Advanced ICD-10 for Physicians Including Worker's Compensation and Personal Injury

1: Introduction to Worker's Compensation and Personal Injury in ICD-10

2: Structure Overview of the "2015 ICD-10-CM"



Code structure basics
Using ICD-10 Overview

3: Components of ICD-10 and Their Usage



'Z' codes and their importance in Worker's Compensation/Personal Injury
A basic 7-Step process for Diagnostic coding
A basic 7-step process case example
6-category process for injury coding

4: Provider Requirements



Combination codes
7th character codes
Greater level of detail required
External cause codes
External causes of morbidity (transport and other)

5: Worker's Compensation, Personal Injury and Drug or Chemically Induced Diabetes



Diabetes Mellitus discussion
Use of flow charts for diabetes
Diabetes flow charts
2015 ICD-10-CM draft release expert edition - diabetes mellitus section

6: Worker's Compensation and Personal Injury Billing Guide



Personal injury example - case #1
Worker's compensation example - case #2
Worker's compensation example - case #3
Billing for physical therapy
Billing for injections
Billing for x-rays
Billing for minor surgical procedures

7: Commonly Used Diagnosis Codes



Abdominal pain - ICD-10 category R10
Carpal Tunnel Syndrome in Worker's Compensation and Personal Injury
Psychosocial discussion

8: Complex Examples and Worksheet section



Example of whiplash case
Example on pain management
Example on carpal tunnel syndrome with multiple other injuries
Example on Agreed Medical re-evaluation from an Internal Medical or Cardiovascular standpoint
Example on medical sleep disorder evaluation
Example on Orthopaedic Agreed Medical evaluation - complicated by Straph Infection following surgery
Example on Psychiatric Agreed Medical re-examination

9: Causation and Apportionment in Worker's Compensation and Personal Injury

10: Dilemma of the Independent Medical Evaluator



The Law of Unintended Consequences
Overview for Independent Medical Evaluators

Appendices:

Appendix 1: Medicare coverage, diagnosis requirements and coding edits



Correct Coding Initiative (CCI) Edits
ICD-9 Diagnosis Codes are used in Current LCD's

Appendix 2: Worker's Compensation and Medicare Set asides

Appendix 3: Implementation Guide for ICD-10

Appendix 4: Discussion of ICD-10 Crosswalks

Appendix 5: Crosswalk from ICD-9 to ICD-10 of common diagnosis codes used in Worker's Compensation and Personal Injury with notes on potential problem areas

Appendix 6: Glossary

Appendix 7: General Sample Fee Slip

Appendix 8: New California Worker's Compensation Forms

Appendix 9: Web Links for additional information