ICD-10-CM requires very specific documentation to correctly choose diagnostic codes, a skill that both coders and physicians must master to code successfully. Moving beyond the transition to ICD-10, the new edition focuses on the key role proper documentation plays in supporting medical necessity.

ICD-10-CM Documentation 2021 brings coders and physicians together to ensure documentation success, identifying all ICD-10-CM documentation requirements using detailed checklists.

Designed for use alongside an ICD-10-CM codebook, this comprehensive training guide provides all the tools necessary to conduct an effective documentation analysis and to create a corrective action plan, making it ideal for both non-facility and facility coders. The chapter organization mirrors the structure of codebooks and all guidance is geared toward the process of code decision-making. In addition, exercises and quizzes test knowledge and understanding of key points throughout the book.

FEATURES AND BENEFITS

• New codes, revisions and deletions, plus guideline updates for 2021 -- final changes will be integrated into every pertinent chapter, checklist, scenario and quiz

• Detailed, full-page anatomy illustrations -- for better interpretation of clinical notes

• Checklists to identify documentation elements -- for categories, subcategories and codes

• Checklists for specialty-specific documentation -- to review current records and identify any documentation deficiencies

• ICD-10-CM documentation scenarios -- display documentation requirements with important elements highlighted

• CDI checklists -- identify common documentation deficiencies faced when coding COPD, Pneumonia and Sepsis/SIRS

• Glossary of Medical Terminology

• Scenarios -- illustrate required documentation in ICD-10-CM with additional ICD-10 requirements highlighted so readers can understand where the documentation will appear in common coding scenarios based on real-life health care encounters

• End of chapter quizzes -- dive into coding practice with the conditions discussed in each chapter

• We started tracking this book on September 23, 2025.
• The current price of this book is $139.95 last checked one day ago.
• This book is currently at its lowest price since we started tracking it.

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• Publication Date: September 16, 2020
• Text-to-Speech: Disabled
• Lending: Disabled
• Print Length: 525 Pages
• File Size: 397 KB