Coding Corner

Read up on the latest news and events in the world of medical billing and coding.

Anatomy and Physiology for ICD-10

The new ICD-10 code set, with its enhanced code specificity, will require a solid understanding of human anatomy and physiology in order to code appropriately. While most coders, auditors, and clinical documentation improvement professionals already have a good understanding of anatomy and physiology, many are brushing-up their knowledge before the implementation of ICD-10-CM/PCS on October 1, 2014.

ICD-10-CM/PCS codes require a greater level of clinical detail for code assignment, so we will not only need to know which body part was involved, but where it's located, what approach the surgeon used, and what type of root operation was performed. For example, coders will be required to differentiate between excision or resection, occlusions or restrictions, and release or division procedures.

Body parts and organ systems, root operations and surgical approaches, present serious challenges to those lacking a thorough understanding of anatomy and procedural terminology and how procedures are performed. Coders and other HIM professionals in all settings will need to be well-versed in anatomy and physiology, disease processes, and surgical procedures. Developing a solid foundation of medical terminology, anatomy, pathophysiology, and surgical procedures will help ease the transition to ICD-10-CM/PCS.

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