Official Course Description: MCCCD Approval: 5-26-09
HIM209  2009 Fall – 2010 Summer II	L+L  4.0 Credit(s)  6.0 Period(s)  5.4 Load  Occ
ICD Coding
International Classification of Diseases (ICD) code assignment. Use of appropriate coding guidelines and federal, state, and local compliance standards for diagnoses and procedures. Application of diagnostic and procedural codes for inpatient, outpatient, and ambulatory settings. Introduction of references and software to assist in code assignment. Prerequisites: [HCC145 and (BIO160 or BIO201)], or permission of Program Director. Prerequisites or Corequisites: (BIO202 and HCC204), or permission of Program Director.

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MCCCD Official Course Competencies:
HIM209  2009 Fall – 2010 Summer II	ICD Coding

 

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1.         Describe the purpose and historical development of the International Classification of Diseases (ICD). (I)

2.         Differentiate among nomenclatures, classifications, vocabularies, and taxonomies, and describe the role of each in clinical coding systems. (I)

3.         Describe the standards and impact of ethical coding. (II)

4.         Relate current local, state, and federal regulations to coding situations. (II)

5.         Explain the concepts of patient privacy and confidentiality as they relate to code assignment. (II)

6.         Describe the impact of coding non-compliance including fraud and abuse. (II)

7.         Describe the organization and format of the International Classification of Diseases (ICD) code books. (III)

8.         Define and use ICD coding conventions including instructional terms and notations. (III)

9.         Locate appropriate codes using the ICD alphabetical index and tabular list. (IV, V)

10.       Assign and appropriately sequence ICD codes. (V)

11.       Identify common pharmaceutical agents used to treat diseases prevalent in the United States. (V)

12.       Apply relevant coding guidelines for outpatient services and inpatient settings. (VI)

13.       Compare and contrast outpatient and inpatient ICD coding guidelines. (VI)

14.       Identify, compare, and use references important for accurate ICD procedure and diagnostic code assignment. (VII)

15.       Describe the framework and capabilities of selected encoding and computer-assisted coding software programs. (VII)

 

MCCCD Official Course Outline:
HIM209  2009 Fall – 2010 Summer II	ICD Coding

 

I.          International Classification of Diseases (ICD)

            A.        Purpose

            B.        Historical development

            C.        Nomenclatures, classifications, taxonomies, vocabularies

                        1.         Definition

                        2.         Role

II.        Coding Compliance

            A.        Standards of ethical coding

            B.        Government regulations

                        1.         Local

                        2.         State

                        3.         Federal

            C.        Privacy and confidentiality

            D.        Fraud and abuse

            E.         Impact of non-compliance

III.       ICD Organization and Format

            A.        Alphabetic index

                        1.         Format

                        2.         Conventions

                        3.         Index tables

            B.        Tabular list

                        1.         Format

                        2.         Conventions

                        3.         Supplementary classifications

IV.       Basic Coding Steps

            A.        Location of terms in the alphabetic index

            B.        Verification of codes in the tabular list

V.        Code Assignment and Common Pharmaceuticals

            A.        Infectious and parasitic diseases

            B.        Neoplasms

            C.        Endocrine, nutritional, and metabolic diseases and immunity disorders

            D.        Blood and blood-forming organ diseases

            E.         Mental disorders

            F.         Nervous system and sensory organ diseases

            G.        Circulatory system diseases

            H.        Respiratory system diseases

            I.          Digestive system diseases

            J.          Genitourinary system diseases

            K.        Complications of pregnancy, childbirth, and the puerperium

            L.         Skin and subcutaneous tissue diseases

            M.        Musculoskeletal system and connective tissue diseases

            N.        Congenital anomalies

            O.        Certain conditions originating in the perinatal period

            P.         Symptoms, signs, and ill-defined conditions

            Q.        Injury and poisoning

            R.        Supplementary classification

                        1.         Factors influencing health status

                        2.         Contact with health services

                        3.         External causes of injury and poisoning

            S.         Miscellaneous diagnostic and therapeutic procedures

VI.       ICD Coding Guidelines

            A.        Inpatient services

            B.        Outpatient services

VII.     Coding References and Tools

            A.        References

                        1.         Coding Clinic

                        2.         Drug formulary

                        3.         Other

            B.        Encoders

            C.        Computer Assisted Coding