ASSIGNMENT HELP | Explain the differences in structure between ICD-10-CM and ICD-10-PCS, and give an example of each.

Explain the differences in structure between ICD-10-CM and ICD-10-PCS, and give an example of each.

Your response must be at least 75 words in length.

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Explain what NOS and NEC indicate and what must be done in the event that a coder sees these abbreviations.

Your response must be at least 75 words in length.

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Differences Between ICD-10-CM and ICD-10-PSC

According to Monestime et al. (2019), the U.S. adopts ICD-10-CM (clinical modification) to code diagnostics. In terms of structure, the main differences between the ICD-10-CM and the ICD-10-PCS are as follows:

  • The ICD-10-PCS is only used in the inpatient hospital settings in the United States, while the ICD-10-CM applies in the outpatient and clinical settings (Monestime et al., 2019).
  • The ICD-10-CM has approximately 68,000 codes, while the ICD-10-PCS has close to 87,000 available codes.
  • The code of an ICD-10-PCS is made up of the combination of letters and numbers, while with the ICD-10-CM, the first combination has to be either a letter or a number, and all other digits are made up of numbers (Monestime et al., 2019). 

An example of an ICD-10-PCS is 047K0ZZ, while an example of an ICD-10-CM is I25.110.

NOS and NEC

NEC (Not Elsewhere Classified) and NOS (Not Otherwise Specified) are conventions that potentially trip even the savviest and smartest of coders (Monestime et al., 2019). When the NEC abbreviation occurs, it means there is a detailed diagnosis, but the specifics are lacking, thus the coder must look for coding options. On the other hand, when the NOS abbreviations occur, it means the specific codes are more specific but were not stated so the coder has to (Monestime et al., 2019).

Steps in ICD-10-CM Coding

The first step involves searching the Alphabetical Index for diagnostic terms. Once the term is identified, its ICD-10 code is identified. The second step involves checking the tabular list. Prior to using the ICD-10 code found in the Alphabetical Index, it is critical to check that particular code in the tabular list to establish there are special directions or instructions. The third step is reading the instructions of the code (Monestime et al., 2019). Here, the entry of the code in the tabular list offers all the diagnosis code directives and requirements. For | PLACE YOUR ORDER NOW AT writtask.com | , the tabular list identifies and flags out any code that cannot be submitted for the same eye in one day. The fourth step involves adding a 7th character if it is a trauma or injury (Pugazhenthi & Chitra, 2019). To do this, the following steps are adopted:

  • A to demonstrate the initial or first encounter.
  • D for subsequent encounters.
  • S for the sequela. 

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Benefits of Medical Coding

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References

Monestime, J. P., Mayer, R. W., & Blackwood, A. (2019). Analyzing the ICD-10-CM Transition and Post-implementation Stages: A public health institution case study. Perspectives in Health Information Management, 16. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462880/

Pugazhenthi, A., & Chitra, D. (2019). Data access control and secured data sharing approach for health care data in cloud environment. Journal of Medical Systems, 43(8), 1-9. https://content.sciendo.com/view/journals/dim/2/3/article-p175.xml?language=en

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