| Certified Professional Coder (CPC)® certification Exam Prep | 9. ICD 10 CM Diagnosis Coding |

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00:00 | Certified Professional Coder (CPC)® certification Exam Prep | 9. ICD 10 CM Diagnosis Coding |

00:21 🔹 What is ICD-10-CM?
→ Managed by: Centers for Disease Control and Prevention (CDC)
→ Used for: Billing, reporting, public health tracking, and research
→ Required on: All CMS-1500 and UB-04 claim forms

00:56 🔹 Structure of an ICD-10-CM Code

01:34 🔹 Key Sections of the ICD-10-CM Manual
1. Alphabetic Index – Start here to find the main term
2. Tabular List – Confirm code and check instructional notes
3. Guidelines – Official Coding Guidelines (very important for CPC)

01:54 🔹 ICD-10-CM Coding Guidelines Overview
→ Code to the highest level of specificity
→ List the primary diagnosis first — the reason for the encounter
→ Use combination codes if available
→ Do not code “rule out,” “suspected,” or “probable” in outpatient
→ Use Z codes for factors influencing health status (e.g., Z00.00 – general exam)

02:21 🔹 Common Code Examples
→ E11.9 – Type 2 diabetes mellitus without complications
→ I10 – Essential hypertension
→ M54.5 – Low back pain
→ J06.9 – Acute upper respiratory infection, unspecified
→ Z23 – Encounter for immunization
→ C50.911 – Malignant neoplasm of unspecified site of right female breast

02:53 🔹 Tips for CPC Exam ICD-10-CM Questions
→ Start with the Alphabetic Index, then verify in the Tabular List
→ Look for Excludes1 and Excludes2 notes
→ Watch for Laterality (right, left, bilateral)
→ Know your 7th characters for injury coding:
→ A = Initial encounter
→ D = Subsequent encounter
→ S = Sequela (late effects)

03:27 🔹 CPC Question Style Example

03:42 🔹 Chapters to Focus On
→ Chapter 4 – Endocrine (e.g., Diabetes codes)
→ Chapter 6 – Nervous System (e.g., Epilepsy, Stroke)
→ Chapter 13 – Musculoskeletal (e.g., Arthritis, Sprains)
→ Chapter 19 – Injury, Poisoning (includes 7th characters)

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