BC Advantage - 2019 Issue 10
ICD-10-CM Official Guidelines for Coding and Reporting FY 2020
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Article Overview
This article presents the official FY 2020 ICD-10-CM coding and reporting guidelines issued by CMS and NCHS. It explains the document’s purpose, authority, relationship to the ICD-10-CM code set, and how the guidelines are organized for inpatient and outpatient reporting. It is relevant to coders, billers, CDI professionals, compliance teams, and clinicians who need to understand the framework for diagnosis coding under the official federal guidance.
Why This Topic Matters
The article identifies the official national guidance that supports consistent ICD-10-CM diagnosis coding and reporting across healthcare settings. Understanding the scope and organization of these guidelines helps coding and documentation professionals apply the correct federal reference for FY 2020.
Article Sections
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Introduction and document scope
Explains the purpose of the FY 2020 guideline document, its effective period, and its relationship to the official ICD-10-CM reference material. It also identifies the issuing organizations and the general authority for the guidance.
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Authority, documentation, and reporting expectations
Describes the guideline status within the federal coding framework and the emphasis on documentation quality, record review, and complete reporting. It also addresses the roles of the provider and coder in the reporting process.
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Organization of the guidelines
Summarizes how the guideline document is arranged into major sections for general rules, principal diagnosis selection, additional diagnoses, and outpatient reporting. It notes the need to review the full set of sections together.
What You Will Learn
- The purpose and scope of the FY 2020 ICD-10-CM guideline document
- Which organizations issue and approve the official guidelines
- How the guideline document is organized into major sections
- The relationship between the guidelines and the ICD-10-CM classification
- The general documentation and reporting framework described in the introduction
Who Should Read This
- Medical coders
- Billing staff
- Clinical documentation integrity professionals
- Compliance teams
- Healthcare providers
- Health information management professionals
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