1. 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 (ICD-10-CM CHAPTERS 11-14)

2. Copyright © 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 2 Diseases of Digestive System, Chapter 11 K00-K94 Unspecified GI hemorrhage, K92.2 Combination codes with hemorrhage –Example: K57.21, Diverticulitis of large intestine with perforation and abscess with bleeding

3. Copyright © 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 3 Diseases of the Skin and Subcutaneous Tissue, Chapter 12 L00-L99 Also codes to report conditions of the: –Nails –Sweat glands –Hair –Hair follicles

4. Copyright © 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 4 Infections Use additional code before L00 direct coder to report the infection with B95-B97

5. Copyright © 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 5 Pressure Ulcers Stage I: erythema (redness) of skin Stage II: partial loss of skin (epidermis or dermis) Stage III: full thickness loss of skin (up to but not through fascia) Stage IV: full thickness loss (extensive destruction and necrosis)

6. Copyright © 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 6 Diseases of the Musculoskeletal System and Connective Tissue, Chapter 13 M00-M99 Most codes specify: –Site: Location on the body –Laterality: Right, left, unilateral, bilateral Some codes include “multiple sites” such as: –M15, Polyosteoarthritis including multiple sites

7. Copyright © 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 7 Infectious Arthropathies M00-M02 Direct infections –Invades synovial tissue –Invades the joint –Invasive organism has been identified Indirect infections –Reactive: Microbial infection identified but not in joint –Postinfective: Microbial antigen present, but not constant and no evidence of multiplication

8. Copyright © 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 8 Pathological Fractures Also known as (AKA): Spontaneous fracture Fracture reported in addition to underlying condition responsible for fracture Never assign a code for a traumatic fracture and pathological fracture of same bone 7 th character indicates status, such as A for initial

9. Copyright © 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 9 Osteoporosis M80 and M81 Systemic condition that affects bones Fracture sustained with trauma that would not usually cause a fracture Site is not a component of codes Category M80, Osteoporosis with current pathological fracture –Age and other osteoporosis codes Category M81, Osteoporosis without current pathological fracture

10. Copyright © 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc. Slide 10 Conclusion CHAPTER 6 CHAPTER-SPECIFIC GUIDELINES (ICD-10-CM CHAPTERS 11-14)