Health Information Management

Pay-per-view: Coding Clinic defines ICD-10-CM seventh character

APCs Insider, August 28, 2015

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Coders and clinical documentation improvement specialists need a clear understanding of how to use the seventh character in ICD-10-CM to ensure all the information is present in the chart, so coding staff can accurately apply the correct character when applicable.

In Chapter 15, the seventh character accounts for certain complications of multiple gestational pregnancies to indicate which fetus is affected by the condition.
 
In Chapter 19 and Chapter 20, the seventh character provides specific information about the episode of care (e.g., initial episode, subsequent episode, and sequelae).
 
When used with fracture codes, it provides additional details, such as whether the fracture is closed or open (with type), whether there is routine or delayed healing, and whether the fracture was a nonunion or malunion.
 
Continue reading "Coding Clinic defines ICD-10-CM seventh character" on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the August issue.



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