Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.
-
Upload
erick-mason -
Category
Documents
-
view
222 -
download
1
Transcript of Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.
![Page 1: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/1.jpg)
Understanding ICD-9-CM Coding
Mary Jo Bowie MS, RHIA, RHIT
Regina Schaffer AAS, RHIA, CPC
![Page 2: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/2.jpg)
CHAPTER
14Diseases of the
Digestive System
![Page 3: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/3.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
3
Digestive System• Chapter Nine of the ICD-9-CM:
– 520-529: Oral Cavity, Salivary Glands, Jaws– 530-538: Esophagus, Stomach, Duodenum– 540-543: Appendicitis– 550-553: Hernia of abdominal cavity– 555-558: Noninfectious enteritis and colitis– 560-569: Other diseases of intestine and peritoneum– 570-579: Other diseases of digestive system
• Gastrointestinal tract (GI)• Alimentary canal• Starts with the mouth• Through intestines to anus
![Page 4: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/4.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
4
Accessory Organs• Gastrointestinal tract (GI)
• Alimentary canal (aliment=nourishment)
• Starts with the mouth
• Through intestines to anus
• Secondary organs include– Gallbladder– Liver– Pancreas
![Page 5: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/5.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
5
![Page 6: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/6.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
6
Diseases of Oral Cavity, Salivary Glands, and Jaws
• Disorders of oral cavity (520-529)– Tooth development anomalies– Diseases of enamel– Pulp (Pulpitis code 522.0)– Geographic tongue– Gingivitis– Diseases of the jaw and salivary glands
• Reference to diagram of oral anatomy
![Page 7: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/7.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
7
![Page 8: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/8.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
8
Diseases of the Esophagus
• Category Codes 530-538
• Connects throat to stomach
• Esophagitis (inflammation reflux of acid and pepsin from the stomach into the esophagus)
• Gastroesophageal Reflux (GERD)
![Page 9: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/9.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
9
Stomach and Intestines• Stomach connects esophagus
to duodenum
• Duodenum—Start of small intestine including jejunum and ileum
• Cecum—Start of large intestine including ascending, transverse, and descending colon
• Coders should know where structures are located.
![Page 10: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/10.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
10
![Page 11: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/11.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
11
Remaining Structures
• Sigmoid colon, rectum, and anus
• Code assignment requires knowledgeof where structures stop and start
• Structures connecting toother structures
![Page 12: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/12.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
12
![Page 13: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/13.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
13
Ulcers of theGastrointestinal Tract
• Code to site of the ulcer– Gastric ulcer- stomach (531)– Duodenal ulcer – upper part of small
intestines (532)– Peptic ulcer –unspecified part of digestive
tract (533)– Gastrojejunal ulcer (534)
• Fifth digit code assignment is necessary
![Page 14: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/14.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
14
Appendicitis• Category Codes 540-543
• Inflammation of appendix
• Other complications—present or absent– Generalized peritonitis “0”– Peritoneal abscess “1”– W/O mention of peritonitis “9”
• Note the use of acute, chronic, or subacute
![Page 15: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/15.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
15
Hernia of Abdominal Cavity• Category Codes 550-553
• Protrusion or bulge of tissue – Inguinal – intestines– Hiatal – stomach to chest– Direct or indirect
• Fifth digit code assignment is necessary in many types of hernias
• Recurrent
• Unilateral or bilateral – 4th and 5th digits
![Page 16: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/16.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
16
Enteritis and Colitis
• Infectious
• Noninfectious
• Enteritis—inflammation of intestines– Crohn’s Disease
• Colitis—inflammation of colon– Ulcerative colitis
![Page 17: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/17.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
17
Other Diseases of Intestines
• Diverticulosis
• Diverticulitis
• Peritonitis
![Page 18: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/18.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
18
Accessory Organs
• Liver (hepatic)—secretes bile
• Pancreas—part of the endocrine system and digestive system
• Gallbladder—stores bile neededfor digestion
![Page 19: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/19.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
19
![Page 20: Understanding ICD-9-CM Coding Mary Jo Bowie MS, RHIA, RHIT Regina Schaffer AAS, RHIA, CPC.](https://reader036.fdocuments.us/reader036/viewer/2022062321/56649e0d5503460f94af7458/html5/thumbnails/20.jpg)
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated,or posted to a publicly accessible website, in whole or in part.
20
Cholecystitis and Cholelithiasis
• Cholecystitis—sudden and severe inflammation of the gallbladder
• Cholelithiasis—gallstones
• Documentation in coding these conditions is critical
• Fourth and fifth digit code assignments are necessary (obstruction/acute/other