ADVANCE: Health Information Learning Resources Vol. 1, 2024

Creating a better world inspires us. To find solutions that help people. To collaborate and connect through technology. To manage health information so it can serve patient care. To empower learners. To move health and healthcare forward—together. You're invited to make more of a difference than ever.

Empowering People to Impact Health ® We’re dedicated to creating a brighter future and driving progress in healthcare. Together, we have the power to enhance the lives of those supported by healthcare organizations across the nation. By providing innovative teaching solutions and valuable resources to future learners, we can have an even greater impact. Together, we can positively change healthcare.

About the Book

Learning Bundles p. 6 AHIMA Press Downloadable Resources

Health Information Management p. 28 Law, Privacy, and Security Data Analytics Information Governance

Certifications p. 58

Coding, Classification, and Reimbursement p. 8

Microcredentials p. 68

AHIMA I ADVANCE

About the Book

Reaching higher Together

Empowering people to impact health ® starts with education

Forward-thinking approaches to education are the bedrock of creating a flourishing community that positively influences health and healthcare. As the leading authority on health information, AHIMA is dedicated to nurturing the next generation of healthcare leaders while fostering collabo - rations with industry experts like yourself. Three Ways We Pave the Way for Advancement in Health Information: 1. Maximize Academic Effectiveness We empower you to enhance students’ learning outcomes by aligning health information knowledge, accreditation standards, and your academic program objectives. Our tailored solutions leverage resources such as AHIMA Press® and AHIMA VLab® to provide invaluable content that enhances student competence, achieves learning objectives, and fulfills your academic program’s vision. 2. Faculty & Leadership Development As educators, you play a purpose-driven role in uncovering opportunities for others to make an impact on health. The AHIMA Assembly on Education development program is a unique learning experience to strengthen your knowledge of the latest approaches to practice and education. 3. Student Career Readiness Equipping students to become certified professionals through AHIMA and connecting them with other health information experts are crucial steps in navigating the ever-evolving healthcare industry post-graduation.

Discover solutions to make an impact and achieve your goals.

ahima.org/higher-education

AHIMA I ADVANCE

Coding, Classification, and Reimbursement Learning Bundles

AHIMA Press Downloadable Book Resources

About the Book

Empowering Success We know how important it is for you to inspire students

Discover opportunities to add value to your program. Visit ahima.org/higher-education

to conquer their educational goals. How we support your mission

AHIMA Press downloadable resources for books are available on the AHIMA Learning Center. Access your AHIMA benefits and view AHIMA book resources, sign up for webinars and online courses, access AHIMA VLab ® , and more—all in one place. What do I need to do? Everyone with an AHIMA Press book must re-register all books in the AHIMA Learning Center. Please refer to the instructions below to ensure a smooth transition. If you need assistance, please consult our FAQs. If you have additional questions not covered in the FAQs, please email online.education@ahima.org Step-By-Step Guide: Register your book in the AHIMA Learning Center. 1. Locate your book’s access code. Review our FAQs for how to locate or obtain your access code. 2. Open my.ahima.org/learningcenter in your browser of choice. 3. Log in to or create a myAHIMA account. 4. Select “Add Code” and enter the book’s access code. Your book’s title will now display as one of your Current Classes. 5. Select your book’s title to automatically open the book resource course in a new tab.

Learning bundles build on the strengths of individual content and technology components. By combining high-quality AHIMA resources, these bundles take an all-inclusive approach to accelerating learning, improving student outcomes, and adding real value.

LEARNING BUNDLES

Print Book

AHIMA VLab ® : Medical Coder

Certification Exams

Student Membership

Additional Book

ebook

Current Procedural Terminology and HCPCS Coding for Professionals and Facilities

AMA CPT ® Professional Edition

Basic ICD-10-CM and ICD-10-PCS Coding

Certified Coding Assistant (CCA) Exam Preparation

Clinical Coding Workout

Medical Coding in the Real World Student Workbook

Select “Get Started” or “Launch Unit” to view or download the book’s resources as needed, without limit. Book resources will remain on your myAHIMA account for the life of the book’s edition (one year after the next edition is published).

Medical Coding in the Real World

Health Information Management: Concepts, Principles, and Practice Health Information Management Technology: An Applied Approach Registered Health Information Administrator (RHIA) Exam Preparation Registered Health Information Technician (RHIT) Exam Preparation

What’s new about this experience? We know how much you and your students

value online exam assessment and practice exams. Review the new practice exams and question modules for each

exam preparation book to support your exam preparation activities.

AHIMA I ADVANCE

About the Book

The Heart of Healthcare Is Telling Our Patients’ Health Story

In the world of health information management, coding, classification, and reimbursement are critical to providing our patients with a positive experience. At AHIMA®, we provide your students with textbooks that are like knowledgeable companions, offering them comprehensive, up-to-date content filled with stan- dards, guidelines, best practices, and valuable insights. Our textbooks are always evolving, just like the healthcare landscape, and they’re regularly updated with code listings and coding guidelines. This is a reflection of our unwavering dedication to en- suring relevance and helping students build skills that truly matter.

AHIMA I ADVANCE

Coding, Classification, and Reimbursement

Table of Contents

About the Book

AHIMA proudly presents the ICD-10-CM Code Book , 2024, to help you execute the International Classification of Diseases, Tenth Revision, Clinical Modification .

AHIMA proudly presents the ICD-10-PCS Code Book , 2024, to help you execute the International Classification of Diseases, Tenth Revision, Procedure Coding System .

Introduction Index to Diseases and Injuries Table of Neoplasms Table of Drugs and Chemicals Index to External Causes Tabular List of Diseases and Injuries 1 Certain Infectious and Parasitic Diseases (A00–B99) 2 Neoplasms (C00–D49) 3 Diseases of the Blood and Blood– forming Organs and Certain Disorders Involving the Immune Mechanism (D50–D89) 4 Endocrine, Nutritional, and Metabolic Diseases (E00–E89) 5 Mental, Behavioral, and Neurodevelopmental Disorders (F01–F99) 6 Diseases of the Nervous System (G00–G99) 7 Diseases of the Eye and Adnexa (H00–H59) 8 Diseases of the Ear and Mastoid Process (H60–H95) 9 Diseases of the Circulatory System (I00–I99) 10 Diseases of the Respiratory System (J00–J99) 11 Diseases of the Digestive System (K00–K95) 12 Diseases of the Skin and Subcutaneous Tissue (L00–L99) 13 Diseases of the Musculoskeletal System and Connective Tissue (M00–M99) 14 Diseases of the Genitourinary System (N00–N99) 15 Pregnancy and the Puerperium (O00–O9A) 16 Certain Conditions Originating in the Perinatal Period (P00–P96) 17 Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00–Q99) 18 Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00–R99) 19 Injury, Poisoning and Certain Other Consequences of External Causes (S00–T88) 20 External Causes of Morbidity (V00–Y99) 21 Factors Influencing Health Status and Contact with Health Services (Z00–Z99) 22 Codes for Special Purposes (U00-U85)

Introduction ICD–10–PCS Overview ICD‑10‑PCS Code Structure ICD‑10‑PCS Organization and Official Conventions ICD‑10‑PCS Additional Conventions ICD‑10‑PCS Official Guidelines for Coding and Reporting, 2024 Index Medical and Surgical Central Nervous System and Cranial Nerves (001–00X) Peripheral Nervous System (012–01X) Heart and Great Vessels (021–02Y)

Key Features

• Completely updated with 2024 codes and coding guidelines • New! Anatomical illustrations added • Available in spiral- or perfect- bound formats • Includes Hierarchical Condition Category (HCC) codes • Features color-coded tabs to align with section colors • Color-coded sections ease navigation and code selection • MCC and CC codes as identified by the MS-DRG system • Coding guidelines included in the • References to coding guidelines included throughout the Tabular • American Hospital Association (AHA) Coding Clinic references included throughout the Tabular • Anatomical art included throughout the Tabular • Identification of diagnoses that impact Medicare Code Editor (MCE) edits • Identification of diagnoses that impact MS-DRG pathways and edits • Identification of diagnoses included in Medicare’s Hospital- Acquired Conditions (HAC) Program • Appendices include Principal Diagnosis Collections and Exclusions for CC and MCC, HAC Listings, and New and Deleted Codes Introduction and before each section for quick reference About the Consulting Editor Anne B. Casto , RHIA, CCS, is the founder and president of Casto Consulting, LLC., and a lecturer in the HIMS division at The Ohio State University School of Allied Medical Professions.

• Completely updated with 2024 codes and coding guidelines • New! Anatomical illustrations added • Softcover • Features color-coded tabs to align with section colors • Color-coded sections ease navigation and code selection • Coding guidelines included in the Introduction and before each section for quick reference • Medical-Surgical and OB sections include Code Listings • American Hospital Association (AHA) Coding Clinic references included throughout the Code Listings» Anatomical art included in each body system section of the Medical and Surgical Tables and Code Listings • Identification of procedures that impact Medicare Code Editor (MCE) edits • Identification of procedures that impact MS-DRG pathways and edits • Identification of procedures that are included in Medicare’s Hospital-Acquired Conditions (HAC) program • Appendices include Root Operation Definitions, Type and Qualifier Definitions, Approach Definitions, Medical and Surgical Body Parts, Medical and Surgical Device Table and Device Aggregation Table, Substance Qualifier Table, New Codes, and IPPS New Services and Technology Add on Payment About the Consulting Editor Anne B. Casto , RHIA, CCS, is the founder and president of Casto Consulting, LLC., and a lecturer in the HIMS division at The Ohio State University School of Allied Medical Professions.

Upper Arteries (031–03W) Lower Arteries (041–04W) Upper Veins (051–05W) Lower Veins (061–06W) Lymphatic and Hemic Systems (072–07Y) Eye (080–08X)

ICD‑10‑CM Code Book, 2024 Anne B. Casto , RHIA, CCS, Consulting Editor

ICD‑10‑PCS Code Book, 2024 Anne B. Casto , RHIA, CCS, Consulting Editor

Ear, Nose, Sinus (090–09W) Respiratory System (0B1–0BY) Mouth and Throat (0C0–0CX) Gastrointestinal System (0D1–0DY) Hepatobiliary System and Pancreas (0F1–0FY) Endocrine System (0G2–0GW) Skin and Breast (0H0–0HX) Subcutaneous Tissue and Fascia (0J0–0JX)

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Upper Bones (0P2–0PW) Lower Bones (0Q2–0QW) Upper Joints (0R2–0RW) Lower Joints (0S2–0SW) Urinary System (0T1–0TY)

(Table of Contents, Continued) Imaging Nuclear Medicine Radiation Therapy Physical Rehabilitation and Diagnostic Audiology Mental Health

Female Reproductive System (0U1–0UY) Male Reproductive System (0V1–0VW) Anatomical Regions, General (0W0–0WY) Anatomical Regions, Upper Extremities (0X0–0XY) Anatomical Regions, Lower Extremities (0Y0–0YW) Obstetrics Placement Administration Measurement and Monitoring Extracorporeal or Systemic Assistance and Performance Extracorporeal or Systemic Therapies Osteopathic Other Procedures Chiropractic

ebook Available e-ISBN: 978-1-58426-945-8

Substance Abuse New Technology

Appendix A: Root Operations Definitions Appendix B: Type and Qualifier Definitions Appendix C: Approach Definitions Appendix D: Medical and Surgical Body Parts Appendix E: Medical and Surgical Device Table and Device Aggregation Table Appendix F: Substance Qualifier Table (Key) Online Appendices Appendix G: New ICD-10-PCS Codes 2024 Appendix H: IPPS New Services and Technology Add On Payment FY 2024

(Table of Contents, Continued) Online Appendices Appendix A: CC/MCC Principal Diagnosis Collections and Exclusion Lists Appendix B: Hospital-Acquired Conditions (HAC) List Appendix C: New ICD-10-CM Codes 2024 Appendix D: Deleted ICD-10-CM Codes 2024

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AHIMA I ADVANCE

Coding, Classification, and Reimbursement

Table of Contents

About the Book

AHIMA proudly presents the ICD-10-PCS Code Book , Professional Edition , 2024, to help medical coders execute the International Classification of Diseases, Tenth Revision, Procedure Coding System specifically in the inpatient setting.

Introduction ICD‑10‑PCS Overview ICD‑10‑PCS Code Structure ICD‑10‑PCS Organization and Official Conventions AHA Coding Clinic for ICD-10-CM and ICD-10-PCS ICD‑10‑PCS Official Guidelines for Coding and Reporting, 2024 Index Medical and Surgical Central Nervous System and Cranial Nerves (001–00X) Peripheral Nervous System (012–01X) Heart and Great Vessels (021–02Y)

For quick, accurate, and professional medical coding, pick this practical Healthcare Common Procedure Coding System (HCPCS) professional reference! The 2024 HCPCS Level II, Professional Edition provides students and professionals with a guide to the latest HCPCS codes, making it easier to locate specific codes, comply with coding regulations, manage reimbursement for medical supplies, report patient data, code Medicare cases, and more. Spiral bound, this full-color reference simplifies coding with anatomy plates and ASC (Ambulatory Surgical Center) payment and status indicators. Additionally, it includes a companion website with the latest coding updates.

Introduction Guide to Using the 2024 HCPCS Level II Codes Symbols and Conventions 2024 HCPCS Updates 2024 Index 2024 Table of Drugs 2024 HCPCS Level II Modifiers 2024 HCPCS Level II National Codes Appendix A: Jurisdiction List for DMEPOS HCPCS Codes Appendix B: General Correct Coding Policies: Medicare National Correct Coding Initiative Policy Manual Figure Credits

Key Features

• Completely updated with 2024 codes and coding guidelines • New! Anatomical illustrations added • Spiral-bound • Contains only the Index, Tables, and Appendices, creating an accessible and efficient flow for professional coders • Features color-coded tabs to align with section colors • Color-coded sections ease navigation and code selection • Coding guidelines included in the Introduction and before each section for quick reference • American Hospital Association (AHA) Coding Clinic references provided for all sections • Anatomical art included in each body system section of the Medical and Surgical Tables • Appendices include Root Operation Definitions, Type and Qualifier Definitions, Approach Definitions, Medical and Surgical Body Parts, Medical and Surgical Device Table and Device Aggregation Table, Substance Qualifier Table, and New Codes About the Consulting Editor Anne B. Casto , RHIA, CCS, is the founder and president of Casto Consulting, LLC., and a lecturer in the HIMS division at The Ohio State University School of Allied Medical Professions.

Upper Arteries (031–03W) Lower Arteries (041–04W) Upper Veins (051–05W) Lower Veins (061–06W)

ICD‑10-PCS Code Book Professional Edition, 2024 Anne B. Casto , RHIA, CCS, Consulting Editor

HCPCS Level II, Professional Edition, 2024

Lymphatic and Hemic Systems (072–07Y) Eye (080–08X)

Ear, Nose, Sinus (090–09W) Respiratory System (0B1–0BY) Mouth and Throat (0C0–0CX) Gastrointestinal System (0D1–0DY) Hepatobiliary System and Pancreas (0F1–0FY) Endocrine System (0G2–0GW)

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Skin and Breast (0H0–0HX) Subcutaneous Tissue and Fascia (0J0–0JX)

Muscles (0K2–0KX) Tendons (0L2–0LX)

Key Features • Current Dental Terminology (CDT) codes from the American Dental Association (ADA) offer one-step access to all dental codes. • Full-color anatomy plates enhance your understanding of specific coding situations by helping you understand anatomy and physiology. • Easy-to-use format optimizes reimbursement through quick, accurate, and efficient coding. • At-a-glance code listings and distinctive symbols make it easy to identify new, revised, and deleted codes. • Full-color design with color tables helps you locate and identify codes with speed and accuracy.

Food and Drug Administration (FDA) approved drugs.

• Jurisdiction symbols show the appropriate contractor to be billed when submitting claims to Medicare carriers and Medicare Administrative Contractors (MACs). • Ambulatory Surgery Center (ASC) payment and status indicators show which codes are payable in the Hospital Outpatient Prospective Payment System to ensure accurate reporting and appropriate reimbursement. • Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) indicators address reimbursement for durable medical equipment, prosthetics, orthotics, and supplies. • Drug code annotations identify brand-name drugs as well as drugs that appear on the National Drug Class (NDC) directory and other

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• Age/sex edits identify codes for use only with patients of a specific age or sex. • Quantity symbol indicates the maximum allowable units per day per patient in physician and outpatient hospital settings, as listed in the Medically Unlikely Edits (MUEs) for enhanced accuracy on claims. • The American Hospital Association Coding Clinic® for HCPCS citations provide a reference point for information about specific codes and their usage. • Physician Quality Reporting System icon identifies codes that are specific to PQRS measures.

Upper Bones (0P2–0PW) Lower Bones (0Q2–0QW) Upper Joints (0R2–0RW) Lower Joints (0S2–0SW) Urinary System (0T1–0TY)

(Table of Contents, Continued) Imaging Nuclear Medicine Radiation Therapy Physical Rehabilitation and Diagnostic Audiology Mental Health

Substance Abuse New Technology

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AHIMA I ADVANCE

Coding, Classification, and Reimbursement

NEW !

Downloadable Resources

Table of Contents

About the Book

Basic ICD-10-CM and ICD-10-PCS Coding Exercises

2024 Basic ICD-10-CM and ICD-10-PCS Coding

Basic ICD‑10‑CM and ICD‑10‑PCS Coding, 2024, introduces students and professionals to a balanced approach to coding. By supplying basic coding principles and conventions using actual case documentation, this book provides the foundation to build and apply coding knowledge in a real-world setting. Key Features • Fully updated to the 2024 ICD-10-CM and ICD-10-PCS codes sets and guidelines • Key concepts and topics in each chapter are called out in the margins • Chapters are organized by body systems with a step-by-step approach to rules, rationales for use, and relevant parts of the ICD-10-CM coding guidelines • Chapters include coding guidelines and instructional notes relevant to body system diagnoses and conditions, and include explanations of clinical conditions with patient care scenarios • Each chapter covers ICD-10-CM and ICD-10-PCS classification systems and offers Check Your Understanding questions and review exercises to apply coding knowledge and skills • Online coding scenarios help students gain practice using real-world examples • Answers to odd-numbered exercises are available online About the Authors Brooke N. Palkie , EdD, CPHIMS, RHIA, FAHIMA, is the Chair of the Health Science and Technology Department at Charter Oak State College and the Program Director of the M.S. Health Informatics and M.S. Health Care Administration Programs. She is an ICD- 10-CM/PCS AHIMA-approved trainer and has been involved with several ICD-10 educational training programs and grant- funded projects. Stacey Walraven , RHIA, CDIP, CCS, CPC, COC, CHTS-TR, is an associate in the Health Science and Technology department at Charter Oak State College. She has spent nearly two decades in the health information field with a heavy focus on medical coding. Ms. Walraven is an AHIMA-approved ICD-10-CM and ICD-10-PCS trainer. She also serves as a higher education peer reviewer for Quality Matters.

Basic ICD‑10‑CM and ICD‑10‑PCS Coding Exercises provides the practice beginner coders need to develop the ICD-10-CM and ICD-10-PCS coding skills to be successful, and can be used as a companion text to Basic ICD-10-CM and ICD-10-PCS Coding , 2024, or as a stand-alone workbook practice for those new to coding. The exercises are short case studies and operative descriptions of real, deidentified, patient encounters in healthcare. This book offers over 400 ICD-10- CM and ICD-10-PCS patient care encounter scenarios to guide and prepare students and professionals to make realistic diagnostic and procedural coding decisions. Key Features • Fully updated to the 2024 ICD-10-CM and ICD-10-PCS codes sets and guidelines • Advanced case studies with elevated details for users to practice coding • Chapter organization aligns with the 21-chapter ICD-10-CM Tabular List • Offers coding practice for increased proficiency • Answers to odd-numbered exercises provided at the end of the text About the Authors Brooke N. Palkie , EdD, CPHIMS, RHIA, FAHIMA, is the Chair of the Health Science and Technology Department at Charter Oak State College and the Program Director of the M.S. Health Informatics and M.S. Health Care Administration Programs. She is an ICD- 10-CM/PCS AHIMA-approved trainer and has been involved with several ICD-10 educational training programs and grant- funded projects. Stacey Walraven , RHIA, CDIP, CCS, CPC, COC, CHTS-TR, is an associate in the Health Science and Technology department at Charter Oak State College. She has spent nearly two decades in the health information field with a heavy focus on medical coding. Ms. Walraven is an AHIMA-approved ICD-10-CM and ICD-10-PCS trainer. She also serves as a higher education peer reviewer for Quality Matters.

1 Introduction to ICD‑10‑CM 2 Introduction to ICD‑10‑PCS 3 Introduction to the Uniform Hospital Discharge Data Set and Official ICD‑10‑CM Coding Guidelines 4 Certain Infectious and Parasitic Diseases (A00–B99) 5 Neoplasms (C00–D49) 6 Diseases of the Blood and Blood- Forming Organs and Certain Disorders Involving the Immune Mechanism (D50–D89) 7 Endocrine, Nutritional and Metabolic Diseases (E00–E89) 8 Mental, Behavioral and Neurodevelopmental Disorders (F01–F99) 9 Diseases of the Nervous System (G00–G99) 10 Diseases of the Eye and Adnexa (H00–H59) 11 Diseases of the Ear and Mastoid Process (H60–H95) 12 Diseases of the Circulatory System (I00–I99) 13 Diseases of the Respiratory System (J00–J99) 14 Diseases of the Digestive System (K00–K95) 15 Diseases of the Skin and Subcutaneous Tissue (L00–L99) 16 Diseases of the Musculoskeletal System and Connective Tissue (M00–M99) 17 Diseases of the Genitourinary System (N00–N99) 18 Pregnancy, Childbirth and the Puerperium (O00–O9A) 19 Certain Conditions Originating in the Perinatal Period (P00–P96) 20 Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00–Q99) 21 Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00–R99) 22A Injury (S00–T34) 22B Poisoning and Certain Other Consequences of External Causes (T36–T88) 23 External Causes of Morbidity (V00– Y99) 24 Factors Influencing Health Status and Contact with Health Services (Z00–Z99) 25 Coding and Reimbursement Coding Self-Test Glossary Index

1 Certain Infectious and Parasitic Diseases 2 Neoplasms 3 Diseases of Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism 4 Endocrine, Nutritional, and Metabolic Diseases 5 Mental, Behavioral, and Neurodevelopmental Disorders 6 Diseases of the Nervous System 7 Diseases of the Eye and Adnexa 8 Diseases of the Ear and Mastoid Process 9 Diseases of the Circulatory System 10 Diseases of the Respiratory System 11 Diseases of the Digestive System 12 Diseases of the Skin and Subcutaneous Tissue 13 Diseases of the Musculoskeletal System and Connective Tissue 14 Diseases of the Genitourinary System 15 Pregnancy, Childbirth, and the Puerperium 16 Certain Conditions Originating in the Perinatal Period 17 Congenital Malformations, Deformations, and Chromosomal Abnormalities 18 Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified 19A Injuries, Effects of Foreign Body, Burns and Corrosions, and Frostbite 19B Poisoning by, Adverse Effects, Underdosing, Toxic Effects of Substances, Other Effects of External Causes, Certain Early Complications of Trauma and Complications of Surgical and Medical Care 20 External Causes of Morbidity 21 Factors Influencing Health Status and Contact with Health Services 22 Advanced Coding Scenarios for Basic ICD-10-CM and ICD-10-PCS Coding Exercises Answer Key

Ninth Edition

Brooke N. Palkie, EdD, CPHIMS, RHIA, FAHIMA Stacey Walraven, RHIA, CDIP, CCS, CPC, COC, CHTS-TR

Basic ICD‑10‑CM and ICD‑10‑PCS Coding, 2024 Brooke N. Palkie , EdD, CPHIMS, RHIA, FAHIMA Stacey Walraven , RHIA, CDIP, CCS, CPC, COC, CHTS-TR

Basic ICD‑10‑CM and ICD‑10‑PCS Coding Exercises, Ninth Edition Brooke N. Palkie , EdD, CPHIMS, RHIA, FAHIMA Stacey Walraven , RHIA, CDIP, CCS, CPC, COC, CHTS-TR

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AHIMA I ADVANCE

Coding, Classification, and Reimbursement

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Table of Contents

About the Book

1 Introduction to Clinical Coding 2 Application of the CPT ® System 3 Modifiers 4 Surgery 5 Radiology 6 Pathology and Laboratory Services 7 Evaluation and Management Services 8 Medicine 9 Anesthesia 10 HCPCS Level II 11 CPT ® and Reimbursement Appendix A References Appendix B Odd-numbered Answer Key

Coding students will excel with the 2024 edition of Current Procedural Terminology and HCPCS Coding for Physicians and Facilities . Gain basic training and practice in the application of procedural codes from Current Procedural Termi- nology (CPT ® ) and the Healthcare Common Procedure Coding System (HCPCS). CPT ® codes effective January 1, 2024, are explained throughout the text.

Current Procedural Terminology and HCPCS Coding for Physicians and Facilities Exercises , 2024, encourages skill building through real-world case studies and applica- tion exercises. The practice exercis- es emphasize knowledge of medical terminology, anatomy, and clinical coding.

1 Introduction to Clinical Coding 2 Application of the CPT ® System 3 Modifiers 4 Surgery 5 Radiology

6 Pathology and Laboratory Services 7 Evaluation and Management Services 8 Medicine 9 Anesthesia 10 HCPCS Level II

11 CPT ® and Reimbursement Appendix A References and Bibliography

Key Features

• Exercises reflect the chapter content in Current Procedural Terminology and HCPCS Coding for Physicians and Facilities • Advanced exercises to practice visual coding of cases from simple procedures to complex surgeries. • Detailed case studies taken from health records offer real-world coding scenarios • Exercises covering ancillary services such as laboratory and radiology. • Illustrations augment discussion of the body systems • Examples of connecting CPT ® codes to ICD-10-CM codes to support medical necessity • Exercises provide targeted experience with specific categories of codes and mixed codes that occur in the real world. • Features the latest Evaluation and Management Services information. About the Editors Kimberly Huey, MJ, CCS-P, CHC, COC, CPC, CPCO, PCS, is an independent coding, reimbursement and compliance consultant with forty years of experience in professional and outpatient facility coding. Gretchen Jopp, MS, RHIA, CCS, CPC is the Director of Healthcare Business Programs at Clarkson College in Omaha, NE. The focus of her career has been on education, physician and facility coding and billing, and data analysis.

Appendix B Additional Practice Exercises Appendix C Answers to Odd-Numbered Exercises Appendix D Elements of Medical Decision-Making Index

Key Features

• Fully updated for the 2024 codes and coding guidelines • Challenge exercises simulate the nuanced coding scenarios coding professional or physicians are likely to encounter in the real world • Four-color design with updated artwork helps students visualize anatomy and related surgical procedures as they practice coding • Complete explanation of symbols and formatting used in CPT ® and HCPCS coding provides a foundation for learning and application About the Author Kimberly Huey, MJ, CCS-P, CHC, COC, CPC, CPCO, PCS, is an independent coding, reimbursement and compliance consultant with forty years of experience in professional and outpatient facility coding.

Current Procedural Terminology and HCPCS Coding for Physicians and Facilities, 2024 Kimberly Huey , MJ, CCS-P, CHC, COC, CPC, CPCO, PCS

Current Procedural Terminology and HCPCS Coding for Physicians and Facilities Exercises, 2024 Kimberly Huey , MJ, CCS-P, CHC, COC, CPC, CPCO, PCS Gretchen Jopp , MS, RHIA, CCS, CPC

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AHIMA I ADVANCE

Coding, Classification, and Reimbursement

Table of Contents

About the Book

Clinical Coding Workout , 2024, challenges coding students and professionals to develop the expert skills required for coding accuracy. More than 1,500 practice coding scenarios and exercises are offered to help users develop the skills needed to enhance their performance. Chapters are divided by code set or care setting with subsections that address specific body systems and diseases to provide targeted practice. Updated online answer key reflects 2024 codes and guidelines. Designed for a variety of skill levels, this valuable resource can be used many ways: • HIM educators can use the exercises to supplement basic- and intermediate-level course materials. • Coding professionals can use the exercises to gain additional coding experience in inpatient, ambulatory, physician practice, and nonacute- care settings. • Individuals preparing to sit for the CCS and CCS-P certification exams offered by AHIMA can gain additional practice in a variety of specialty coding topics.

This comprehensive text is devoted to learning and mastering the process of building codes in ICD-10-PCS. All current coding professionals and students in academic programs must become and remain proficient in using this system for inpatient procedures. ICD-10-PCS: An Applied Approach enhances learning through in-depth discussion of the code building process. Code Building Exercises guide the reader through the process of evaluating an operative report by providing thought-provoking questions along with complete in-text answers and rationales. In addition, ICD-10-PCS: An Applied Approach is enriched with annotated reports, decision trees, short-statement coding, and capstone exercises to reinforce chapter concepts.

Part I: Beginning Coding Exercises 1 Basic Principles of ICD‑10‑CM and ICD-10-PCS Coding 2 Basic Principles of CPT Coding 3 HCPCS Level II Coding Part II: Intermediate Coding Exercises 4 Case Studies from Inpatient Health Records 5 Case Studies from Ambulatory Health Records 6 Case Studies from Physician-based Health Records Part III: Advanced Coding Exercises 7 Case Studies from Inpatient Health Records 8 Case Studies from Ambulatory Health Records 9 Case Studies from Physician-based Health Records Part IV: Coding Challenge 10 Coding Challenge: Nonacute Settings, ICD‑10‑CM and ICD‑10‑PCS Code Sets, CPT Modifiers, HCPCS Level II Modifiers References

Part I: System Definitions and Guidelines 1 System Structure and Design 2 ICD‑10‑PCS Coding Guidelines Part II: Introduction to the Medical and Surgical Section 3 Root Operations that Take Out All/ Part or Take Out Solids/Fluids/Gases 4 Root Operations that Cut or Separate, Put in or Put Back, or Move Body Parts 5 Root Operations that Alter Diameter or Route of Body Parts, or Involve a Device 6 Root Operations that Involve Examination Only, Other Repairs, or Other Objectives 7 Anatomical Regions 8 Nervous System 9 Sense Organs 10 Respiratory System 11 Circulatory System 12 Gastrointestinal and Hepatobiliary Systems 13 Endocrine and Lymphatic Systems 14 Integumentary System 15 Muscular System: Muscles, Tendons, Bursae, and Ligaments 16 Skeletal System: Bones and Joints 17 Urinary System 18 Male Reproductive System 19 Female Reproductive System Part III: Medical and Surgical–related Sections 20 Obstetrics 21 Placement, Administration, Measurement, and Monitoring 22 Extracorporeal Assistance, Performance, and Therapies 23 Osteopathic, Other Procedures, and Chiropractic Sections Part IV: Ancillary Sections 24 Imaging, Nuclear Medicine, and Radiation Therapy 25 Physical Rehabilitation and Diagnostic Audiology, Mental Health, and Substance Abuse Treatment 26 New Technology Part V: Review Exercises and Case Studies Appendix A: Roots and Approaches Appendix B: Partial Answer Key References Index

ICD‑10‑PCS : An Applied Approach, 2023 Lynn Kuehn , MS, RHIA, CCS-P, FAHIMA Therese K. Jorwic , MPH, RHIA, CCS, CCS-P, FAHIMA

Clinical Coding Workout : Practice Exercises for Skill Development with Odd- Numbered Online Answers, 2024 AHIMA

Key Features

• Updated online with 2024 revisions to ICD-10-PCS code set and guidelines, including revised chapter 26 • New chapter dedicated to New Technology coverage • Comprehensive student workbook available online • Select answers with rationales included in appendix B About the Authors Lynn Kuehn , MS, RHIA, CCS-P, FAHIMA, is president of Kuehn Consulting in Waukesha, WI. Therese K. Jorwic , MPH, RHIA, CCS, CCS-P, FAHIMA, is president of TKJ Consulting.

2024 ONLINE ANSWER KEY UPDATE

Product#: AC201122

ISBN: 978-1-58426-882-6 Softcover 696 pages Premier Member: $80.95 Member: $84.95 List: $105.00

Key Features

• More than 30 new questions across all chapters • All exercises updated for 2024 ICD-10-CM, ICD-10-PCS, CPT ® , and HCPCS Level II code sets and guidelines • Coding for present on admission (POA), E/M, and MS-DRGs (v41 grouper) included • An answer key for odd-numbered questions with rationales provided in downloadable resources

ebook Available e-ISBN: 978-1-58426-943-4

ebook Available e-ISBN: 978-1-58426-883-3

Available as a Bundle BUNDLE THIS BOOK WITH AHIMA VLab ® MEDICAL CODER ACCESS.

Instructor Resources include the following: • Instructor manual • Test bank • Full textbook answer key • Student workbook answer key • Presentation slides The test bank is also available in Respondus.

Product#: AC201523VB ISBN: 978-1-58426-953-3

Instructor Resources include the following: • Presentation slides • Complete answer key with rationales

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AHIMA I ADVANCE

Coding, Classification, and Reimbursement

Table of Contents

About the Book

Medical Coding in the Real World Student Workbook , Fourth Edition, is a comprehensive student workbook designed to be used in conjunction with Medical Coding in the Real World . The workbook enhances understanding of the information and concepts addressed in each chapter of the textbook. Workbook chapters include detailed, specialty-specific coding case studies in addition to multiple choice, matching, and short answer exercises. Additional practice exercises focus on selecting, sequencing, and reporting appropriate ICD‑10‑CM, ICD‑10‑PCS, CPT ® , and HCPCS codes.

Part I: Medical Billing and Coding Basics 1 Your Coding Career 2 Healthcare Billing Basics 3 Basics of Coding 4 Learning the ICD-10-CM Code Book 5 Learning the CPT and HCPCS Code Books Part II: Coding in the Real World 6 Supplies and Services 7 Behavioral Health Services 8 Primary Care Services 9 Eye and Vision Services 10 Urgent Care and Emergency Department Services 11 Surgical Services 12 Anesthesia and Pain Management Services 13 Radiology and Imaging Services 14 Laboratory and Pathology Services 15 Orthopedic Services 16 Physical, Occupational, and Speech Therapy Services 17 Obstetrics and Gynecology Services 18 Healthcare Specialist Services, Part I 19 Healthcare Specialist Services, Part II 20 Inpatient Hospital Services Appendix A: Student Workbook Answer Key Appendix B: Additional Resources Appendix C: Blank Forms

Medical Coding in the Real World , Fourth Edition, presents the intricacies of medical coding in ICD-10-CM, ICD-10-PCS, CPT ® , and HCPCS code sets across a variety of specialty areas. This text offers accessible instruction on how to correctly identify, select, and apply codes to the health record in a real- world setting, with each chapter focusing on a specialty and building in complexity from topic to topic. It provides a natural progression that allows students to learn the coding process intuitively and organically. Chapters contain coding exercises ranging in difficulty from simple to complex, case studies to code, and required billing forms to complete.

Part I: Medical Billing and Coding Basics 1 Your Coding Career 2 Healthcare Billing Basics 3 Basics of Coding

4 Learning the ICD-10-CM Code Book 5 Learning the CPT and HCPCS Code Books Part II: Coding in the Real World 6 Supplies and Services 7 Behavioral Health Services 8 Primary Care Services 9 Eye and Vision Services 10 Urgent Care and Emergency Department Services 11 Surgical Services 12 Anesthesia and Pain Management Services 13 Radiology and Imaging Services 14 Laboratory and Pathology Services 15 Orthopedic Services 16 Physical, Occupational, and Speech Therapy Services 17 Obstetrics and Gynecology Services 18 Healthcare Specialist Services, Part I 19 Healthcare Specialist Services, Part II 20 Inpatient Hospital Services Appendix A: Coding Certifications and Professional Coding Organizations Appendix B: Answer Key to There’s a Code for That Exercises Glossary Index About the Author Elizabeth Roberts , MA Ed, CCS, CPC, CRC, has worked in the healthcare industry for over 20 years. She has served as the program director for the allied health department at Vista College in Las Cruces, New Mexico; lead instructor for the medical billing and coding department for Virginia College in Austin, Texas; and senior director of content for ImplementHIT. She currently manages the educational program for Optum’s National Revenue Cycle Fee-for- Service coding team and continues to educate medical coding professionals as an online adjunct instructor.

Medical Coding in the Real World Student Workbook, Fourth Edition Elizabeth Roberts , MA Ed, CCS, CPC, CRC

Medical Coding in the Real World, Fourth Edition Elizabeth Roberts , MA Ed, CCS, CPC, CRC

Key Features

• Updated case studies guide students through each step of the health record abstraction and code selection process • Provides a comprehensive range of exercises to apply ICD‑10‑CM, ICD‑10‑PCS, CPT ® , and HCPCS code sets across a variety of specialty areas in a real-world setting • Pairs seamlessly with the Medical Coding in the Real World textbook • Includes answers to odd-numbered questions in the appendices for self-evaluation • Supplies blank claim forms to support related coding exercises About the Author Elizabeth Roberts , MA Ed, CCS, CPC, CRC, has worked in the healthcare industry for over 20 years. She has served as the program director for the allied health department at Vista College in Las Cruces, New Mexico; lead instructor for the medical billing and coding department for Virginia College in Austin, Texas; and senior director of content for ImplementHIT. She currently manages the educational program for Optum’s National Revenue Cycle Fee-for- Service coding team and continues to educate medical coding professionals as an online adjunct instructor.

Key Features

• NEW! Fix That Claim exercises require students to determine both the reason for a coding denial and how to fix the claim • Updated Key to Success boxes, There’s a Code for That exercises, and Putting It All Together sections further student comprehension • End-of-chapter case studies guide readers through each step of the coding process, from abstracting the health record to searching the code book and, ultimately, selecting the correct code • Full-color imagery including surgical illustrations, code book snippets, and learning aids help students visualize complex coding concepts • Hierarchical Condition Category (HCC) coding references incorporated throughout the textbook

ebook Available e-ISBN: 978-1-58426-933-5

ebook Available e-ISBN: 978-1-58426-935-9

Available as a Bundle BUNDLE THIS BOOK WITH AHIMA VLab ® MEDICAL CODER ACCESS.

Print book and AHIMA VLab ® Medical Coder access Product #: AC234023VB ISBN: 978-1-58426-954-0 Print book, Student Workbook, and AHIMA VLab ® Medical Coder access Product #: AC234023D ISBN: 978-1-58426-955-7 Print book and Student Workbook Product #: AC235023D ISBN: 978-1-58426-956-4 Instructor Resources include the following: • Instructor manual • Sample syllabi • Full answer keys • Presentation slides • Transition guide The test bank is also available in Respondus.

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AHIMA I ADVANCE

Coding, Classification, and Reimbursement

Table of Contents

About the Book

Healthcare Code Sets, Clinical Terminologies, and Classification Systems , Fourth Edition, features up-to-date content to familiarize readers with healthcare’s vast and complex structure of terminologies. With content that includes ICD-10-CM, ICD-10-PCS, CPT ® , HCPCS, CDT, SNOMED CT, LOINC, RxNorm, DSM-5, and ICD-11, this resource provides students and practitioners in health information management and informatics with an overview of each system. From code sets and classification systems commonly used for administrative reporting to more complex clinical terminologies for semantic interoperability, parts I and II of this book introduce readers to the content, principles, and guidelines while demystifying the terminologies through use cases and explanations of tools to access and use. Parts III and IV highlight the use of data standards and explore how terminology and classifications are applied in real-world settings.

Coding professionals and educators will discover a unique and valuable resource to assist them with under- standing the complexities of coding for inpatient reimbursement. Those training for positions in the coding field will find a useful guide to en - hance their inpatient coding knowl- edge base as they prepare for certifi - cation. This book includesinformation from the 2016 Inpatient Prospective Payment System Final Rule.

Part I: Healthcare Code Sets and Classifications Commonly Used for Administrative and Statistical Reporting 1 International Classification of Diseases (ICD) and the US Modifications 2 Current Procedural Terminology (CPT) 3 Healthcare Common Procedure Coding System (HCPCS) 4 National Drug Codes (NDCs) 5 Current Dental Terminology (CDT) Part II: Other Terminologies and Classification Systems 6 SNOMED Clinical Terms (SNOMED CT) 7 ICD-11 Overview 8 RxNorm 9 Diagnostic and Statistical Manual of Mental Disorders 10 Logical Observation Identifiers, Names, and Codes (LOINC) 11 International Classification of Functioning, Disability, and Health 12 Terminologies Used in Nursing Practice 13 Other Terminology and Classification Systems Part III: HIT Data Standards and Interoperability 14 Healthcare Data Governance and Data Set Standards 15 Data Interchange Standards Part IV: Application of Terminologies and Classification Systems in Healthcare 16 Centralized Locations and Tools for Multiple Terminologies: Servers, Services, Databases, and Registries 17 Data Mapping of Clinical Terminologies, Classifications, and Ontologies 18 Use of Terminologies, Classifications, and Value Sets Glossary

Part I: Reimbursement Systems for Inpatient Services 1 Introduction to Hospital Inpatient Services 2 Reimbursement Methodologies for Inpatient Services 3 Structure and Organization of the Medicare Inpatient Acute-Care Prospective Payment System 4 Structure and Organization of Other Medicare Inpatient Prospective Payment Systems Part II: Coding for Inpatient Services 5 Diagnostic and Procedural Coding for Inpatient Services 6 Coding and DRG Assignment Part III: Processes Related to Coding and Reimbursement for Inpatient Services 7 Data Quality Management 8 Coding Compliance 9 The Health Record Auditing Process Abbreviations Appendix A: Exercises Appendix B: Case Studies Appendix C: Guidelines for Achieving a Compliant Query Practice Appendix D: Sample Audit Worksheets, Forms, and Tools Abbreviations Glossary

Key Features

• Reimbursement and methodologies specific to inpatient practice settings, such as the inpatient prospective payment system (IPPS), the long-term care hospital prospective payment system (LTCH-PPS), the inpatient rehabilitation facilities prospective payment system (IRF-PPS), and inpatient psychiatric facility prospective payment system (IPF-PPS) • Structure and organization of Medicare inpatient acute-care prospective payment system • Relationship between coding and MS-DRG assignment • Data quality and coding compliance processes related to coding and reimbursement for inpatient services • Updated to include ICD‑10‑CM keys and content on how these systems will impact inpatient reimbursement • Case studies and exercises and ICD‑10‑PCS code sets in exercise and case answer About the Author Karen S. Scott , MEd, RHIA, CCS-P, CPC, FAHIMA, is the sole proprietor of her own consulting firm.

Healthcare Code Sets, Clinical Terminologies, and Classification Systems, Fourth Edition Kathy Giannangelo , MA, RHIA, CCS, CPHIMS, FAHIMA

Coding and Reimbursement for Hospital Inpatient Services, Fourth Edition Karen S. Scott , MEd, RHIA, CCS-P, CPC, FAHIMA

Product#: AC206214

Product#: AB201918

ISBN: 978-1-58426-500-9 Softcover 208 pages Premier Member: $71.95 Member: $75.95 List: $94.95

ISBN: 978-1-58426-673-0 Softcover 624 pages Premier Member: $74.95 Member: $79.95 List: $99.95

Key Features

• Content includes ICD-10, SNOMED CT, LOINC, data set, and interchange standards such as FHIR and data mapping • Material describing adoption and use cases provides an understanding of how the terminology is used in the real world • Explains the relationship between

ebook Available e-ISBN: 978-1-58426-535-1

ebook Available e-ISBN: 978-1-58426-755-3

Instructor Resources include the following: • Complete answer key for case studies and exercises in the book

Instructor Resources include the following: • Sample syllabi • Test bank • Full answer key • Presentation slides The test bank is also available in Respondus.

terminologies and acts as a resource for many facets of healthcare

About the Editor Kathy Giannangelo , MA, RHIA, CCS, CPHIMS, FAHIMA, has a comprehensive background in the field of clinical terminologies, classification, and data standards with more than 40 years of experience in HIM.

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AHIMA I ADVANCE

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