
"Malignant Primary", this is when the primary cancer
is in a certain organ, "Malignant Secondary"
this is when the cancer has metastasized from this organ
into a secondary organ. "Cancer In situ"
which a description, this is what the doctor is going to be giving you,
"Benign", is a cancer that's benign.
"Uncertain", you will rarely use this code, almost certainly the
doctors are going to tell you it's either benign or malignant. "Unspecified Behavior"
I've never used this column but I'm sure it's there for a reason, but just to be aware.
For the most part you're going to be using these first four
columns when we get to the Table of Neoplasms.
Then is we move to my next tab
after Neoplasms I have Drugs and Chemicals right here.
The Table of Drugs and Chemicals, so I'm going to come
back up here. And what I want to bring to your attention
here, let me adjust this camera,
You'll be looking up substances and then you'll be
looking at these headings and the first one is an "Accidental Poisoning"
which is unintentional, the second column is an intentional poisoning
to harm yourself, then a "Poisoning Assault"
where you're harming someone else, a "Poisoning Undetermined"
In other words, we don't know who's hurting who. Then "Adverse Effect"
is a drug that's taken in the correct dose
but this patient has a reaction to it—adverse effect.
And "Underdosing" is when a prescription has been written but
the patient's not using it the way it's been prescribed.
We'll learn a lot more about this. I just wanted to bring this table to your attention
as we're going through the Code Book. My next tab
is "External Causes", right here, another table
and again, this will make a lot more sense
when we get to these chapters, but I just wanted to walk you through
the Code Book so you can see that it does have some order
it's just a very large book.
And then, I start with the letter "A" for Chapter 1.
In the back of the book
I want to show you a couple of things.
In the very back there are illustrations.
The peripheral nervous system is here, so I have
"PNS" for peripheral nervous system.
This is going to be your sense organs. Just don't forget
about these things in the back of the book.
I have them labeled. You see my little labels here.
It just helps me find them quickly when I'm coding.
So, hopefully that's just an introduction to the book.
We'll spend a lot of time in this book. You'll become very familiar with it.
Those illustrations we just looked at, here they are.
I hope this has been a little bit helpful,
so that you can spend some time getting in the Code Book and
figuring out what's-what. And we will learn together how best to use
this very large amount of codes.
Thank you and have a good morning! Bye-bye.