Common Course Outline

Catalog Description

Course Description

This course will introduce the student to the ICD-10-CM classification system and ICD-10-PCS inpatient procedural coding system. Emphasis will be placed on the correct process of utilizing the alphabetic index and tabular list for code assignment. The focus will be on rules, conventions, instructions of ICD-10-CM as well as the chapter specific guidelines (e.g. circulatory, injury, pregnancy), including criteria for assignment of principal and additional diagnoses in all applicable patient settings will be addressed. The impact of proper code assignment, MS-DRGs and reimbursement will also be discussed. College level reading skills, appropriate score on RCTC placement test or completion of appropriate developmental course with grade of C or better.

Date Last Revised (Month, year)

February, 2019

Outline of Major Content Areas

1. Study of the International Classification of Disease (ICD-10-CM) diagnostic codes
2. Certain Infectious and Parasitic Diseases
3. Neoplasms
4. Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism
5. Endocrine, Nutritional, and Metabolic Diseases
6. Mental, Behavioral, and Neurodevelopmental Disorders
7. Diseases of the Nervous System
8. Diseases of the Eye and Adnexa
9. Diseases of the Ear and Mastoid Process
10. Diseases of the Circulatory System
11. Diseases of the Respiratory System
12. Diseases of the Digestive System
13. Diseases of the Skin and Subcutaneous Tissue
14. Diseases of the Musculoskeletal System and Connective Tissue
15. Diseases of the Genitourinary System
16. Pregnancy, Childbirth, and the Puerperium
17. Certain Conditions Originating in the Perinatal Period
18. Congenital Malformations, Deformations, and Chromosomal Abnormalities
19. Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified
20. Injury, Poisoning, and Certain Other Consequences of External Causes
21. External Causes of Morbidity
22. Factors Influencing Health Status and Contact with Health Services
23. Study of the International Classification of Disease (ICD-10-PCS) procedure coding system codes
24. Medical and Surgical Section
25. Obstetrics Section
26. Placement Section
27. Administration Section
28. Measurement and Monitoring Section
29. Extracorporeal or Systemic Assistance and Performance Section
30. Extracorporeal or Systemic Therapies Section
31. Osteopathic Section
32. Other Procedures Section
33. Chiropractic Section
34. Imaging Section
35. Nuclear Medicine Section
36. Radiation Therapy Section
37. Physical Rehabilitation and Diagnostic Audiology Section
38. Mental Health Section
39. Substance Abuse Treatment Section
40. New Technology Section
41. Coding Conventions and Formatting
42. Coding Guidelines
43. Documentation requirements
44. Potential abuse and fraudulent trends

Learning Outcomes (General)

The student will be able to:

1. Apply diagnosis/procedure codes according to current guidelines.
2. Evaluate the accuracy of diagnostic and procedural coding.
3. Apply diagnostic/procedural groupings.
4. Evaluate the accuracy of diagnostic/procedural groupings.
5. Analyze the documentation in the health record to ensure it supports the diagnosis and reflects the patient’s progress, clinical findings, and discharge status.
6. Analyze current regulations and established guidelines in clinical classification systems.
7. Identify potential abuse or fraudulent trends through data analysis.
8. Develop appropriate physician queries to resolve data and coding discrepancies.

Learning Outcomes (MnTC)

NA

Methods for Evaluation of Student Learning

Methods may include but are not limited to:

• Textbook assignments
• Coding cases
• Online discussions
• Tests

RCTC Core Outcome(s)

This course contributes to meeting the following RCTC Core Outcome(s):

Critical Thinking

Students will think systematically and explore information thoroughly before accepting or formulating a position or conclusion.

Special Information (if any)

None