ICD-10 Documentation Must Be Specific ICD-10 diagnosis codes are driven by higher-level documentation, making it important to incorporate the more detailed descriptions found in ICD-10. This coding process uses a very particular vocabulary to describe specific anatomical sites and regions, especially regarding the regions of the spine most commonly referenced in chiropractic documentation. The ICD-10…

This mini-class covers the ins and outs of ICD-10 coding guidelines from where to find the guidelines to some very important details of the ICD-10 codes themselves. Specificity is a hot topic for diagnosis codes, as is where this information should be derived from and is also covered in this short video.

Ever get lost in what all those letters and numbers mean, which section to find what codes, and how to understand the punctuation involved in ICD-10 coding? This brief video will show you what all this means. As a provider who diagnoses patients and bills based on those codes, it’s critical to understand what they…

Tips for Coding ICD-10 Diagnosis If you are responsible for reading documentation and finding the correct ICD-10 code, are you always confident that you have selected the correct code? If the answer is no, you are not alone. Here are some tips that we have found useful: Know the rules- Make sure you have read…

DX vs ICD-10 Coding In the typical Evaluation and Management (E/M) service, providers document the patient’s history, quantify that history with an examination, and from those cornerstones, derive the assessment, diagnosis, and treatment plan. This is recorded in the patient’s health record and using this information, both Current Procedural Terminology (CPT®) and International Classification of…

The clinical diagnosis process should be second nature to every provider. But what does that mean? The expectation is that each time you diagnose a patient, you move through the process of gathering information to assess and arrive at the diagnosis that most accurately describes the patient’s condition. The process should be easily tracked in…