(Note: In order to complete the assignment, the use of the I-MAGIC tool (Interactive Map-Assisted Generation of ICD Codes) is required. To access the I-MAGIC tool, click on the following https://imagic.nlm.nih.gov/imagic/code/map)
The development of maps between terminologies and classifications will not eliminate administrative coding or the need for expertise in code selection. Fully automating the process of mapping from a reference terminology to a classification system is challenging because of the inherent differences between them. The mapping process is straightforward when the source terminology and the target match up. When more information is needed to express the concept in the target a methodology to bring in contextual information to further refine the map output must be defined.
Problems and diagnoses can be recorded in SNOMED CT in the EHR, while the cross-mappings to ICD-10-CM can be used to assist with the reimbursement process. For example, The physician documents that the patient has congestive heart failure using a lexicon linked to SNOMED CT in the problem list. When the HIM coding professional accesses their application to concurrently code the patient’s diagnosis they would see the congestive heart failure entry with the ICD-10-CM code which is mapped to this SNOMED CT concept. The coder could then accept, reject or modify the code list to be used for reimbursement purposes.
Assignment: Create a Mapping Table
Part I: Read about ICD-10 construction in the AHIMA article:
Part II: Go to https://imagic.nlm.nih.gov/imagic/code/map and familiarize yourself with the I-MAGIC (Interactive Map-Assisted Generation of ICD Codes) tool. Create a table to map the following diagnoses from SNOMED to ICD-10-CM. Keep in mind some of the codes may have a one-to-many relationship. Be sure to include any accompanying ICD Notes within your table, for the following diagnoses listed below.
Acute Respiratory acidosis
Chronic otitis media; unspecified ear
Failure to thrive; child
Fracture of thoracic spine; unspecified
Nontoxic diffuse goiter
Week Eight: ICD-10-CM/PCS Coding Application Exercise I.
Instructions: Read the provided coding scenario in order to answer the questions listed below. Submit as Microsoft Word document by the end of Week Eight no later than Sunday, by 11:59 PM EST. This is an individual assignment.
A 17 year old female patient is seen in Family Planning for a scheduled three month pill evaluation. During the workup, her blood pressure is elevated and she has complaints of frequent headaches the past 2 months. Due to the adverse reaction to the Ortho-Novum, she is switched to Cerazette.
• What was the primary reason for the visit?
• What is the key word you will use to look up the primary reason?
• What other problems need to be coded?
• What indexes do you need to use to determine code selection?
• Assign the appropriate codes.
Accessing Your ICD-10-CM/PCS Coding Skills (Application Exercise 1)
After the completion of the first coding application exercise, in 250 words, share your thoughts with the classmates. How would you access your skills in ICD-10-CM/PCS coding? Based on the results, are there any areas that you feel you should work on? Your post should have a minimum of two to three peer-reviewed references.
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