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TERMINOLOGY, ANATOMY & PATHOPHYSIOLOGYFOR ICD-10CM

REVIEW WITH BINGO AND PUZZLE GAMES

Jeslyn Nam CPC-A

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OVERVIEWTERMINOLOGYLearning Medical Terminology is very much like

learning a foreign language. You begin by studying the rules of the language, process by learning words, and then move on to putting the words together. They have root, prefix and suffix.

For example: Arthr/o = joint, poly- =many, -algia = pain Polyarthralgia: pain in many joints.

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OVERVIEW (CONTINUED)

ANATOMY is the study of internal and external structure of the body.

PATHOPHYSIOLOGYis the disordered

physiological processes associated with disease or injury.

Including an introduction to the organ systems, body sections, body regions, body cavities, and significance of homeostasis.

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OVERVIEW (CONTINUED)

We will go over

4 chapters with

puzzles

Muscular System

Cardiovascular System

Eye and Adnexa

Skeletal System

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SKELETAL SYSTEM The skeletal system includes all of the bones and joints in

the body. The skeletal system in an adult body is made up of 206 individual bones. These bones are arranged into two major divisions: the axial skeleton and the appendicular skeleton.

The axial skeleton runs along the body’s midline axis and is made up of 80 bones in the following regions: Skull, Hyoid, Auditory ossicles, Ribs, Sternum and

Vertebral column The appendicular skeleton is made up of 126 bones in the

following regions: Upper limbs, Lower limbs, Pelvic girdle and Pectoral

(shoulder) girdle Each bone is a complex living organ that is made up of

many cells, protein fibers, and minerals. The skeleton acts as a scaffold by providing support and protection for the soft tissues that make up the rest of the body. The skeletal system also provides attachment points for muscles to allow movements at the joints.

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STRUCTURE OF THE BONE

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ICD-10 CM BURSITIS: is inflammation of the fluid-filled

sac(bursa) of synovial fluid. ICD-10CM ranges from M70 to M71 Ex: Bursitis, unspecified hand – M70.10

ARTHRITIS: is a group of conditions involving damage to the joints of the body. Ex: Bilateral primary osteoarthritis of knee – M17.0

TENDONITIS: is inflammation of a tendon. Ex: Patellar tendonitis, right knee – M76.50

OSTEOPOROSIS: is the bones become brittle and fragile from loss of tissue, typically as a result of hormonal changes, or deficiency of calcium or vitamin D. Ex: Osteoporosis with current pathological fracture –

M80.

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ICD-10CM

Pathologic Fractures ICD-10CM

Pathological fracture, right ankle

M84.471-

Pathological fracture, left ankle

M84.472-

Pathological fracture, unspecified ankle

M84.473-

Pathological fracture, right foot

M84.474-

Pathological fracture, left foot M84.475-

Pathological fracture, unspecified foot

M84.476-

Pathological fracture, right toe(s)

M84.477-

Pathological fracture, left toe(s)

M84.478-

Pathological fracture, unspecified toe(s)

M84.479-

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EXAMPLE

Code M84.47 – Pathological fracture, other site requires a seventh character to make it a complete code; however there are only five characters currently. The appropriate code for the initial episode of care would be M84.47XA. The “X” must be added as a placeholder in order to have the “A” fall into the seventh character field. The seventh character extender must always remain at the 7th character. Ex: The pathological fracture of the left foot,

initial encounter would be M84.475A

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MUSCULAR SYSTEM

The muscular system is responsible for the movement of the human body. Attached to the bones of the skeletal system are about 700 named muscles that make up roughly half of a person’s body weight.

Each of these muscles is a discrete organ constructed of skeletal muscle tissue, blood vessels, tendons, and nerves.

Muscle tissue is also found inside of the heart, digestive organs, and blood vessels.

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ICD-10CM

To code for dislocation in ICD-

10 CM, the necessary is:

Anatomic site

Type of injury:- Dislocation- Subluxation

- Sprain

Laterality

Episode of care (assigned as the

seventh digit extension)-A = initial encounter for

facture- D = subsequent

encounter for facture without healing

- S = Sequel

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ICD-10CM

Dislocation, subluxation and sprain

ICD-10CM

Dislocation and sprain of joints and ligaments of head

S03.

Dislocation and sprain of joints and ligaments of thorax

S23.

Dislocation and sprain of joints and ligaments of the elbow

S53.

Posterior subluxation and dislocation of humerus

S43.02

Inferior sublxation and dislocation of humerus

S43.03

Anterior subluxation of right humerus

S43.011

Anterior dislocation of right humerus

S43.014

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CARDIOVASCULAR SYSTEM

Your heart and circulatory system make up your cardiovascular system

Your heart works as a pump that pushes blood to the organs, tissues, and cells of your body. Blood delivers

oxygen and nutrients to every cell and removes the carbon dioxide and waste products made by those cells.

Blood is carried from your heart to the rest of your body through a complex network of arteries,

arterioles, and capillaries. Blood is returned to your heart through venules and veins.

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VIDEO OF THE HEART AND CIRCULATION

http://bcove.me/jnmju7ax

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DISEASES, DISORDERS AND ICD-10CM

ISCHEMIC HEAR DISEASE: develops when there is the decreased supply of blood of the heart muscle.

MYOCARDIAL INFRACTION (MI): is the interruption of blood supply to a part of the heart, causing heart cells to die. (commonly know as a heart attack). Two basic types of AMI: Transmural and Subendocardial ICD-10 code ranges from I21.01 to I22.9

ANGINA PECTORIS: is the symptom of atherosclerosis. ICD-10 code ranges from I20.0 to I20.9

CHROMIC ISCHEMIC HEART DISEASE: also called Coronary Artery Disease (CAD) Ex: Atherosclerotic heart disease of native coronary

artery without angina pectoris - I25.10

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HEART VALVE DISORDERS AND ICD-10 There are many disorders that may affect the heart

valves, including: Stenonis, Prolapse and Regurgitation Ex: Rheumatic mitral stenosis – I05.0

CONDUCTION DISORDERS: also referred to as blocks, are caused by abnormalities in the generation or conduction of the heart’s electrical impulses or both. Ex: Paroxysmal atrial fibrillation – I48.0

HEART FAILURE: sometimes known as congestive heart failure (CHF); occurs when your heart muscle doesn’t pump blood as well as it should. Conditions such as narrowed arteries in your heart (Coronary artery disease) or high blood pressure gradually leave your heart too weak or stiff to fill and pump efficiently. Ex: Left ventricular failure – I50.1

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EYE & ADNEXA

Eyes are the most complex of the four special sense organs which the eyeball, optic nerve, and brain are the structures related to vision.

The eye is often compared to a camera. There are three layers of tissue that compose the

spherical structure of the eye: The sclera - outer most of the layer The choroid - the middle of the layer The retina - the innermost layer

Adnexa is the eyeball which is set in a protective cone-shaped cavity in the skull called the “orbit” or “socket”. Layers of soft, fatty tissues add additional protection and allow the eye to turn easily surround the orbit.

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DISEASE , DISORDERS AND ICD-10CM CATARACT: is the progressive cloudiness of the crystalline lens. To code base on

type of cataract, and laterality Ex: cortical age-related cataract, right eye – H21.011

GLAUCOMA: increase intraocular pressure that leads to damage to the optic nerve, the nerve that carries visual information from the eye to the brain. Ex: acute angle-closure glaucoma, left eye - H40.212

RETINAL DETACHMENTS: are movements of the transparent sensory part of the retina away from the outer pigmented layer of the retina. In other words, the moving away of the retina from the outer wall of the eyeball. The ICD-10 code ranges from H33.001 to H33.8

DIABETIC RETINOPATHY: is a complication of diabetes that affects the eyes. It's caused by damage to the blood vessels of the light-sensitive tissue at the back of the eye (retina)- To code ICD-10 based on type of diabetics, severity of nonproliferative condition, proliferative or nonproliferative, and with or without macular edema Ex: Type 1 diabetic melitus with unspecified diabetic retinopathy without

macular edema – E10.319 DISORDER OF THE CONJUNCTIVA: refers to any inflammatory condition of the

membrane that lines the eyelids and covers the exposed surface of the sclera, and is caused by either a virus or bacteria – To code based on type of conjunctivitis, laterality, and acute or chronic Ex: Acute follicular conjunctivitis, right eye - H10.011

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BINGO

Your goal is to cover five squares in a vertical, horizontal, or diagonal row. The words on each square are generated at random. These words combinations should occasionally match with a square on your card.

We have two ways to play: Call by using letters in the card- ex: Hypodermic Call by definition of those letter- ex: beneath the

skinThe person who fills all the same row, column or

diagonal first will call BINGO

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PUZZLE

We will have 4 puzzles to hand out:1- Skeletal System2- Muscular System3- Cardiovascular System4- Eye and Adnexa

Please choose which puzzle you are most comfortable with. We will choose 2 people for each puzzle who get it right to get the price.

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QUESTION AND ANSWER

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TH

AN

K Y

OU

-Have fun with the Bingo and Puzzles.

- Prepare for ICD-10CM implementation on OCT. 1, 2014.

-Good luck and enjoy our party

And Welcome our New Officers27 of 2014

CONCLUSION

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AAPC

PORTLAND METRO CHAPTER OFFICERS

OF 2013 Terri R. Reynolds, CPC, CPC-P President Lisa Hopman, CPC, CGIC Vice President Nancy Senff, CPC-A Education Officer Rebecca Hovis, CPC, CPC-P, CGIC Member

Development Officer Jeslyn LT Nam CPC-A Secretary/Treasurer