We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byKiya Pingree
Modified over 2 years ago
ICD-10-CM codes M00-M99 ICD-10-CM Guidelines for Coding & Reporting, Section I.C.13 1© Kathleen Peterson, MS, RHIA, CCS
R25 Abnormal involuntary movements ◦ Cramp and spasm R26 Abnormalities of gait and mobility R27 Other lack of coordination R29.6 Repeated falls ◦ Z91.81 History of falling, At risk for falling R Loss of height R Ocular torticollis © Kathleen Peterson, MS, RHIA, CCS2
Official Coding Guidelines, I.C.13.a-d Conditions coded to this chapter include ◦ M1a Chronic Gout ◦ M 10 Gout ◦ M30 Polyarteritis nodosa ◦ M26 Dentofacial anomalies, including malocclusion ◦ M27 Diseases of jaw ◦ M84.3- Stress fractures ◦ M84.4- through M84.6- Pathological fractures ◦ Bone, joint or muscle conditions that are recurrent or resulting from a healed injury © Kathleen Peterson, MS, RHIA, CCS 3
I.C.13.a. Site and laterality ◦ Site represents bone, joint or muscle involved ◦ Some conditions may have a code for “multiple sites” M10.09 Idiopathic gout, multiple sites ◦ If category does not have “multiple sites” code, then assign codes to indicate different sites M24.4- Recurrent dislocation of joint ◦ Bone vs. joint: Although bone affected may be at the joint, the site designation will be the bone. M Idiopathic aseptic necrosis of radius, ulna, and carpus © Kathleen Peterson, MS, RHIA, CCS4
I.C.13.b. Acute traumatic vs. chronic or recurrent musculoskeletal condition ◦ Any current, acute injury is coded to Chapter 19, Injury S83.014A Lateral dislocation of right patella, initial episode ◦ Bone, joint or muscle conditions that result from healed injury or are recurrent are usually found in Chapter 13, Musculoskeletal system M22.11 Recurrent incomplete dislocation of right knee ◦ If documentation is unclear whether acute vs. chronic or recurrent condition, query the provider. © Kathleen Peterson, MS, RHIA, CCS5
Joint Derangement ◦ Recurrent – see Derangement, joint, recurrent ◦ Due to current injury – see Derangement, joint, current injury and Derangement, joint Joint replacement ◦ Assign code for disease process resulting in joint replacement ◦ Assign Z96.6- for orthopedic joint replacement on subsequent admissions 6© Kathleen Peterson, MS, RHIA, CCS
ICD-10-CM coding guideline I.C.13.c Bone structure is weakened due to disease process ◦ Osteoporosis, osteomalacia, osteomyelitis, or neoplasm Review physician documentation ◦ Trauma fracture are coded to Injuries ◦ Pathological fracture M80, M84.4-, M84.5-, M84.6- 7 th characters are required to show initial, subsequent or sequela ◦ Stress fracture repetitive force see M84.3- Use additional external cause code(s) to identify cause of stress fracture Example: Y93.01, Activity walking, marching and hiking 7© Kathleen Peterson, MS, RHIA, CCS
Identify sites: pelvis, extremities, vertebrae ◦ Stress fractures of vertebrae are termed “fatigue fractures”. Identify episode of care with 7 th character ◦ Initial, subsequent, sequela M84.311A Stress fracture, right shoulder, initial episode M48.42xB Fatigue fracture of vertebra, cervical region, subsequent encounter for routine healing © Kathleen Peterson, MS, RHIA, CCS8
AInitial encounter for fracture Active treatment: surgical treatment, ED encounter, evaluation & treatment by new MD DSubsequent encounter for fracture with routine healing Code use for fracture aftercare - change or remove cast, remove external or internal fixation device, medication adjustment, follow-up visits following fracture treatment) GSubsequent encounter for fracture with delayed healing KSubsequent encounter for fracture with nonunion PSubsequent encounter for fracture with malunion SSequela © Kathleen Peterson, MS, RHIA, CCS 9
M66 Spontaneous rupture of synovium and tendon ◦ NOTE A spontaneous rupture is one that occurs when a normal force is applied to tissues that are inferred to have less than normal strength. M80 Osteoporosis with current pathological fracture ◦ NOTE Fragility fracture is defined as a fracture sustained with trauma no more than a fall from a standing height or less that occurs under circumstances that would not cause a fracture in a normal healthy bone. © Kathleen Peterson, MS, RHIA, CCS 10
ICD-10-CM coding guideline I.C.13.d. M81.- Osteoporosis without current pathological fracture ◦ Assign code even if patient has had fracture in past Z87.310, Personal hx of (healed) osteoporosis fracture, is also assigned with M81.- M80.- Osteoporosis with current pathological fracture ◦ Assign code for patients with current pathological fracture at time of encounter Assign code to identify fracture site Use for patients with osteoporosis who suffer a fracture, even if it was a minor fall or trauma, that would not usually break a normal, healthy bone. © Kathleen Peterson, MS, RHIA, CCS11
Includes kyphoscoliosis Types ◦ Idiopathic Infantile (birth through age 4) Juvenile (ages 5 through 10) Adolescent (ages 11 through 17) ◦ Secondary Neuromuscular or other ◦ Thoracogenic ◦ Other form ◦ Unspecified Identify site: cervical, cervicothoracic, thoracic, thoracolumbar, lumbar, lumbosacral, sacral/sacrococcygeal, unspecified © Kathleen Peterson, MS, RHIA, CCS12
Assign ICD-10-CM codes for: 1. Cervical spondylosis, C5-6, C Deformity of left ring finger, due to old flexor tendon laceration 3. Right hallux valgus © Kathleen Peterson, MS, RHIA, CCS13
The Transition to What you need to know for Orthopedics Date | Presenter Information.
Skeletal System Disorders. Osteomyelitis Infection of the bone Causes include: invading bacteria, pneumonia, typhoid, inflammation of teeth, and injury.
CHAPTER 6 CHAPTER-SPECIFIC GUIDELINES (ICD-10-CM CHAPTERS 11-14)
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 11 Coding for Musculoskeletal System and Connective Tissue Diseases.
Musculoskeletal Pathology and injuries 1. pain after specific use 2. pain at start of activity resolving with warm-up 3. Pain during and after specific.
Terminology in Health Care and Public Health Settings Unit 3 Musculoskeletal System Component 3/Unit 31 Health IT Workforce Curriculum Version 1/Fall 2010.
Orthopaedic ICD-10 CM Training. ICD-10-CM will be valid for dates of service on or after October 1, 2015 – Outpatient dates of service of October 1, 2015.
ICD-10 Getting There….. Orthopaedics. What Physicians Need To Know Claims for ambulatory and physician services provided on or after 10/1/2015 must use.
Colorado Trauma Network/ Colorado Trauma Registry Health and Safety Data Services Coding Injuries in ICD10CM 10/1/2014.
Musculoskeletal Injuries. Definition Any injury that occurs to a skeletal muscle, tendon, ligament, joint, or a blood vessel that services skeletal muscle.
Copyright © 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 1 CHAPTER 6 CHAPTER-SPECIFIC GUIDELINES.
Medical Coding II Seminar 7. Unit 7 Overview Reading: Understanding ICD-9-CM Coding, Chapters 5, 11, 17, 18 Seminar: Attend Seminar or complete option.
CHAPTER 7 CHAPTER-SPECIFIC GUIDELINES (ICD-10-CM CHAPTERS 15-21)
Skeletal System Diseases and Disorders By 2 nd Block.
Physical therapy for orthopedic and rheumatology Salameh Al dajah PhD PT.
Anatomy and Physiology Bones and Joints Bones provide framework and support; classified by shape and composition Joints: where two or more bones.
TRAUMA Fractures, Dislocations & other injuries By Barbara Peacock Cumberland County College 2009.
Copyright © 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 1 CHAPTER 7 CHAPTER-SPECIFIC GUIDELINES.
ICD-10 – What Radiologists Need to Know Stephanie Hatton, RCC California Medical Business Services Arcadia, California.
Musculoskeletal Trauma. Anatomy and Physiology Bones Muscles Joints Tendons Ligaments Soft tissues.
Definition: Free active exercises are those which are performed by the pt’s own muscular efforts without the assistance or resistance of any external.
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 1 CHAPTER 11 CHAPTER-SPECIFIC GUIDELINES.
Essentials of Human Anatomy & Physiology Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slides 5.45 – 5.55 Seventh Edition Elaine.
Common Injuries of the Elbow. Elbow Anatomy The elbow is composed of three bones Humerus Radius Ulna.
General Guidelines. Term first-listed diagnosis, rather than principal diagnosis Outpatient Surgery: Reason for surgery ◦ Even if surgery is cancelled.
Definition; classification; causes fractures. ORTHOPEDICS History “ortho” straight “paedia” child Straightening of musculoskeletal deformities in children.
Skeletal System Disorders. Arthritis Joint inflammation 2 most common forms: Osteoarthritis Rheumatoid arthritis.
Copyright © 2015 Cengage Learning ®. Chapter 6 Musculoskeletal System Diseases and Disorders.
MCQ 1-Acute osteomyelitis is commonly caused by: a. Staph aureus. b. S. pyogenes. c. H. influenzae. d. Salmonella.
SKELETAL SYSTEM SKELETON, BONES, JOINTS, & CONNECTIVE TISSUES FUNCTIONS, ANATOMY, PHYSIOLOGY, SYSTEM CARE, INJURIES & ILLNESSES.
Copyright © 2013 by Mosby, an imprint of Elsevier, Inc. MOBILITY.
Med Sci 1 Semester Review Medical Science 1. This type of spondylosis is?
Requirements Official coding guidelines require the use of V codes for aftercare and specify that applicable aftercare V-codes are to be used for conditions.
Sports Medicine Option 3. Classification of Sports Injuries Direct Injury Definition: Caused by an external blow or force Definition: Caused by an external.
Health Concerns. Gout: Eti: Painful swelling of a joint that results in uric acid build up. Mostly in great toe S/S: fever, chills, complications from.
Alterations of Musculoskeletal Function Chapter 42 Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.
Orthopaedic Trauma Pat Fleming Consultant Orthopaedic Surgeon.
Types of Fractures Afrid, Justin, Jonathan. A fracture is a broken bone Bones are rigid, but they do bend from an outside force The severity of a fracture.
Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 6 Musculoskeletal System Diseases and Disorders.
My Vision Express presents An introduction to the new coding system ICD-10 Ready?
Clinical Documentation Improvement (CDI). Objectives. !. What is CDI and why is it associated with ICD-10? 2. How to share information with physicians.
ICD-10-CM OVERVIEW OF UPCOMING DOCUMENTATION COMPONENTS OF ICD-10-CM.
BONE FRACTURES Mr. Mackay. Factors that influence severity include the degree and direction of the force, the particular bone involved, and the person’s.
© 2011 National Safety Council BONE, JOINT AND MUSCLE INJURIES LESSON
Recognizing Different Sports Injuries Color of the Day!
Skeletal System Diseases and Disorders By 3 rd Block.
Back Pain. Spinal Abnormalities u Spinals abnormalities are either functional (muscle) or structural (bone) in nature. –Functional low back pain benefits.
Medical Coding Chapter 3. CHAPTER 3 ICD-9-CM OUTPATIENT CODING AND REPORTING GUIDELINES.
Musculoskeletal Assessment. Vocabulary pgs ● Adduction – Abduction ● Flexion – Extension ● Inner rotation – Outer rotation ● Supination – Pronation.
Aseel Samaro Exploring problems with skeletal system.
© 2017 SlidePlayer.com Inc. All rights reserved.