HIM1125Module023MEncoderandCodingClinicWorksheetupdate4.24.23

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Module 02 Assignment - 3M Encoder and Coding Clinic Worksheet. Overview: Before attempting the 3M Encoder and Coding Clinic Worksheet , you should read all the information about 3M and Clintegrity Encoders in the Module 02 Lesson Content under the section “Encoder Review”. In your Coding Foundations Course, you created a personal account with a personal password for the V Lab Medical Coder software where you will access the 3M encoder. If you did not save that personal password, you will need to contact the AHIMA help line to find out your password. If you never created the account, you will need to do that with the access code sent to you in the weeks BEFORE the quarter in which you took Coding Foundations. If you can’t find that email, you will need to contact the Personal Support Center and inform them that you did not receive the V Lab access code email and request a code. If they say they already sent you a code, request that they resend the email. If you tested out of Coding Foundations and did not receive an access code to set up an AHIMA VLab Account, please contact the Personal Support Center to obtain a V Lab access code to set up your personal account with access to the 3M Encoder through the AHIMA website. When you receive the V Lab access code from the University Bookstore, the email will include instructions for redeeming the code for a personal account. Once you have accessed the 3M Encoder and you are prepared to do screenshots, go to Part 1 of this worksheet and follow the directions for the three screenshots. The instructions will take you step by step as to how to navigate the 3M Encoder and find Coding Clinic. Part 2 will take you step by step through using Coding Clinic to research codes that are difficult to determine the most accurate code. Part 1 - Use 3M Encoder Instructions : Use the 3M Encoder and do the following: 1. In the 3M Encoder, on the Patient Information screen, do the following: a. Gender : Set to female or use the drop-down box to choose male. o Remember: Gender is “Female” by default, but you can change it to “Male” when coding. b. Age at Admission : Enter 30. c. Product: The default will be DRG Finder which is good for this assignment. d. Take a screenshot and paste it in the space below this sentence.

2. In the 3M Encoder, from the screen in the prior question, do the following: a. Click the “Continue” bar and then choose “home” for discharge status . Then press the “Enter” bar to bypass “Admit Diagnosis,” which will take you to the screen where you can begin to code. (A reminder that if you want to code inpatient you allow the default of DRG Finder. If you want to code for outpatient, you set the “product” on the information page to APC Finder.) You will not be coding for this assignment, only using the resource of the AHA Coding Clinic . This section is just to review how to get to the coding screen so you can use the 3M Encoder for coding if you choose. b. Click the icon of yellow stacked books on the right of the toolbar at the top of the screen. That takes you to all the resources available in this encoder. c. Take a screenshot and paste it in the space below this sentence .

3. In the 3M Encoder, from the screen in the prior question, do the following: a. Click the link for “AHA Coding Clinic for ICD-9-CM and ICD -10 CM/PCS.” You will now be in the AHA Coding Clinic, so you are ready for Part II. b. Take a screenshot and paste it in the space below this sentence .

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Part 2 - Use Coding Clinic in 3M Encoder Instructions : Now that you have opened the AHA Coding Clinic, follow the directions step by step in Part 2 and access the correct quarter and year as directed and then follow the instructions for #1-3 where you will copy and paste or screenshot the information requested from the AHA Coding Clinic and then look up the codes and any needed instructional notes. 1. In Coding Clinic, open the list for 4 th Quarter of 2019 .

a. Under the heading “Ask the Editor,” choose a diagnosis (not a procedure) and click its link. Read the Question and Answer provided for coding that diagnosis. Copy and paste the Question and Answer in the box provided below. b. In your Code Book’s Tabular List, look-up the code(s) from the “Answer” section above and, in the second box provided below: 1) List the Code Book page number of where you found the code(s). 2) Type-in any instructional notes for the code(s) found in the Tabular List. If there are no instructional notes, type-in “N/A.” Copy and Paste or Screenshot the Coding Clinic Q and A Information for the Diagnosis you chose in this box. Question: What is the correct ICD-10-CM code for acute myeloid leukemia (AML) that is not further specified? Answer: Assign a code from subcategory C92.0-, Acute myeloblastic leukemia, for AML not further specified. Effective October 1, 2018, the Alphabetical Index has been revised to provide a default as follows: Leukemia, leukemic C95.9- acute myeloid, NOS C92.0- Post the Code Book Page Number for the code and any Instructional Notes in this box. PG. 723; N/A 2. In Coding Clinic, open the list for 3rd Quarter of 2019 . a. Under the heading “Ask the Editor,” choose a diagnosis (not a procedure) and click its link. Read the Question and Answer provided for coding that diagnosis. Copy and paste the Question and Answer in the box provided below. b. In your Code Book’s Tabular List, look-up the code(s) from the “Answer” section above and, in the second box provided below: 1) List the Code Book page number of where you found the code(s). 2) Type-in any instructional notes for the code(s) found in the Tabular List. If there are no instructional notes, type-in “N/A.”

Copy and Paste or Screenshot the Coding Clinic Q and A Information for the Diagnosis you chose in this box. Question: What is the appropriate code assignment for a diagnosis of "alcoholic neuropathy"? Would it be appropriate to assign codes from subcategory F10.2-, Alcohol dependence, and code G62.1, Alcoholic polyneuropathy? Answer: Assign code G62.1, Alcoholic polyneuropathy, for a diagnosis of alcoholic neuropathy. Query the provider as to whether alcohol dependence or alcohol abuse is present and assign the appropriate code from category F10, Alcohol related disorders. If the provider indicates the patient is not currently drinking, assign the appropriate "in remission" code. If the pattern of alcohol use (dependence or abuse) is not known, assign code F10.988, Alcohol use, unspecified with other alcohol- induced disorder. Post the Code Book Page Number for the code and any Instructional Notes in this box. PG. 832; N/A 3. In Coding Clinic, open the list for 2 nd Quarter of 2019 . a. Under the heading “Ask the Editor,” choose a diagnosis (not a procedure) and click its link. Read the Question and Answer provided for coding that diagnosis. Copy and paste the Question and Answer in the box provided below. b. In your Code Book’s Tabular List, look-up the code(s) from the “Answer” section above and, in the second box provided below: 1) List the Code Book page number of where you found the code(s). 2) Type-in any instructional notes for the code(s) found in the Tabular List. If there are no instructional notes, type-in “N/A.”

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Copy and Paste or Screenshot the Coding Clinic Q and A Information for the Diagnosis you chose in this box. Question: There appears to be a discrepancy in the Alphabetic Index for aspiration bronchitis. When referencing "bronchitis" with subentry "aspiration," the Index refers coding professionals to code J68.0, Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors. However, when the term "aspiration" is referenced with the subentry "bronchitis," the Index refers coding professionals to code J69.0, Pneumonitis due to inhalation of food and vomit. What is the appropriate code assignment for aspiration bronchitis, not further specified? Answer: According to clinicians, aspiration bronchitis is more commonly caused by aspiration of food rather than aspiration of gases. Therefore, code J69.0, Pneumonitis due to inhalation of food and vomit, is a more appropriate code assignment than code J68.0. The Centers for Disease Control and Prevention, National Center for Health Statistics has agreed to address the inconsistencies in the Index to Diseases through the ICD-10 Coordination and Maintenance process. Post the Code Book Page Number for the code and any Instructional Notes in this box. PG. 968; Code also any associated foreign body in respiratory.