Week 2_ Chapter questions

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Feb 20, 2024

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1 Week 2: Chapter questions Amy G Martinez HIM 640 001 Professor Kathleen Peterson February 11th, 2024
2 1. The intent of the classification for use in the United states was for the international classification of diseases (ICD) was for them to use as a globally diagnostic tool for epidemiology, health management and clinical purposes. Within the ICD they wanted to use its core to ensure classificatory diagnostic systems for healthcare related issues of the WHO family of international classifications and using the system to suit its own needs. When it comes to the United States developments such as a clinical modification (ICD- 10-CM) their purpose is for medical diagnoses between HIPAA and health institutions for individuals. Based on both the WHO ICD-10 and CMS was a new procedure coding system (ICD-10-PCS) for inpatient procedure, with all this they had the ability to compare both data in past and future provided by databases. 2. The World health organization (WHO) is a very important group in which they use methods such as the ICD to help identify health trends and statistics worldwide and with various methods involved there are going to be changes and replacements. The new revision of ICD released from WHO is called ICD-11, this is the eleventh revision that the ICD has made to replace ICD-10 which codes health information and causes of death. ICD-11 will eventually replace the previous revision as it is also related in which both systems are categorical and their information was based on self reported or clinically observable symptoms. A huge similarity is that both ICD-10 and ICD-11 main focus is their reporting of causes for illnesses and death, just by replacing ICD-10 there will be a more refined detailed overview of diagnoses. 3. The format of the ICD-10-CM code stands for international classification of diseases, tenth revision, clinical modifications. It's important that we note that within this system it will be used by physicians and other healthcare providers to classify and code all
3 diagnosis, symptoms and procedures recorded within hospital/facility care. The first three characters of an ICD-10 code are the category of the diagnosis, the fourth character is the specific body part where the procedure was performed, the x is a placeholder that is required for the 5th character when extension is necessary and the 6th indicated laterality and 7th under ICD-10 defines the type of encounter. The minimum number of characters that are required for an ICD-10-CM code is three as stated they are the category level which gives a basic idea of disease or condition. The maximum character for the ICD-10- CM code is 7 as they will provide the highest level to allow coders to pinpoint specific disease, conditions and procedures. While this seems to be a very large process in order for coders to know what characters to use in a code they must follow a structured process. They will identify the appropriate categories that describe patient conditions (3 characters), then find the 4th to determine the level, the 5th and 6th to indicate location, 7th if necessary to find stage of disease and specific information. Once 1 to 7 characters are found they must refer to coding guidelines to ensure accurate coding assessment to verify accurate with patients conditions and lastly update codes as needed. 4. ICD-10-PCS is a 7 character alphanumeric code structure, each character can have up to 34 possible values and each value will represent a specific option for the general character. Each ICD-10-PCS character stands for the body system heart and great vessels and the root operation dilation under the medical surgical section. The minimum is 3 and the maximum is 7 to be used in the ICD-10-PCS code. 5. The process for revision and updates for ICD-10, ICD-10-CM and ICD-10-PCS is very technical. CMS has updated ICD-10-PCS each year since being published, bpth ICD-10- CM and ICD-10-PCS are formed to follow the same procedures as ICD-9-CM committee
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4 which they will consider new codes and revisions to existing codes.NCHS will be responsible for these classifications and if committee meeting are needed they will be open to the public and available on their websites. For ICD-10 the URC was able to manage updated processes and recommendations each year, a proposal will be brought to the annual meeting and from there the committee will decide if revisions are required and how they will be undertaken. If and once approved the official update will be published they will list sources and implementation date to WHO ICD website.