ICD-10-CM 2021 Documentation


A57 21

SKU: A57 21 Categories: , , Tags: , , ,

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.


• 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

Additional information

Weight 3 lbs

Publication Date: August 2015 Size and Binding: Softbound, 8½" × 11", approx. 516 pages ISBN: 978-1-62202-228-1

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