Volume 3 of the International Classification of Diseases 9th Revision Clinical Modification (ICD-9-CM) has been used in the U.S. for the reporting of inpatient pro- cedures since 1979. The structure of Volume 3 of ICD-9-CM has not allowed new procedures associated with rapidly changing technology to be effectively incorporated as new codes. As a result, in 1992 the U.S. Centers for Medicare and Medicaid Services (CMS) funded a project to design a replacement for Volume 3 of ICD-9-CM. After a review of the preliminary design, CMS in 1995 awarded 3M Health Information Systems a three-year contract to complete development of the replacement system. The new system is the ICD-10 Procedure Coding System (ICD-10-PCS).

30-day trial to TruCode® Encoder Essentials gives you experience with using an encoder, plus access to additional encoder practice exercises on the Evolve website. ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting provide fast, easy access to instructions on proper application of codes. Coverage of both common and complex procedures prepares you for inpatient procedural coding using ICD-10-PCS. Numerous and varied examples and exercises within each chapter break chapters into manageable segments and help reinforcing important concepts. Illustrations and examples of key diseases help in understanding how commonly encountered conditions relate to ICD-10-CM coding. Strong coverage of medical records provides a context for coding and familiarizes you with documents you will encounter on the job. Illustrated, full-color design emphasizes important content such as anatomy and physiology and visually reinforces key concepts.

These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.

ICD-10-PCS is the new procedure coding system that was developed as a replacement for ICD-9-CM, Volume 3. The 2019 ICD-10 Procedure Coding System (ICD-10-PCS) files contain information on the ICD-10-PCS updates for FY 2020. These 2020 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2019 through September 30, 2020. The draft ICD-10-CM/PCS MS-DRG V32 Definitions Manual and Medicare Code Editor (MCE) V32 are provided along with the previous ICD-10 ICD-10-CM/PCS MS-DRG V31R Definitions and MCEs.

Learn facility-based coding by actually working with codes. ICD-10-CM/PCS Coding: Theory and Practice provides an in-depth understanding of inpatient diagnosis and procedure coding to those who are just learning to code, as well as to experienced professionals who need to solidify and expand their knowledge. Featuring basic coding principles, clear examples, and challenging exercises, this text helps explain why coding is necessary for reimbursement, the basics of the health record, and rules, guidelines, and functions of ICD-10-CM/PCS coding. NEW! Revisions to ICD-10 codes and coding guidelines ensure you have the most up-to-date information available. 30-day access to TruCode(R) Encoder Essentials gives you experience with using an encoder, plus access to additional encoder practice exercises on the Evolve website. ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting provide fast, easy access to instructions on proper application of codes. Coverage of both common and complex procedures prepares you for inpatient procedural coding using ICD-10-PCS. Numerous and varied examples and exercises within each chapter break the material into manageable segments and help reinforce important concepts. Illustrations and examples of key diseases help in understanding how commonly encountered conditions relate to ICD-10-CM coding. Strong coverage of medical records provides a context for coding and familiarizes you with documents you will encounter on the job. Illustrated, full-color design emphasizes important content such as anatomy and physiology and visually reinforces key concepts. Evolve website offers online access to additional practice exercises, coding guidelines, answer keys, coding updates, and more.

Don't fear the transition to ICD-10. Understand it. Medical Coding: Understanding ICD-10-CM and ICD-10-PCS is a comprehensive walkthrough of the new ICD-10-CM and ICD-10-PCS coding systems for coders in every part of healthcare. It covers the fundamentals of medical coding, billing, and documentation, essential to understanding the importance of code selection. In-depth chapters on body systems, signs and symptoms, injuries, and health status provide the full picture of diagnosis coding, preparing coders for ICD-10's new guidelines, terminology, and sequencing. Chapters on the brand-new format of ICD-10-PCS have you covered for the evolution in hospital coding. Looking for even more practice? Don't miss the Medical Coding Workbook for Physician Practices and Facilities: ICD-10 Edition (Newby). It spotlights the basics of ICD-10 coding and provides many opportunities for practice and mastery.