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ADVANCED ANATOMY

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Title: ANATOMY & MEDICAL TERMINOLOGY ICD-10 PRIMER Last modified by: Nichole Kulhan Created Date: 6/17/2010 12:23:14 AM Document presentation format – PowerPoint PPT presentation

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Title: ADVANCED ANATOMY


1
ADVANCED ANATOMY MEDICAL TERMINOLOGY FOR
CODERS IN PREPARATION FOR ICD-10-CM
  • Presented by
  • MAXINE I COLLINS MBA, CPA, CMC, CMIS, CMOM
  • M COLLINS CO PLLC
  • 940-692-2733

2
INTRODUCTION
  • Anatomical terms come from Greek, Latin and
    sometimes Arabic origin
  • Word origins often come from descriptive images
  • Example muscle from Latin word mus, which
    is mouse.
  • Describes the movement of the muscle under the
    skin, much like a mouse under a carpet
  • Source Medical Billing Basics, Ingenix Coding
    Lab, Chapter 1, p. 1.
  • Converting Greek to Latin introduced new terms

3
BASIC REVIEW
  • Medical terms broken into basic word parts
  • Root term the basic building block
  • Basic meaning of the term
  • Often the body part
  • Prefix Appears before the root term
  • Further describes root term
  • Location
  • Number
  • Color
  • Status
  • Suffix Appears after the root term
  • Usually, but not always denotes condition
  • Can also describe procedure, disorder or disease

4
EXAMPLES OF MEDICAL WORD PARTS
  • Common root terms
  • Card/i Heart
  • Nephr/o Kidney
  • My/o Muscle
  • Myel/o Spinal cord bone marrow
  • Common prefixes
  • Peri surrounding/around
  • Poly many
  • Dys difficult
  • Ante before
  • Common suffixes
  • itis inflammation
  • osis abnormal condition
  • algia pain
  • centesis surgical puncture

5
PUTTING THE PARTS TOGETHER
  • Combining vowel is always used to form compound
    words when two are more root terms are combined
  • Cardio/o/pulmonary
  • Gastr/o/enteritis
  • Combining vowel not used when suffix begins with
    a vowel (a,e,i,o,u)
  • Neur/itis
  • Gastr/it is
  • Combining vowel is used when suffix begins with a
    consonant
  • Neur/o/plasty
  • Cardi/o/megaly

6
ANATOMY PHYSIOLOGY
  • Anatomy - Study of human body structures
  • Greek Ana, up process of cutting
  • Morphologic structure of an organism
  • Foundation of medicine
  • Physiology Study of the functions of the
    structures
  • Greek physi nature (normal vital processes
    of living organisms and their functions)
  • Greek logos study -ology science/study
    of

7
TOUR OF THE AMAZING HUMAN BODY
  • Cells smallest unit of living structure capable
    of independent existence basic units of life
  • Composed of membrane-enclosed mass of protoplasm
    and containing a nucleus or nucleoid
  • Highly variable and specialized in both structure
    and function
  • All must at some stage replicate (to produce )
    proteins and nucleic acids, utilize energy, and
    reproduce themselves

8
BLOOD CELLS
Blood Cells (2011, August jj), In Wikipedia, The
Free Enclycopedia. From Wikipedia contributors,
http//en.wikipedia.org
9
TYPES OF BLOOD CELLS
  • Basophil a white blood cell, granular with
    pale-staining nucleus hormone producing
  • Eosinophil white blood cell, coarse, granular
    of uniform size, part of the immune system
    process
  • Erythrocyte red blood cell, contains
    hemoglobin, carries oxygen one of the most
    common types of blood cells
  • Lymphocyte white blood cell, B T cells of
    importance in the immune system produce antibody
  • Monocyte a single nucleus white blood cell
    helps other white blood cells remove dead or
    dangerous tissues (e.g. cancer)
  • Neutrophil extracellular white blood cell
    fights infections
  • Platelet irregular shaped, colorless body in
    blood, formed in bone marrow helps blood to clot
  • Thrombocytes anucleated cell fragments that
    play a key role in blood clotting platelets

10
BASOPHILWHITE BLOOD CELL HORMONE PRODUCING
Blood Cells (2011, August jj), In Wikipedia, The
Free Enclycopedia. From Wikipedia contributors,
http//en.wikipedia.org
11
RED BLOOD CELLSCARRIES HEMOGLOBIN/OXYGEN
Blood Cells (2011, August 11), In Wikipedia, The
Free Enclycopedia. From Wikipedia contributors,
http//en.wikipedia.org
12
LYMPHOCYTE B CELLSPRODUCE ANTIBODIES/FIGHT
INFECTIONS
Blood Cells (2011, August 11), In Wikipedia, The
Free Enclycopedia. From Wikipedia contributors,
http//en.wikipedia.org
13
TISSUES
  • Tissues groups of similar cells and the
    intercellular substances surrounding them
  • Latin texo to weave
  • Work together to perform similar tasks
  • 4 basic types
  • epithelium
  • connective tissues (including blood, bone, and
    cartilage)
  • muscle tissue
  • nerve tissue

14
ORGANS
  • Organ two or more tissues
  • Latin organum Greek organon, a tool,
    instrument
  • Any part of the body exercising a specific
    function as in respiration, secretion, or
    digestion
  • Together perform special body functions
  • Example olfactory the olfactory region is in
    the superior portion of the nasal cavity organum
    olfactus of smell

15
CELLS IN CULTURESTAINED FOR keratin (red) and
DNA (green)
Tissues, (2011, August 11), In Wikipedia, The
Free Enclycopedia. From Wikipedia contributors,
http//en.wikipedia.org
16
SYSTEMS
  • Systems A consistent and complex whole made up
    of correlated and semi-independent parts
  • Greek systema an organized whole
  • Usually Organs
  • Work together to perform complex body functions
  • Example alimentary the digestive tract from
    the mouth of the anus with all of its associated
    glands and organs digestorium systema
    alimentarium

17
ALIMENTARY SYSTEM
Alimentary System,(2011, August 11), In
Wikipedia, The Free Enclycopedia. From Wikipedia
contributors, http//en.wikipedia.org
18
LETS TAKE A LOOK AT A FEW OF THE BODY SYSTEMS IN
DETAIL AND AS THEY RELATE TO ICD-10-CM
  • Integumentary
  • Integument the enveloping membrane of the body
    includes, in addition to the epidermis and
    dermis, all of the derivatives of the epidermis
    such as skin, sweat glands, sebaceous (oil)
    glands, hair and nails
  • Example Derma root word skin Dermatology
    study of skin
  • CPT code range Surgery/Integumentary
    10040-19499 reports procedures performed on the
    skin, subcutaneous tissue and accessory organs,
    nails, pilonidal cysts, and breasts, including
    repair of lacerations, repair, closure, removal
    of lesions, and reconstruction
  • ICD-9-CM code range Codes appear throughout
    ICD-9-CM as this system includes the outer
    covering of the body as well as the covering for
    internal organs. However, for infection,
    inflammation and other diseases of the skin and
    subcutaneous tissues of the outer layer of the
    body, codes will be found at code range 680-709.
  • ICD-10-CM code range- Corresponding code range in
    ICD-10-CM is L00-L99

19
INTEGUMENTARY SYSTEM
HORNY LAYER
Integumentary System(2011, August 11), In
Wikipedia, The Free Enclycopedia. From Wikipedia
contributors, http//en.wikipedia.org
20
TERMS RELATING TO THE INTEGUMENTARY SYSTEM
  • Stratum layers of differentiated tissue, the
    aggregate of which forms any given stucture
  • Corneum the outer layer of the epidermis
    composed of several layers of flat keratinized
    non-nucleated cells horny layer of epidermis
  • Basale - the deepest layer of the epidermis,
    composed of dividing stem cells and anchoring
    cells, basale cell layer growing layer
  • Sudoriferous Latin sudor sweat fero
    to bear sweat glands
  • Adipose Latin adipis fatty tissue akin
    to Greek lipo
  • Subucanteous Latin sub below cutis
    skin
  • Sebaceous Latin sebaceus relating to the
    sebum oily, fatty sebum secretion of
    sebaceous glands Latin tallow- the rendered
    fat from mutton suet (kidneys of cattle and
    sheep)
  • Gland Latin glans, acorn an organized
    aggregation of cells functioning as a secretory
    or excretory organ

21
A SELECTION OF ICD-10-CM CODES FOR THE
INTEGUMENTARY SYSTEM
  • L08.1 Erythrasma
  • L10.0 Pemphigus vulgaris
  • L11.9 Acantholytic disorder, unspecified
  • L21.0 Seborrhoea capitis
  • L30.1 Dyshidrosis pompholyx
  • L57.1 Actinic reticuloid
  • L60.2 Onychogryposis
  • L70.2 Acne varioliformis
  • L81.1 Chloasma
  • L90.6 Striae atrophicae
  • L98.5 Mucinosis of skin

22
SKIN DISEASE
  • L08.1 Erythrasma a skin disease that causes
    brown, scaly skin patches caused by the gram
    positive bacterium Corynebacterium minutissimum.
    It is a chronic superficial infection of the
    intertriginous areas of skin. Usually presents in
    the axillae and groin area.
  • The bacteria invades the upper third of the
    stratum corneum under favorable conditions such
    as heat and humidity. Organisms proliferate and
    the stratum corneum becomes thickened.
  • The organisms dissolve the keratin fibrils.
    Coral-red fluorescence of the scales seen under
    the Wood lights is secondary to production of
    porphyrin by diptheroids.
  • Erythromycin is the drug of choice. Therapy must
    be comprehensive and cover all likely pathogens.

23
ONE UNKNOWN TERM LEADS TO FURTHER SEARCH IN THE
MEDICAL DICTIONARY
  • Erythraino Greek to redden
  • Gram positive Latin granum-grain refers to
    the ability of a bacterium to resist
    decolorization with alcohol after being treated
    with Gram crystal violet stain
  • Keratin fibrils keratin Greek keras
    horn collective name for group of proteins that
    form the intermediate filaments in epithelial
    cells. fibril Latin fibrilla a minute
    fiber or component of a fiber
  • Porphyrin pigments widely distributed
  • Immuno-compromised immune Latin free from
    service immunocomprised denoting an
    individual that is deficient in immunity
  • Intertriginous inter between Latin tero
    to rub a scaling of the skin irritant
    dermatitis appearing between the folds of skin
  • Diptheroids- dipthera Greek leather eidos
    Greek resemblance One
  • of a group of local infections suggesting
    diptheria, but caused by microorganisms other
    than Corynebacterium diphtheria.
  • Pathogens - path Greek feeling gen
    Greek to produce any virus, micro-organism or
    other substance causing disease

24
OTHER TERMS IN CONDITIONS OF THE INTEGUMENTARY
SYSTEM
  • Pemphigus Vulgaris
  • Pemphigus- Greek- Pemphix blister, (Autoimmune
    bullous diseases with acantholysis)
  • Vulgus- Latin a crowd (A serious form of
    Pemphigus)
  • Bullous- bull, bullae- Latin boiling ( A
    fluid filled blister greater than 100cm appearing
    in a circumscribed area of separation from the
    epidermis)
  • Acantholysis- Greek- Acantho a thorn lysis-
    Greek- a loosening (Separation of individual
    epepidermal kerainocytes from their neighbor,
    such as Pemphigus Vulgaris and Darier Disease)

25
MUSCULOSKELETAL SYSTEM
Musculoskeletal System, (2011, August 11), In
Wikipedia, The Free Enclycopedia. From Wikipedia
contributors, http//en.wikipedia.
26
MUSCULOSKELETAL SYSTEM
  • Includes soft tissue (deep fascia, muscles,
    tendons, and ligaments), joints, bursa, cartilage
    and bones
  • Tendons are fibrous cords that vary in length and
    are found at the ends of muscles and connect
    muscles to bones
  • Ligaments are bands of fibrous tissue that
    connect two or more bones or cartilage
  • Joints area of contact between two bones,
    holding the bones together and allowing
    articulation (movement) between cartilage and
    bones
  • Bursa consist of a sac that contains synovial
    fluid within a synovial membrane lining. Found
    at friction points between tendons and muscles.
  • Cartilage a type of connective tissue (hyaline,
    elastic, and fibrocartilage) that is found in
    joints.
  • Three types of muscle tissue skeletal, cardiac,
    and visceral
  • Muscles consist of specialized cells that allow
    contraction to produce voluntary or involuntary
    movement of body parts.

27
BONES
  • Bones classified by either shape long, short,
    flat, and irregular, or by location sutural, and
    sesamoid bones
  • Long bones humerus, tibia, and femur
  • Short bones wrist and ankle
  • Flat bones sternum, scapula, and ribs
  • Irregular bones vertebra column and some facial
    bones
  • Sutural bones specific cranial bones
  • Sesamoid bones patella and in tendons where
    there is pressure ( e.g. wrist)

28
ICD-10-CM CODES FOR MUSCOSKELETAL SECTIONS
  • M02.1 Postdysenteric arthropathy
  • M05.9 Seropositive rheumatoid arthritis,
    unspecified
  • M10.0 Idiopathic gout
  • M12.2 Villonodular synovitis
  • M16.1 Other primary coxarthrosis
  • M16.3 Other dysplastic coxarthrosis
  • M17.4 Other secondary gonarthrosis, bilateral
  • M24.6 Ankylosis of joint
  • M62.0 Diastasis of muscle

29
BREAKING DOWN SOME OF THE MUSCULOSKELETAL TERMS
  • Arthropathy arthron-Greek a joint pathy
    Greek, pathos feeling, suffering, disease
  • Idiopathic idio- Greek private, peculiar
    pathos disease
  • Denoting a disease of unknown origin
  • Villonodular nodular projections
  • Coxarthrosis coxa Latin hip arthr
    joint osis abnormal condition
  • Abnormal condition of the hip joint
  • Gonarthrosis gony Greek knee
  • Ankylosis anklyos Greek bent
  • Diastasis dia Greek through Any simple
    separation of normally jointed parts

30
RESPIRATORY SYSTEM
  • The nose, pharynx, larynx, trachea, bronchus
    (bronchial tubes) and lungs.
  • Pulmonology the science or study of the
    pulmonary system
  • Brings oxygen-rich air into the body for delivery
    to the blood cells
  • Expels waste products (carbon dioxide and water )
    that have been returned to the lungs by the blood
  • Produces the air flow through the larynx that
    makes speech possible

31
RESPIRATORY SYSTEM
Respiratory System, (2011, August 11), In
Wikipedia, The Free Enclycopedia. From Wikipedia
contributors, http//en.wikipedia.
32
CARDIOVASCULAR SYSTEM
  • Heart, blood vessels, lymphatic (immune system)
    and blood (hematology)
  • Cardiovascular pertaining to the heart and
    blood vessels
  • Heart a muscular organ located between the
    lungs and above the diaphragm
  • Pericardium double-walled membraneous sac
    encloses the heart
  • Coronary arteries and veins supply blood to the
    myocardium.
  • Atria two upper chambers receive blood
    separated by the interatrial septum or wall
  • Ventricle lower two chambers of the heart on
    the right and left separated by the
    interventricular septum the pumping chambers

33
BLOOD FLOW
  • Right atrium receives oxygen-poor blood from all
    tissues, except lungs through the superior and
    inferior venae cavae. Blood flows out of the RA
    through tricuspid valve (controls the opening
    between right atrium and right ventricle) into
    right ventricle.
  • RV pumps the oxygen-poor blood through the
    pulmonary valve into pulmonary artery, which
    carries it to the lungs.
  • Pulmonary semilunar valve located between the
    right ventricle and pulmonary artery.
  • LA receives oxygen-rich blood from lungs the four
    pulmonary veins. Blood flows out of the LA
    through the mitral valve (bicuspid valve
    located between the left atrium and left
    ventricle) and into left ventricle.
  • LV receives oxygen-rich blood from left atrium.
    Blood flows out of the LV through aortic valve
    and into aorta which carries it to all parts of
    the body, except the lungs
  • Aortic semilunar valve located between the left
    ventricle and the aorta.
  • Oxygen-poor blood is returned by the venae cavae
    to the right atrium and the cycle continues
  • Electrical impulses from nerves stimulate the
    myocardium of the chambers of the heart. The
    conduction system or electrical impulses are
    controlled by the sinoatrial (S-A) node,
    atrioventricular (A-V) node and bundle of HIS.

34
BLOOD FLOW
RED BUNDLE OF HIS
Cardiovascular System, (2011, August 11), In
Wikipedia, The Free Enclycopedia. From Wikipedia
contributors, http//en.wikipedia.
35
ANATOMY TRIVIA
  • Question The spinal cord ends in a tuft of
    spinal nerves. What imaginative name was given
    to this tangle of branches?
  • Sacral Dendron
  • Spinal Candelabrum
  • Neuroalluvium
  • Cauda Equina
  • Source FunTrivia.com Anatomy and Physiology

36
ANSWER
  • Cauda Equina
  • Cauda Equina means horse tail
  • Do you know any horses tails?
  • Source FunTrivia.com Body Parts with Silly
    Names

37
QUESTION?
  • What is the function of the amygdala?
  • Secretion of steroid hormones
  • Memory and emotion
  • Concentrating bile
  • Production of seminal fluid
  • Source FunTrivia.com Anatomy Physiology

38
ANSWER
  • Memory and emotion
  • Part of the limbic system, (limbic comes from
    Latin, limbus border or edge) the amygdala
    is important in Pavlovian classical conditioning.
  • A set of brain structures including the
    hippocampus, amygdala, anterior thalamic nuclei,
    spetum, limbic cortext and formic, which
    reportedly support a variety of functions
    including emotion, behavior, long term memory,
    and olfaction.
  • Ivan Pavlov (1927) researched respondent
    conditioning to measure the behavioral response
    to stimuli.
  • Source FunTrivia.com Anatomy Physiology

Amygdala, , (2011, August 11), In Wikipedia, The
Free Enclycopedia. From Wikipedia contributors,
http//en.wiki
39
QUESTION?
  • What is another name for hypoperfusion?
  • Cardiac Arrest
  • Hyperventilation
  • Shock
  • Myocardial Infarction
  • Source FunTrivia.com Anatomy Physiology

40
ANSWER
  • Shock
  • Treatment for shock includes
  • Depends on the type of shock
  • Hypovolemic most common-insufficient
    circulating volume
  • Cardiogenic
  • Septic
  • Anaphylactic
  • Neurogenic
  • Other
  • Trandelenberg position (legs elevated), oxygen
    therapy, keeping warm and intravenous fluids.

41
QUESTION?
  • What is the name of the bone in the upper
  • arm?
  • Brachial
  • Femur
  • Humerus
  • Forearm
  • Source FunTrivia.com Anatomy Physiology

42
ANSWER
  • Humerus
  • And, of course, your funny bone is at the end
    of the humerus. That is kind of humerous, dont
    you think?
  • Source FunTrivia.Com Body Parts with Silly
    Names

43
QUESTION?
  • By what name is the axilla more commonly known?
  • Windpipe
  • Jawbone
  • Belly button
  • Armpit
  • Source FunTrivia.Com Anatomy Physiology

44
ANSWER
  • Armpit
  • Comes from the Greek. Probably relates to the
    word axis since it occurs at the joining of the
    arm and torso.
  • Dont confuse axilla with maxilla which is
    the upper bone of the jaw.
  • Source FunTrivia.com Body Parts with Silly
    Names

45
QUESTION?
  • What is the popular name of the tendon that
    connects the calf to the heel?
  • Source FunTrivia.com Anatomy Alphabet

46
ANSWER
  • Achilles Achilles tendon
  • Named after a hero from the Trojan War whose only
    place of weakness was his heel.
  • Source FunTrivia.com Anatomy Alphabet

47
QUESTION?
  • Which is one of the bones of the wrist?
  • Cochlea
  • Coccyx
  • Capitate
  • Cranium
  • Source FunTrivia.com Alphabet Anatomy

48
ANSWER
  • Capitate
  • There are 8 bones in the wrist.
  • The cranium is part of the skull
  • The cochlea is a spiral shaped chamber in the
    inner ear.
  • The coccyx is the tailbone
  • Source FunTrivia.com Alphabet Anatomy

49
A CLOSER LOOK AT ICD-ICD-10-CM
  • The diagnosis classification system developed by
    the Centers for Disease Control and Prevention
    for use in all U.S. health care treatment
    settings.
  • Diagnosis coding under this system uses 3 -7
    alpha and numeric digits and full code titles,
    but the format is much the same as ICD-9-CM
  • ICD-10 medical terms are more specific and
    clinical in nature
  • The medical coder will have to continue to
    increase their knowledge of anatomy/physiology
    and medical terminology!

50
COMPLIANCE TIMELINES
DATE COMPLIANCE STEP
January 1, 2010 Payers and Providers should begin internal testing of Version 5010 standards for electronic claims
December 31, 2010 Internal testing of Version 5010 must be complete to achieve Level I Version 5010 compliance
January 1, 2011 Payers and Providers should begin external testing of Version 5010 for electronic claims CMS begins accepting Version 5010 claims Version 4010 claims continue to be accepted
December 31, 2011 External testing of Version 5010 for electronic claims must be complete to achieve Level II Version 5010 compliance
January 1, 2012 All electronic claims must use Version 5010 Version 4010 claims are no longer accepted
October 1, 2014 Claims for services provided on or after this date must use ICD-10 codes for medical diagnosis and inpatient procedures CPT codes will continue to be used for outpatient services
Source Website http//www.cms.gov?ICD10/03_ICD-10andVersion5010ComplianceTimeles.asp
51
ICD-10-CM
  • While ICD-10 has organizational changes and new
    features, its format and conventions remain much
    the same as ICD-9.
  • ICD-10 consists of 21 chapters
  • V and E codes as used in ICD-9 are no longer
    supplementary classifications and become other
    codes

52
EXAMPLES OF 10
  • A78 Q fever
  • A69.32 Meningitis due to Lyme disease
  • S52.131A Displaced fracture of neck of right
    radius, initial encounter for closed fracture

52
53
ICD-9s V CODES
  • Become - ICD-10-CMs Z Codes
  • Used in all healthcare settings
  • Factors influencing health status and contact
    with health services
  • Z00-Z99
  • Examples
  • Contact/Exposure
  • Inoculations/vaccinations
  • Status codes
  • History of
  • Screening
  • Observation
  • Aftercare
  • Follow-up
  • Others.

54
ICD-9s CURRENT E CODES
  • Become - ICD-10-CMs V Y Codes
  • External Causes of Morbidity
  • V01-Y99
  • Use full range of External Cause codes to
  • Completely describe the cause, the intent, the
    place of occurrence and, if applicable, the
    activity at the time of the event, and the
    patients status, for all injuries, and other
    health conditions due to an external cause.

55
CHANGES ARE ALREADY BEING MADE TO 9
  • Preparations are being done now to transition
    from 9 to 10
  • Over 100 new Activity codes were added to E
    codes in 2010
  • Changes are also seen in the ICD-9-CM codes
    effective 10/01/2010.
  • New codes for foreign bodies and complications of
    medical care
  • Continual increase in acceptance of V and E
    codes by carriers

56
CODING OF BURNS AND CORROSIONS
  • ICD-10 distinguishes between burns and
    corrosions
  • Burn codes are for thermal burns, except
    sunburns, that come from a heat source, such as
    fire or hot appliance. Also for burns resulting
    from electricity and radiation
  • Corrosions are burns due to chemicals
  • Encounters for treatment of late effects of burns
    or corrosions should be coded with a burn or
    corrosion code with the 7th character of S
    sequlae
  • An external cause code should be used with burns
    and corrosions to identify the source and intent
    of the burn, as well as the place where it
    occurred.

57
ADVERSE EFFECTS, POISONING, UNDERDOSING AND TOXIC
EFFECTS
  • Codes in categories T36-T65
  • Are combination codes that include the substances
    related to adverse effects, poisoning, toxic
    effects and underdosing, as well as the external
    cause.
  • Sequence the T36-T65 codes first, followed by the
    code(s) that specify the nature of the adverse
    effect, poisoning, or toxic effect.
  • Do not code directly from the Table of Drugs
    always refer back to the Tabular List.
  • Use as many codes as necessary to describe
    completely all drugs, medicinal or biological
    substances

58
ICD-10- CM SPECIFIC GUIDELINES
  • ICD-10-CM CHAPTER-
  • SPECIFIC GUIDELINES
  • CHAPTER 1-SPECIFIC GUIDELINES
  • HIV
  • Infectious agents as
  • cause of diseases
  • classified to other
  • chapters
  • Infections resistant to
  • antibiotics
  • Sepsis, Severe Sepsis
  • and Septic Shock

CHAPTER 1 CERTAIN INFECTIONS AND PARASITIC
DISEASES CODE RANGE A00-B99
59
WEB RESOURCES
  • CMS
  • General ICD-10 Information
  • http//www,cms.hhs.gov/ICD10
  • ICD-10 Notice of Proposed Rulemaking
  • http//www.cms.hhs.gov/TransactionCodeSetsStands/0
    1_TransactionsandCodeSetsRegulations.asp
  • ICD-10-CM Coding System
  • http//www.cms.hhs.gov/ICD10/03 ICD 10 CM.asp

60
QUESTIONS?
  • Q A ?
  • THANK YOU!!
  • Soon you will be able to view
  • my website for additional tools
  • and resources. Until then feel free to contact
    me at my email address
  • MCMCOLLINSCO_at_AOL.COM
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