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ICD-10-CM Chapter-Specific Guidelines: Diseases of Digestive System, Skin and Subcutaneous Tissue, Musculoskeletal Syste

Learn the specific guidelines for ICD-10-CM Chapters 11-14, including diseases of the digestive system, skin and subcutaneous tissue, and musculoskeletal system and connective tissue. Understand the codes and conventions for reporting gastrointestinal hemorrhage, infections of the skin, pressure ulcers, musculoskeletal conditions, infectious arthropathies, and pathological fractures.

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ICD-10-CM Chapter-Specific Guidelines: Diseases of Digestive System, Skin and Subcutaneous Tissue, Musculoskeletal Syste

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  1. CHAPTER 6 CHAPTER-SPECIFIC GUIDELINES (ICD-10-CM CHAPTERS 11-14)

  2. Diseases of Digestive System, Chapter 11 • K00-K95 • Unspecified GI hemorrhage, K92.2 • Combination codes with hemorrhage • Example: K57.21, Diverticulitis of large intestine with perforation and abscess with bleeding

  3. Diseases of the Skin and Subcutaneous Tissue, Chapter 12 • L00-L99 • Also codes to report conditions of the: • Nails • Sweat glands • Hair • Hair follicles

  4. Infections Use additional code before L00 directs coder to report the infection with B95-B97

  5. Pressure Ulcers Stage 1: erythema (redness) of skin Stage 2: partial loss of skin (epidermis or dermis) Stage 3: full thickness loss of skin (up to but not through fascia) Stage 4: full thickness loss (extensive destruction and necrosis)

  6. Diseases of the Musculoskeletal System and Connective Tissue, Chapter 13 • M00-M99 • Most codes specify: • Site: Location on the body • Laterality: Right, left, unilateral, bilateral • Some codes include “multiple sites” such as: • M15.-, Polyosteoarthritis including multiple sites

  7. Infectious Arthropathies • M00-M02 • Direct infections • Invades synovial tissue • Invades the joint • Invasive organism has been identified • Indirect infections • Reactive: Microbial infection identified but not in joint • Postinfective: Microbial antigen present, but not constant and no evidence of multiplication

  8. Pathological Fractures Also known as (AKA): Spontaneous fracture Fracture reported in addition to underlying condition responsible for fracture Never assign a code for a traumatic fracture and pathological fracture of same bone 7th character indicates treatment plans, such as A for initial

  9. Osteoporosis • M80 and M81 • Systemic condition that affects bones • Fracture sustained with trauma that would not usually cause a fracture • Site is not a component of codes • Category M80, Osteoporosis with current pathological fracture • Age and other osteoporosis codes • Category M81, Osteoporosis without current pathological fracture

  10. ConclusionCHAPTER 6 CHAPTER-SPECIFIC GUIDELINES (ICD-10-CM CHAPTERS 11-14) Slide 10

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