Description
Book SynopsisTable of Contents1: Introduction to Worker’s Compensation and Personal Injury in ICD-10
2: Structure Overview of the "2015 ICD-10-CM"
- Code structure basics
- Using ICD-10 Overview
3: Components of ICD-10 and Their Usage
- ‘Z’ codes and their importance in Worker’s Compensation/Personal Injury
- A basic 7-Step process for Diagnostic coding
- A basic 7-step process case example
- 6-category process for injury coding
4: Provider Requirements
- Combination codes
- 7th character codes
- Greater level of detail required
- External cause codes
- External causes of morbidity (transport and other)
5: Worker’s Compensation, Personal Injury and Drug or Chemically Induced Diabetes
- Diabetes Mellitus discussion
- Use of flow charts for diabetes
- Diabetes flow charts
- 2015 ICD-10-CM draft release expert edition – diabetes mellitus section
6: Worker’s Compensation and Personal Injury Billing Guide
- Personal injury example – case #1
- Worker’s compensation example – case #2
- Worker’s compensation example – case #3
- Billing for physical therapy
- Billing for injections
- Billing for x-rays
- Billing for minor surgical procedures
7: Commonly Used Diagnosis Codes
- Abdominal pain – ICD-10 category R10
- Carpal Tunnel Syndrome in Worker’s Compensation and Personal Injury
- Psychosocial discussion
8: Complex Examples and Worksheet section
- Example of whiplash case
- Example on pain management
- Example on carpal tunnel syndrome with multiple other injuries
- Example on Agreed Medical re-evaluation from an Internal Medical or Cardiovascular standpoint
- Example on medical sleep disorder evaluation
- Example on Orthopaedic Agreed Medical evaluation – complicated by Straph Infection following surgery
- Example on Psychiatric Agreed Medical re-examination
9: Causation and Apportionment in Worker’s Compensation and Personal Injury
10: Dilemma of the Independent Medical Evaluator
- The Law of Unintended Consequences
- Overview for Independent Medical Evaluators
Appendices:
Appendix 1: Medicare coverage, diagnosis requirements and coding edits
- Correct Coding Initiative (CCI) Edits
- ICD-9 Diagnosis Codes are used in Current LCD’s
Appendix 2: Worker’s Compensation and Medicare Set asides
Appendix 3: Implementation Guide for ICD-10
Appendix 4: Discussion of ICD-10 Crosswalks
Appendix 5: Crosswalk from ICD-9 to ICD-10 of common diagnosis codes used in Worker’s Compensation and Personal Injury with notes on potential problem areas
Appendix 6: Glossary
Appendix 7: General Sample Fee Slip
Appendix 8: New California Worker’s Compensation Forms
Appendix 9: Web Links for additional information
