HCPro, JustCoding Inpatient - 2016 Issue 2 (January)
Healthcare News: Excludes1 conditions may be reported together when unrelated, says CDC
January 12th, 2016
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Article Overview
This article summarizes a recent CDC release on ICD-10-CM Excludes note guidance and the approval of that guidance by the Cooperating Parties, including AHIMA, AHA, CMS, and NCHS. It is aimed at coders and coding professionals who need to understand the scope of the update, the general distinction between Excludes1 and Excludes2 notes, and the kinds of examples used to illustrate the policy. The article also notes the timing of related manual updates in the context of the ICD-10-CM code freeze.
Why This Topic Matters
Understanding this update helps coding professionals interpret ICD-10-CM documentation guidance consistently and recognize when longstanding Excludes note assumptions may require closer review.
Article Sections
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CDC release and Cooperating Parties guidance
Introduces the CDC coding update and identifies the national organizations involved in approving the guidance. It frames the article as an interpretation-focused update for ICD-10-CM users.
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Overview of Excludes notes
Provides a general explanation of the two Excludes note types discussed in the update. This section contrasts the broad concepts addressed by the release.
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Timing of ICD-10-CM manual changes
Notes the code-freeze context and the anticipated timing of manual incorporation. It places the update within the broader ICD-10-CM maintenance schedule.
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CDC release examples
Summarizes the types of examples used to illustrate the guidance across different diagnostic categories. The section centers on how the update is presented rather than on case-specific coding outcomes.
What You Will Learn
- How a CDC release addresses Excludes note interpretation in ICD-10-CM
- Which organizations approved the guidance
- What general categories of situations are discussed in the examples
- How the update fits into the ICD-10-CM code freeze timeline
Who Should Read This
- Medical coders
- Coding auditors
- Health information management professionals
- Clinical documentation specialists
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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