SRJC Course Outlines

4/16/2024 3:58:41 PMMA 167A Course Outline as of Fall 2014

Changed Course
CATALOG INFORMATION

Discipline and Nbr:  MA 167ATitle:  BASIC DIAG CODING  
Full Title:  Basic Diagnostic Coding
Last Reviewed:2/28/2022

UnitsCourse Hours per Week Nbr of WeeksCourse Hours Total
Maximum1.50Lecture Scheduled1.2517.5 max.Lecture Scheduled21.88
Minimum1.50Lab Scheduled1.008 min.Lab Scheduled17.50
 Contact DHR0 Contact DHR0
 Contact Total2.25 Contact Total39.38
 
 Non-contact DHR0 Non-contact DHR Total0

 Total Out of Class Hours:  43.75Total Student Learning Hours: 83.13 

Title 5 Category:  AA Degree Applicable
Grading:  Grade or P/NP
Repeatability:  00 - Two Repeats if Grade was D, F, NC, or NP
Also Listed As: 
Formerly:  MA 67A

Catalog Description:
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Introduction to basic ICD-10-CM (International Classification of Diseases, 10th Edition, Clinical Modification) coding.  Students will utilize their knowledge of medical terminology, disease process, and human anatomy and physiology to convert diagnostic statements into numerical code numbers.  Basic coding guidelines and logic will be presented as diagnoses related to each body system are studied.

Prerequisites/Corequisites:
Course Completion of HLC 160 AND Course Completion of ANAT 58; OR Course Completion of HLC 160, HLC 140, and ANAT 140


Recommended Preparation:
Eligibility for ENGL 1A or equivalent

Limits on Enrollment:

Schedule of Classes Information
Description: Untitled document
Introduction to basic ICD-10-CM (International Classification of Diseases, 10th Edition, Clinical Modification) coding.  Students will utilize their knowledge of medical terminology, disease process, and human anatomy and physiology to convert diagnostic statements into numerical code numbers.  Basic coding guidelines and logic will be presented as diagnoses related to each body system are studied.
(Grade or P/NP)

Prerequisites:Course Completion of HLC 160 AND Course Completion of ANAT 58; OR Course Completion of HLC 160, HLC 140, and ANAT 140
Recommended:Eligibility for ENGL 1A or equivalent
Limits on Enrollment:
Transfer Credit:
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP

ARTICULATION, MAJOR, and CERTIFICATION INFORMATION

Associate Degree:Effective:Inactive:
 Area:
 
CSU GE:Transfer Area Effective:Inactive:
 
IGETC:Transfer Area Effective:Inactive:
 
CSU Transfer:Effective:Inactive:
 
UC Transfer:Effective:Inactive:
 
C-ID:

Certificate/Major Applicable: Both Certificate and Major Applicable



COURSE CONTENT

Outcomes and Objectives:
At the conclusion of this course, the student should be able to:
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Upon completion of this course, the student will be able to:
1. Demonstrate accurate use of ICD-10-CM coding system through proper utilization of its characteristics and conventions.
2. Cite and apply basic ICD-10-CM coding guidelines and rules.
3. Code diagnoses related to all major body systems using ICD-10-CM.
4. Demonstrate the appropriate use of V through Y and Z codes.

Topics and Scope
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1. Introduction to ICD-10-CM Coding.
      a.  History of coding
      b.  International Classification of Disease (ICD) Systems
2. Characteristics and Conventions of ICD-10-CM Coding:
      a.  Organization of alphabetical index, including nonessential modifiers
      b.  Organization of tabular list     
      c.  Code format and structure
            i.  Placeholder character
            ii. Seventh character
      d.  ICD-10-CM conventions:
            i.  Abbreviations and punctuation marks, such as NEC, NOS, parentheses, and slanted brackets
            ii.  Instructional notes, including excludes1 note and excludes 2 note
            iii. Etiology, manifestation, and multiple coding, including "code first","code also", and "use additional code"
            vi. Cross reference terms and connecting words
3.  General Coding Guidelines, including Basic Steps of ICD-10-CM coding.
4.  Coding Certain Infectious and Parasitic Diseases:
      a.  Sepsis, severe sepsis, and septic shock
      b.  Human immunodeficiency virus (HIV) disease
      c.  Bacterial and viral infectious agents
5.  Neoplasm Coding:
      a.  Neoplasm behavior
      b.  Introduction to and use of the Neoplasm Table
      c.  Alphabetic index instructions for neoplasm coding  
      d.  Tabular list instructions for neoplasm coding
      e.  Primary and secondary site determination
6.  Coding Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism:
      a.  Anemias
      b.  Coagulation defects
7.  Coding Endocrine, Nutritional, and Metabolic Diseases:
      a.  Diabetes mellitus type 1 and type 2 and associated complications
      b.  Metabolic disorders
8. Coding Mental, Behavioral, and Neurodevelopmental Disorders:
      a.  Diagnostic and Statistical Manual, 4th Edition, Text Revision (DSM-IV-TR)
      b.  Alcoholism and alcohol abuse and use
      c.  Drug dependence and abuse
      d.  Other mental, behavioral, and neurodevelopmental disorders such as: schizophrenia, bipolar, generalized anxiety, eating disorders
9.  Coding Diseases of the Nervous System:
      a.  Meningitis        
      b.  Sleep disorders
      c.  Alzheimer's disease
      d.  Pain
      e.  Cerebral palsy and other paralytic syndromes
      f.   Epilepsy
      g.  Migraine headache
10.  Coding Diseases of the Eye and Adnexa:
      a.  Conjunctivitis
      b.  Cataract
      c.  Glaucoma
11.  Coding Diseases of the Ear and Mastoid Process:
      a.  Otitis media  
      b.  Mastoiditis
      c.  Otosclerosis
      d.  Meniere's disease
      e.  Vertigo
      f.   Hearing loss
12.  Coding Diseases of the Circulatory System:
      a.   Hypertension
            i.   Benign versus malignant
            ii.   Introduction to and use of the Hypertension Table
            iii.  Hypertensive heart disease
            iv.  Hypertensive kidney disease and chronic kidney disease (CKD)
            v.  Hypertensive heart disease and CKD
            vii. Secondary hypertension
      b. Ischemic heart disease
            i.     Acute myocardial infarction (AMI) and 5th digit subclassification.
            ii.    Old myocardial infarction (MI)
            iii.   Angina, atherosclerosis, and coronary artery disease (CAD)
      c.  Heart failure and cardiac arrest
      d.  Arrhythmias
      e.  Cerebrovascular disease, such as carotid artery stenosis and cerebrovascular accident (CVA)
13.  Coding Diseases of the Respiratory System:
      a.  Acute upper respiratory infections
      b.  Influenza
      c.  Pneumonia
      d.  Acute lower respiratory infections, such as acute bronchitis
      e.  Chronic lower respiratory infections, such as emphysema, COPD, asthma
      f.  Respiratory failure
14.  Coding Diseases of the Digestive System:
      a.  Gastrointestinal ulcers and presence of helicobacter pylori (H. pylori)
      b.  Hernias, including reducible, irreducible, incarcerated, and strangulated
      c.  Gastroenteritis and cholelithiasis
      d.  Gastrointestinal hemorrhage
15.  Coding Diseases of the Skin and Subcutaneous Tissue:
      a.  Cellulitis and abscesses
      b.  Dermatitis and eczema
      c.  Urticaria and erythema
      d.  Pressure/decubitus ulcers and non-pressure ulcers
16.  Coding Diseases of the Musculoskeletal System and Connective Tissue:
      a.  Direct versus indirect infection of joint
      b.  Seventh characters
      c.  Arthritis
      d.  Systemic lupus erythematosus
      e.  Dorsopathies, such as kyphosis, lordosis, and scoliosis  
      f.   Spondylopathies, such as ankylosis, spondylosis, and spinal stenosis
      g.  Osteoporosis
      h.  Pathologic and stress fractures
      i.   Osteomyelitis
17.  Coding Diseases of the Genitourinary System:     
      a.  Hematuria
      b.  Acute kidney failure and chronic kidney disease
      c.  Cystitis
      d.  Benign prostatic hypertrophy (BPH) and lower urinary tract symptoms (LUTS)
      e.  Disorders of breast
      f.   Inflammatory and noninflammatory diseases of female genital tract, such as oophoritis, endometriosis, female genital prolapse
      g.  Dysplasia
      h.  Menopause
18.  Coding Symptoms, Signs, and Abnormal Clinical and Laboratory Findings:
      a.  Symptoms and signs, including those that are and are not an integral part of the disease process
      b.  Coma scale
      c.  Altered mental status
      d.  Abnormal findings
      e.  Papanicolaou test (Pap smear) findings
       f.   Abnormal tumor markers
19.  Injury Coding:
      a.  Placeholder character
      b.  Seventh character
      c.  Traumatic fracture
      d.  Fracture types, such as closed and open, displaced and nondisplaced, greenstick, transverse, and comminuted
      e.  Malunion and nonunion of fracture      
      f.   Dislocations and subluxations  
      g.  Intracranial injuries
      h.  Internal organ injuries
      i.   Open wounds and crush injuries
      j.   Burns and corrosion, of all degrees, with extent of burns  
      k.  Superficial injuries
      l.   Foreign bodies
20.  Coding Poisoning and Certain Other Consequences of External Causes
      a.  Introduction to Table of Drugs and Chemicals
      b.  Adverse effect definition and common causes
      c.  Instructions for coding adverse effects
      d.  Unspecified adverse effect of a drug
      e.  Poisoning definition and common causes
      g.  Under dosing
      h.  Toxic effects
      i.   Adult and child abuse, neglect, and other maltreatment
      j.   Complications of surgical and medical care, including mechanical complications and transplant complications
21.  Coding of External Causes of Morbidity
      a.  Introduction to the Alphabetic Index to External Causes
      b.  Seventh character
      c.  Purpose of external cause codes
      d.  Sequencing of external cause codes
      e.  Never events (serious reportable  events)
22.  Coding the Factors Influencing Health Status and Contact with Health Services
      a.  Purpose and use of Z codes
      b.  Main terms leading to Z codes
      c.  Z code categories  
23.  Coding Ethics:
      a.   American Health Information Management Association (AHIMA) Code of Ethics
      b.   AHIMA Standards of Ethical Coding

Assignments:
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1. Homework problems and in-class demonstrations:  30 - 50 coding problems assigned at each class meeting.
2. Reading:  10 - 25 pages of reading assigned at each class meeting.
3. Successful completion of 2 - 4 tests.
4. Successful completion of final exam.

Methods of Evaluation/Basis of Grade.
Writing: Assessment tools that demonstrate writing skill and/or require students to select, organize and explain ideas in writing.Writing
0 - 0%
None
This is a degree applicable course but assessment tools based on writing are not included because skill demonstrations are more appropriate for this course.
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.Problem Solving
0 - 10%
Coding problems
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
5 - 10%
Coding demonstrations
Exams: All forms of formal testing, other than skill performance exams.Exams
70 - 95%
Tests, final exam
Other: Includes any assessment tools that do not logically fit into the above categories.Other Category
0 - 10%
Attendance and participation


Representative Textbooks and Materials:
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Basic ICD-10-CM and Coding, Shraffenberger, Lou Ann, 2013 (or current year);  ICD-10-CM Coding Book, 2013 (or current year)

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