Physician Documentation: ICD-10 Specificity and Granularity

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About this course

This course provides an overview of the terminology of ICD-10-CM and ICD-10-PCS and documentation practices that impact reimbursement. The course also introduces some of the specificity concepts and terms that are prevalent in ICD-10 and how documenters of the medical record and those who review records and codes can document to accurately reflect patient severity of illness.


Courses/Provider/Physician Documentation

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Enter the learner(s) information below.

  • Distinguish the terminology of ICD-10-CM and ICD-10-PCS and how SNOMED acts as a foundation for documentation
  • Identify the unique characteristics of ICD-10-CM/PCS, including the specificity and granularity required in documentation for ICD-10
  • Describe the documentation detail necessary to prevent ICD-10 errors

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