Plain-English guides to ICD-10-CM guidelines, Excludes notes, 7th characters, FY updates, CDI queries and medical necessity, for professional coders and billing teams.
A step-by-step walkthrough of the ICD-10-CM Table of Drugs and Chemicals: choosing poisoning, adverse effect or underdosing, verifying codes in the Tabular List, and adding 7th characters and manifestation codes.
A billable ICD-10-CM code is complete. A header code still has subdivisions. Learn how to spot category and subcategory headers, handle placeholder X and 7th characters, and avoid invalid code rejections.
A workflow guide for billing teams and coding leads: build specialty code lists and superbills from real data, avoid header codes, and audit every list against each October 1 ICD-10-CM update.
A step-by-step ICD-10-CM lookup workflow: find the main term in the Alphabetic Index, read subterms and cross-references, then verify every code and note in the Tabular List.
GEMs show plausible ICD-10-CM translations of legacy ICD-9-CM codes, not final codes. Learn what the GEMs flags mean and how to validate crosswalk results against the FY2027 Tabular List.
Learn which missing elements (acuity, type, ejection fraction context and hypertension or CKD links) push heart failure to I50.9, and how CDI can query for them compliantly.
Annotated before-and-after templates for open-ended, multiple-choice and yes/no physician queries. Learn how to present clinical indicators and keep every query non-leading and audit-ready.
Excludes1 means "not coded here" and Excludes2 means "not included here." Learn how to read both ICD-10-CM exclusion notes, when the Excludes1 exception applies, and how to avoid common errors.
Search the FY2027 code set with instructional notes, Excludes1/Excludes2, 7th characters and GEMs, then build and check code sets. AI note-to-code suggestions included.