Don’t bug out: ICD-10-CM reporting for certain infectious, parasitic diseases

January 21st, 2020

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews ICD-10-CM Chapter 1 and discusses the broader guidance that affects reporting of certain infectious and parasitic diseases. It is aimed at coders and compliance professionals who need a refresher on chapter organization, instructional notes, and selected disease-specific guidance involving HIV, sepsis, and related infectious disease reporting topics.

Why This Topic Matters

Chapter 1 contains frequently used infectious disease codes and several reporting nuances that can affect diagnosis sequencing and completeness of coding. Understanding the chapter’s instructional notes and special guidance helps support more accurate code selection and documentation review.

Article Sections

  1. Chapter 1 overview

    Introduces the ICD-10-CM chapter focused on certain infectious and parasitic diseases and summarizes how the chapter is organized.

  2. Taking a closer look at instructional notes

    Reviews how instructional notes may direct coders to additional information elsewhere in the code set and explains why documentation support matters.

  3. E. coli

    Discusses coding considerations involving E. coli within infectious disease reporting and related chapter references.

  4. HIV

    Covers HIV-related reporting guidance, including chapter placement, confirmation concepts, and sequencing considerations for HIV-related conditions.

  5. Sepsis

    Explores sepsis-related guidance, including related diagnostic concepts, coding categories, sequencing themes, and references to updated clinical definitions.

  6. Conclusion

    Summarizes the importance of applying chapter guidance and instructional notes throughout ICD-10-CM reporting.

What You Will Learn

  • How ICD-10-CM Chapter 1 is structured
  • How instructional notes can affect diagnosis reporting
  • What broad considerations are discussed for HIV-related coding
  • What broad considerations are discussed for sepsis-related coding
  • How the article frames documentation review for infectious disease reporting

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance professionals
  • Coding educators
  • Revenue cycle staff

Codes Discussed

  • ICD-10-CM: J04.-
  • ICD-10-CM: B95-B97
  • ICD-10-CM: J15.-
  • ICD-10-CM: J15.5
  • ICD-10-CM: B96.20
  • ICD-10-CM: N39.0
  • ICD-10-CM: A41.51
  • ICD-10-CM: Z21
  • ICD-10-CM: B20
  • ICD-10-CM: B59
  • ICD-10-CM: A40.-
  • ICD-10-CM: A41.-
  • ICD-10-CM: A41.9
  • ICD-10-CM: A41.89
  • ICD-10-CM: B97.89

Code Ranges Discussed

  • ICD-10-CM: A00-A09
  • ICD-10-CM: A15-A19
  • ICD-10-CM: A20-A28
  • ICD-10-CM: A30-A49
  • ICD-10-CM: A50-A64
  • ICD-10-CM: A65-A69
  • ICD-10-CM: A70-A74
  • ICD-10-CM: A75-A79
  • ICD-10-CM: A80-A89
  • ICD-10-CM: A90-A99
  • ICD-10-CM: B00-B09
  • ICD-10-CM: B10
  • ICD-10-CM: B15-B19
  • ICD-10-CM: B25-B34
  • ICD-10-CM: B35-B49
  • ICD-10-CM: B50-B64
  • ICD-10-CM: B65-B83
  • ICD-10-CM: B85-B89
  • ICD-10-CM: B90-B94
  • ICD-10-CM: B95-B97
  • ICD-10-CM: B99

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