icd-10 training for counseling, psychology & psychiatry

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Page 1: ICD-10 Training For Counseling, Psychology & Psychiatry

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Page 2: ICD-10 Training For Counseling, Psychology & Psychiatry

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Dr. Evan Gwilliam

• Education• Bachelor’s of Science, Accounting - Brigham Young University• Master’s of Business Administration - Broadview University• Doctor of Chiropractic, Valedictorian - Palmer College of

Chiropractic

• Certifications• Certified Professional Coder (CPC) - AAPC• Nationally Certified Insurance Coding Specialist (NCICS) - NCCT• Certified Chiropractic Professional Coder (CCPC) - AAPC• ChiroCode Certified Chiropractic Professional Coder (CCCPC) -

ChiroCode• Certified Professional Coder – Instructor (CPC-I) - AAPC• Medical Compliance Specialist – Physician (MCS-P) - MCS• Certified Professional Medical Auditor (CPMA) – AAPC, NAMAS• Certified ICD-10 Trainer - AAPC

Page 3: ICD-10 Training For Counseling, Psychology & Psychiatry

Overview• Part 1 - ICD-10 fundamentals and navigation• Part 2 - Coding conventions and guidelines• Part 3 - ICD-10 code selection strategies• Part 4 - Documentation improvement

***Specialty specific training

3

Page 4: ICD-10 Training For Counseling, Psychology & Psychiatry

Tabular list layout

Chapter

21 of themfrom A to Z(body system or condition)

Block

Ranges of categories(related conditions)

Categories

3 characters(more specific condition)

Subcategories

4th or 5th characters(etiology, location, etc.)

Codes

6th or 7th characters(laterality, encounter, etc.)

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Page 5: ICD-10 Training For Counseling, Psychology & Psychiatry

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Tabular List

Chapter: 5, Mental, Behavioral and Neurodevelopmental disorders(FØ1-F99)

Page 6: ICD-10 Training For Counseling, Psychology & Psychiatry

Tabular list layout

Chapter

21 of themfrom A to Z(body system or condition)

Block

Ranges of categories(related conditions)

Categories

3 characters(more specific condition)

Subcategories

4th or 5th characters(etiology, location, etc.)

Codes

6th or 7th characters(laterality, encounter, etc.)

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Page 7: ICD-10 Training For Counseling, Psychology & Psychiatry

Tabular List

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Block: MOOD [AFFECTIVE] DISORDERS (F30-F39)

(Always bold CAPS, lined above and below)

Page 8: ICD-10 Training For Counseling, Psychology & Psychiatry

Tabular list layout

Chapter

21 of themfrom A to Z(body system or condition)

Block

Ranges of categories(related conditions)

Categories

3 characters(more specific condition)

Subcategories

4th or 5th characters(etiology, location, etc.)

Codes

6th or 7th characters(laterality, encounter, etc.)

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Page 9: ICD-10 Training For Counseling, Psychology & Psychiatry

Tabular List

9

Category: F30- MANIC EPISODE

(Always all CAPS)

Page 10: ICD-10 Training For Counseling, Psychology & Psychiatry

Tabular list layout

Chapter

21 of themfrom A to Z(body system or condition)

Block

Ranges of categories(related conditions)

Categories

3 characters(more specific condition)

Subcategories

4th or 5th characters(etiology, location, etc.)

Codes

6th or 7th characters(laterality, encounter, etc.)

10

Page 11: ICD-10 Training For Counseling, Psychology & Psychiatry

Tabular List

Subcategory: F30.1- Manic episode without psychotic symptoms

(Codes not in bold are incomplete)

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Page 12: ICD-10 Training For Counseling, Psychology & Psychiatry

Tabular list layout

Chapter

21 of themfrom A to Z(body system or condition)

Block

Ranges of categories(related conditions)

Categories

3 characters(more specific condition)

Subcategories

4th or 5th characters(etiology, location, etc.)

Codes

6th or 7th characters(laterality, encounter, etc.)

12Note: Codes may be complete with fewer than 6 characters. Some codes only have 3.

Page 13: ICD-10 Training For Counseling, Psychology & Psychiatry

Tabular List

Highest specificity code: F30.11 Manic episode without psychotic symptoms, mild

(Complete codes are bolded.)

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Page 14: ICD-10 Training For Counseling, Psychology & Psychiatry

1. Find an ICD-10 category (three characters) you will frequently use

2. Identify the fourth character descriptions and note key differences

3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences

4. Do the same for the sixth character (if applicable)5. Check the guidelines at each level:

1. Code2. Subcategory3. Category4. Block5. Chapter

ICD-10 code breakdown

Page 15: ICD-10 Training For Counseling, Psychology & Psychiatry

1. Find an ICD-10 category (three characters) you will frequently use

2. Identify the fourth character descriptions and note key differences

3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences

4. Do the same for the sixth character (if applicable)5. Check the guidelines at each level:

1. Code2. Subcategory3. Category4. Block5. Chapter

ICD-10 code breakdown

Page 16: ICD-10 Training For Counseling, Psychology & Psychiatry

16

Tabu

lar

List

Page 17: ICD-10 Training For Counseling, Psychology & Psychiatry

1. Find an ICD-10 category (three characters) you will frequently use

2. Identify the fourth character descriptions and note key differences

3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences

4. Do the same for the sixth character (if applicable)5. Check the guidelines at each level:

1. Code2. Subcategory3. Category4. Block5. Chapter

ICD-10 code breakdown

Page 18: ICD-10 Training For Counseling, Psychology & Psychiatry

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Tabu

lar

List

Page 19: ICD-10 Training For Counseling, Psychology & Psychiatry

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Tabu

lar

List

Page 20: ICD-10 Training For Counseling, Psychology & Psychiatry

1. Find an ICD-10 category (three characters) you will frequently use

2. Identify the fourth character descriptions and note key differences

3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences

4. Do the same for the sixth character (if applicable)5. Check the guidelines at each level:

1. Code2. Subcategory3. Category4. Block5. Chapter

ICD-10 code breakdown

Page 21: ICD-10 Training For Counseling, Psychology & Psychiatry

21

Tabu

lar

List

Page 22: ICD-10 Training For Counseling, Psychology & Psychiatry

1. Find an ICD-10 category (three characters) you will frequently use

2. Identify the fourth character descriptions and note key differences

3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences

4. Do the same for the sixth character (if applicable)5. Check the guidelines at each level:

1. Code2. Subcategory3. Category4. Block5. Chapter

ICD-10 code breakdown

Page 23: ICD-10 Training For Counseling, Psychology & Psychiatry

23

Tabu

lar

List

Page 24: ICD-10 Training For Counseling, Psychology & Psychiatry

1. Find an ICD-10 category (three characters) you will frequently use

2. Identify the fourth character descriptions and note key differences

3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences

4. Do the same for the sixth character (if applicable)5. Check the guidelines at each level:

1. Code2. Subcategory3. Category4. Block5. Chapter

ICD-10 code breakdown

Page 25: ICD-10 Training For Counseling, Psychology & Psychiatry

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Tabu

lar

List

Page 26: ICD-10 Training For Counseling, Psychology & Psychiatry

1. Find an ICD-10 category (three characters) you will frequently use

2. Identify the fourth character descriptions and note key differences

3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences

4. Do the same for the sixth character (if applicable)5. Check the guidelines at each level:

1. Code2. Subcategory3. Category4. Block5. Chapter

ICD-10 code breakdown

Page 27: ICD-10 Training For Counseling, Psychology & Psychiatry

27

Tabu

lar

List

Page 28: ICD-10 Training For Counseling, Psychology & Psychiatry

1. Find an ICD-10 category (three characters) you will frequently use

2. Identify the fourth character descriptions and note key differences

3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences

4. Do the same for the sixth character (if applicable)5. Check the guidelines at each level:

1. Code2. Subcategory3. Category4. Block5. Chapter

ICD-10 code breakdown

Page 29: ICD-10 Training For Counseling, Psychology & Psychiatry

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Page 48: ICD-10 Training For Counseling, Psychology & Psychiatry

1. Find an ICD-10 category (three characters) you will frequently use

2. Identify the fourth character descriptions and note key differences

3. Identify the fifth character description (if applicable) for each four-character subcategory and note key differences

4. Do the same for the sixth character (if applicable)5. Check the guidelines at each level:

1. Code2. Subcategory3. Category4. Block5. Chapter

ICD-10 code breakdown

Page 49: ICD-10 Training For Counseling, Psychology & Psychiatry

34 specialty specific ICD-10 books• More than 40 pages which

teach• Conventions• Guidelines• Implementation steps

• Specialty specific• DSMICD-10 mapping• ICD-9ICD-10 mapping• Alpha Index• Abridged Tabular List

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