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Module 02 Lab Activity - ICD-10-CM Coding
Overview:
There are 3 parts to this assignment. In parts 1 and 2, you will need to complete the table below. In part 3 you will use 3M encoder
software and provide screenshots that show your work. Be sure you code to the highest level of specificity available based on the details provided in the diagnostic statements.
Part 1: Coding using the Alphabetical Index
Instructions:
In the table below, read each Diagnostic Statement (in column 1), enter the correct Main Term (in column 2) and ICD-10-CM Code from the Alphabetic Index (in column 3).
Steps for Identifying the Main Term and the Code using the Alphabetic Index
For each diagnostic statement,
1.
Identify the main term (see definition of the main term given in your code book).
2.
Based on the main term you identified, use the Alphabetic Index found in the front of the ICD-10-CM code book to find the correct code. Do not use the Tabular List for this part.
3.
Compare the details in the Alphabetical Index for the code to the details in the diagnostic statement. Ensure that it is the best match.
Part 2: Coding Pathways using the Tabular List
Instructions:
Use the codes you identified in column 3 to find the complete ICD-10-CM Code from the Tabular List and enter it into column 4.
Steps for Identifying the Code using the Tabular List
For each diagnostic statement,
1.
Look-up the code from column 3 and find that category in the tabular list.
2.
Read any additional instructions associated with that category (e.g., includes, excludes, etc.) and compare it to the details provide in the diagnostic statement.
3.
Based on that comparison, ensure you have reached the final code that best matches the diagnostic statement; if you have not, return to step 2.
Page 1
of 6
Table for Parts 1 and 2
Column 1
Column 2
Column 3
Column 4
Diagnostic Statement
Main Term ICD-10-CM Code from
Alphabetic Index
ICD-10-CM Code from
Tabular List
Example:
Hallux valgus, right foot
Hallux
M20.1
M20.11
1. Pathologic fracture; left ankle
Fracture, Pathological
M84.47-
M84.472
2. Gangrene of the appendix with localized peritonitis
Gangrene
K35.31
K35.31
3. Chalazion of right upper eyelid
Chalazion
H00.11
H00.011
4. Baker’s cyst, right knee
Cyst
M71.2-
M71.21
5. Foreign body external ear; right
Foreign body
T16.-
T16.1
6. Whooping cough due to pertussis (Bordetella) with pneumonia
Whooping Cough
A37.01
A37.01
7. Olecranon bursitis of the left elbow
Bursitis
M70.2-
M70.22
8. Guillain-Barre’ Syndrome
Guillain-Barre’ Syndrome
G61.0
G61.0
9. Acute Respiratory Failure with hypoxia
Failure, Respiratory
J96.01
J96.01
10. Knee laceration
Laceration
S81.01-
S81.019
Page 2
of 6
Part 3: Use 3M Encoder to Determine Appropriate Codes
Instructions:
Use the 3M encoder to find the appropriate codes for the three (3) diagnostic statements below (A-C). After each statement, provide a screenshot showing that you were able to follow the encoder process to arrive at the correct code. Make sure that your screenshot shows the final code.
Example
Diagnostic Statement
: Acute appendicitis
Diagnostic Statement A: Pathologic fracture; left ankle
Page 3
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Diagnostic Statement B: Baker’s cyst, right knee
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Diagnostic Statement C: Knee laceration
Page 5
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