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Inpatient Coding Guide

This guide provides an overview of inpatient medical coding, including DRG categories, ICD-10-CM and ICD-10-PCS coding guidelines. It includes examples of coding for specific conditions and emphasizes the importance of accuracy through provider queries and validation. Key DRG categories highlighted are Major Joint Replacement, Simple Pneumonia, and Heart Failure.

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Pradnesh Dhamne
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610 views3 pages

Inpatient Coding Guide

This guide provides an overview of inpatient medical coding, including DRG categories, ICD-10-CM and ICD-10-PCS coding guidelines. It includes examples of coding for specific conditions and emphasizes the importance of accuracy through provider queries and validation. Key DRG categories highlighted are Major Joint Replacement, Simple Pneumonia, and Heart Failure.

Uploaded by

Pradnesh Dhamne
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Inpatient Medical Coding: Quick

Reference Guide
Table of Contents
1. 1. Introduction to Inpatient Coding

2. 2. Common DRG Categories

3. 3. ICD-10-CM Coding Guidelines

4. 4. ICD-10-PCS Structure

5. 5. Coding Examples

6. 6. Tips for Accuracy


1. Introduction to Inpatient Coding
Covers DRG, ICD-10-CM, ICD-10-PCS fundamentals for hospital coders.

2. Common DRG Categories


DRG 470: Major Joint Replacement
DRG 193: Simple Pneumonia
DRG 291: Heart Failure

3. ICD-10-CM Coding Guidelines


Use the Official Guidelines, sequence principal diagnosis correctly.

4. ICD-10-PCS Structure
7-character code: Section, Body System, Root Operation, etc.

5. Coding Examples
Total Hip Replacement: 0SR90J9
Acute MI: I21.3
Pneumonia due to COVID-19: J12.82 + U07.1

6. Tips for Accuracy


Query providers, validate DRG output, use coding clinics for reference.

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