ICD-10 Coding for Long-Term Care: A Comprehensive Training Guide

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ICD-10 Coding for Long-Term Care: A Comprehensive Training Guide

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ICD-10 Coding for Long-Term Care: A Comprehensive Training Guide


Train your staff now to ensure compliance and correct coding on claims

ICD-10 coding will be implemented in just months. Is your facility ready for the transition? Nationally recognized coding expert Karen Fabrizio, RHIA, CHTS-CP, CPRA, AHIMA Approved ICD-10-CM/PCS Trainer, will help you train with her new, comprehensive ICD-10 coding training manual. Specific to long-term care, this manual gives detailed coding training and how-to guidance for the top diagnoses in the long-term care setting. ICD-10 is a complex new coding set, so it’s crucial your facility is prepared.

This book provides:

  • In-depth coding how-to for the most commonly documented diagnoses in the long-term care setting
  • Guidance on how to properly document and code in ICD-10 to ensure appropriate coding on claims
  • Quiz questions, examples, and sample scenarios to help train staff
  • A detailed understanding of how long-term care providers in particular can best conquer ICD-10 complexities
  • “How to” chapters that focus on each diagnostic area


Table of Contents


PART I: Understanding the Fundamentals of ICD-10-CM Coding

  1. Introduction
  2. The Origins of ICD Coding
  3. Getting to Know the ICD-10-CM Manual
  4. Understanding the Coding Manual Format and Setup
  5. Conventions and Terms
  6. Four Easy Steps to Accurate Coding


PART II: Long-Term Care Specifics – What You Need to Know

  1. Primary and Other Diagnoses
  2. Effective Management of the Coding Process
  3. Coverage Criteria
  4. MDS 3.0
  5. Receiving Appropriate Reimbursement
  6. Quality Measures and Indicators
  7. Ethical Coding Practice


Part III: “How to” Chapters on Each Diagnostic Area

  1. Certain Infectious and Parasitic Diseases (Codes A00-B99)
  2. Neoplasms (Codes C00-D49)
  3. Diseases of the Blood and Blood-Forming Organs, and Certain Disorders Involving the Immune Mechanism (Codes D50-D89)
  4. Endocrine, Nutritional, and Metabolic Diseases (Codes E00-E89)
  5. Mental, Behavioral, and Neurodevelopmental Disorders (Codes F01-F99)
  6. Diseases of the Nervous System and Sense Organs (Codes G00-G99)
  7. Diseases of the Eye and Adnexa (Codes H00-H59)
  8. Diseases of the Ear and Mastoid Process (Codes H60-H95)
  9. Diseases of the Circulatory System (Codes I00-I99)
  10. Diseases of the Respiratory System (Codes J00-J99)
  11. Diseases of the Digestive System (Codes K00-K95)
  12. Diseases of the Skin and Subcutaneous Tissue (Codes L00-L99)
  13. Diseases of the Musculoskeletal System and Connective Tissue (Codes M00-M99)
  14. Diseases of the Genitourinary System (Codes N00-N99)
  15. Pregnancy, Childbirth, and the Puerperium (Codes O00-O9A)
  16. Conditions Originating in the Perinatal Period (Codes P00-P96)
  17. Congenital Anomalies (Codes Q00-Q99)
  18. Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (Codes R00-R99)
  19. Injury, Poisoning, and Certain Other Consequences of External Causes (Codes S00-T88)
  20. How to Code: External Causes of Morbidity (Codes V01-Y99)
  21. How to Code: Factors Influencing Health Status and Contact With Health Services (Codes Z00-Z99)


About the Author

Karen Fabrizio, RHIA, CHTS-CP, CPRA, an AHIMA-Approved ICD-10-CM/PCS trainer and a professor of health information and technology at Onondaga Community College in Syracuse, N.Y., is a highly regarded health information professional with 25 years of experience. She has worked in many sectors including acute care, long-term care, education, and consulting, and has also been a public speaker. Fabrizio is currently the medical record administrator and HIPAA privacy and security officer at Van Duyn Home and Hospital, a 513-bed skilled nursing facility in Syracuse. She is the system administrator for the electronic medical record that was implemented in 2009, and actively participates in software development reviews.

Published: May 2014.