BTAC 145 - Introduction to ICD Coding

Credits: 5
Introduces the International Classification of Diagnosis code (ICD) diagnostic coding, the numeric classification of disease and injury, coding methodology, and guidelines. Demonstrates the importance of accuracy and specificity in code selection acquaints students with the different forms of medical data, and lays the foundation for advanced coding and medical record analysis. Students code from both reference books and the utilization of an online based encoder. Teaches students to assign valid diagnostic codes using authentic source documents. Provides an overview of Diagnostic Groupings (DRG’s) and other clinical vocabularies such as the Systematized Nomenclature of Medicine-Clinical Terms,(SNOMED-CT).

Enrollment Requirement: AP 100 and BTAC 125 with a grade of 2.0 or higher; or instructor consent.

Course Outcomes:
Students who successfully complete this class will be able to:

Describe the purpose and historical development of the International Classification of Diseases (ICD).
Explain the concepts of patient privacy and confidentiality as they relate to diagnostic code assignment.
Describe the standards and impact of ethical coding.
Describe the organization and format of the ICD code reference tools.
Define and use ICD coding conventions including instructional terms and notations.
Describe the structure and content of the Alphabetic Index and the Tabular List.
Interpret the conventions that are followed in the Alphabetic Index and the Tabular List.
List the steps in the diagnostic coding process.
Locate appropriate diagnostic codes using the ICD Alphabetical Index and the Tabular List.
Assign and appropriately sequence ICD codes for diagnostic conditions.
Identify and use references important to accurate ICD diagnostic code assignment.
Analyze medical record information, apply appropriate coding guidelines, and assign correct ICD codes.
Explain the use of diagnostic groupings (DRG’s), taxonomies, nomenclatures and clinical vocabularies such as SNOMED-CT.
Define the use of specialist classification systems such as the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases for Oncology (ICD-O.).

Program Outcomes
Abstract diagnostic terminology and accurately assign ICD-10 codes from medical records according the ICD-10 Official Guidelines.

College-wide Outcomes

Critical Thinking - Critical thinking finds expression in all disciplines and everyday life. It is characterized by an ability to reflect upon thinking patterns, including the role of emotions on thoughts, and to rigorously assess the quality of thought through its work products. Critical thinkers routinely evaluate thinking processes and alter them, as necessary, to facilitate an improvement in their thinking and potentially foster certain dispositions or intellectual traits over time.
Responsibility - Responsibility encompasses those behaviors and dispositions necessary for students to be effective members of a community. This outcome is designed to help students recognize the value of a commitment to those responsibilities which will enable them to work successfully individually and with others.
Quantitative and Symbolic Reasoning - Quantitative Reasoning encompasses abilities necessary for a student to become literate in today’s technological world. Quantitative reasoning begins with basic skills and extends to problem solving.