1. The Complete Procedure Coding Book By Shelley C. Safian, MAOM/HSM, CCS-P, CPC-H, CHA Chapter 16 ICD-9-CM Volume 3 Procedure Codes Copyright © 2009 by The McGraw-Hill Companies, Inc. All rights reserved McGraw Hill/Irwin

2. Learning Outcomes Identify the circumstances when Volume 3 codes are used. Interpret the notations shown in Volume 3. Apply the correct terminology used in Volume 3. 16-2

3. Learning Outcomes Identify the necessary documentation specifics required to code accurately. Distinguish between CPT and Volume 3 codes. Determine the most accurate code to report services rendered. 16-3

4. Introduction When an individual is admitted into the hospital and becomes an inpatient, the hospital will use a different set of codes to report the services and procedures provided. 16-4

5. ICD-9-CM Volume 3 International Classification of Diseases - 9th revision - Clinical Modification (ICD-9-CM) Volumes 1 and 2 = Diagnosis codes Volume 3 = Procedure codes used for inpatient services 16-5

6. Different Types of Codes Procedure Codes Look Different: 12345 CPT A1234 HCPCS Level II 12.34 ICD-9-CM Volume 3 16-6

7. ICD-9-CM Notations Directions to more accurate coding: NOS Not Otherwise Specified NEC Not Elsewhere Classifiable [ ] Brackets [ ] Slanted brackets ( ) Parentheses 16-7

8. ICD-9-CM Vol. 3 Directions for more accurate coding: : Colon } Brace INCLUDES EXCLUDES Code Also –Code Also –Code Also Any –Code Also Any Synchronous 16-8

9. ICD-9-CM Vol. 3 Directions for more accurate coding: See –See –See Also Omit code And –And/Or Color highlighting 16-9

10. ICD-9-CM Vol. 3 Additional Digits ICD-9-CM Volume 3 codes may have: 3 digits 4 digits 5 digits 16-10

11. Chapter Summary Reporting services and procedures provided in a hospital to an in-patient may require the use of ICD-9-CM Volume 3 codes for reimbursement. 16-11