August 2011 | HOME

Welcome to ICD-TEN

Welcome to AHIMA's ICD-TEN, created to better prepare you for the transition to ICD-10-CM and ICD-10-PCS. Each monthly issue contains top emerging news, educational opportunities, practical information on coding with the new ICD-10-CM/PCS, preparatory steps for implementation, and more. Look for the next issue of ICD-TEN in September.

The Respiratory System

By Cortnie R. Simmons, MHA, RHIA, CCS

The respiratory system comprises all the organs and structures involved in breathing. It works as a purifying system, filtering air and carrying oxygen to the blood cells and carrying carbon dioxide out of the body. This article highlights some of the changes and new features in the respiratory chapter of ICD-10 CM and associated ICD-10-PCS procedure codes.

ICD-10-CM and the Respiratory System

ICD-10-CM’s chapter 10: Disease of the Respiratory System contains the respiratory diagnosis codes. In ICD-9-CM, these diseases and corresponding codes were found in Chapter 6. The ICD-10-CM codes, JJ00-J99, are as follows:

  • J00-J06: Acute Upper Respiratory Infections
  • J09-J18: Influenza and Pneumonia
  • J20- J22: Other Acute Lower Respiratory Infections
  • J30-J39: Other Diseases of Upper Respiratory Tract
  • J40-J47: Chronic Lower Respiratory Diseases
  • J60-J70: Lung Disease due to External Agents
  • J80-J84: Other Respiratory Disease Principally affecting the Interstitium
  • J85- J86: Suppurative and Necrotic Conditions of the Lower Respiratory Tract
  • J90-J94: Other Disease of the Pleura
  • J95: Intraoperative and Postprocedural Complications and Disorders of Respiratory System, Not Elsewhere Classified
  • J96-J99: Other Disease of the Respiratory System
Read more.

Growing ICD-10

Seedling Transition Programs Take Root

There are two basic approaches to the ICD-10 transition: (1) a late, mad scramble to get systems converted before the deadline; or (2) an intentional cultivation that uses the transition to improve business processes, documentation, and clinical care. Three organizations offer a picture of the latter approach.

By Chris Dimick

Since it was planted 30 years ago, the ICD-9 code set has grown roots deep into the healthcare system. Within individual organizations and enterprises, those roots can reach into nearly every department and function.

Upgrading to ICD-10 thus requires organizations deconstruct their business and clinical processes in order to identify the uses of coded data and transition each of these areas to the new code set. For this reason, the ICD-10 upgrade offers a unique opportunity to assess operations and seek improvements that can lead to improved care and more efficient workflows.

But that opportunity can only come when a healthcare organization is not rushing through the transition. Organizations that plan to reap additional benefits beyond a new code set should be well into their transitions this year.

Following are reports from three health systems that are. Each planted the seeds of its ICD-10 transition early and has since realized steady growth in its program. Team members describe their progress and their objectives, stories they first shared in presentations at AHIMA's 2011 ICD-10 Summit in April 2011.

Read more.


CCHIIM Releases New Details on ICD-10 Recertification for AHIMA-Certified Professionals

Preparation has begun for the transition to ICD-10-CM and ICD-10-PCS. As transition quickly grows closer, it is critical that all AHIMA certified professionals are ready to adapt to the new changes. The Commission on Certification for Health Informatics and Information Management’s (CCHIIM) new recertification policy specific to ICD-10-CM/PCS is an important guide designed to help prepare all AHIMA-certified professionals for whatever changes ICD-10-CM/PCS may bring.

The required ICD-10-CM/PCS continuing education hours determined by CCHIIM are applicable to the specific AHIMA credential(s) held by the individual. Earning these CEUs validates that certified professionals have gained knowledge of the new coding system and are able to integrate this knowledge into their positions.

The total number of ICD-10-CM/PCS continuing education units (CEUs) required by AHIMA credentials is as follows:

  • CHPS – 1 CEU
  • CHDA – 6 CEUs
  • RHIT – 6 CEUs
  • RHIA – 6 CEUs
  • CCS-P – 12 CEUs
  • CCS – 18 CEUs
  • CCA – 18 CEUs
Read more.

ICD-10 in the Journal of AHIMA

Journal of AHIMACoding Notes- Coding for External Causes of Morbidity in ICD-10-CM

July's Journal of AHIMA features an installment of the award-winning column, "Coding Notes," focused on coding external causes of morbidity in ICD-10-CM, by Karen Kostick, RHIT, CCS, CCS-P.

In ICD-10-CM external causes are incorporated into the main tabular listing within chapter 19, "Injury, Poisoning and Certain Other Consequences of External Causes," and chapter 20, "External Causes of Morbidity." Chapter 20 consists of categories V00 through Y99 and is arranged in the following blocks:

  • Accidents (V00–X58)
    • Transport accidents (V00–V99)
    • Other external causes of accidental injury (W00–X58)
  • Intentional self-harm (X71–X83)
  • Assault (X92–Y09)
  • Event of undetermined intent (Y21–Y33)
  • Legal intervention, operations of war, military operations, and terrorism (Y35–Y38)
  • Complications of medical and surgical care (Y62–Y84)
    • Misadventures to patients during surgical and medical care (Y62–Y69)
    • Medical devices associated with adverse incidents in diagnostic and therapeutic use (Y70–Y82)
    • Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of late complication, without mention of misadventure at the time of the procedure (Y83–Y84)
    • Supplementary factors related to causes of morbidity classified elsewhere (Y90–Y99)

"Coding for External Causes of Morbidity in ICD-10-CM" is accessible to all AHIMA members in the Body of Knowledge. Log in today to read the full contents of July's coding notes!

Question of the Month

AHIMA would like to hear from you! What are the most important questions you face as ICD-10 implementation approaches?

Help educate fellow colleagues by sharing challenges from your workplace. E-mail your question by September 5 for possible inclusion in the September issue of ICD-TEN. One pertinent question will be September's "Featured FAQ," with an answer provided from an AHIMA ICD-10 expert!

AHIMA is also interested in gathering case studies regarding what your organization is doing to prepare for ICD-10 implementation. They need not be formal case studies, but should include steps your organization has already taken, steps planned for the near and distant future, what business areas are getting involved, and any other pertinent information.

Email questions of the month or relevant case studies to

Featured FAQ

Q: “I am a certified biller that knows the importance of preparing for the ICD-10 implementation, but my colleagues keep telling me that it is not necessary to start to prepare yet since it is not going into effect for more than two years. How do I get them to see now is the time to start?

-Marianne Miller
Community Development Specialist
Community Care Partners of Northern Piedmont Community Care

A: It is estimated that it will only take approximately six months to become proficient in ICD-10-CM/PCS coding; however there are many more steps that need to be taken before the actual training begins. AHIMA’s  ICD-10-CM/PCS Transition: Planning and Preparation Checklist includes coding staff in all four phases of implementation, making them crucial for not only their own training, but also other initiatives such as identifying transition goals and a gap analysis of coding staff knowledge, including any communication with contract coding services to assess their readiness. Refer to the checklist for a complete breakdown of each phase with target completion dates and project planning tips.

View more ICD-10 FAQs.

AHIMA Academy for ICD-10

Experience a dynamic training program that teaches coding professionals how to become proficient in coding with the ICD-10-CM/PCS coding systems while preparing them to train other coding professionals in these systems. The academy includes a combination of online courses (self-paced) and face-to-face training. The online courses provide basic training in ICD-10-CM and/or ICD-10-PCS and must be completed prior to the workshops. Each workshop focuses on engaging the trainer with in-class intermediate and advanced ICD-10-CM/PCS coding exercises, while modeling training techniques. After successful completion of both the online and face-to-face training portions, attendees may complete an assessment in order to receive an AHIMA Trainer Certificate.

The list of remaining 2011 Academies is below:

August September October November December
17-19: Chicago, IL 14-16: Albany, NY 12-14: Kansas City, MO 2-4:
Phoenix, AZ
Las Vegas, NV
24-26: Sioux Falls, SD 19-21: Warwick, RI 20-22: Philadelphia, PA 3-5:
New York City, NY
    21-23: Manhattan Beach, CA 7-9: Indianapolis, IN  
    27-29: Honolulu, HI 17-19: Cleveland, OH  


Contribute to the ICD-10 Implementation CoP

Did you know there is an ICD-10 Implementation Community of Practice? Visit here to view community announcements, FAQs, resources, and more. Participate in the community discussions by posting a thread or commenting on another post. The Communities of Practice are a benefit of AHIMA membership. Not a member? Join now.

ICD-10-PCS Coder Training Manual, 2011

ICD-10-PCS Coder Training Manual

By Ann Barta, MSA, RHIA, Kathryn DeVault, RHIA, CCS, CCS-P, and Ann Zeisset, RHIT, CCS-P, CCS

Experienced ICD-9-CM coders trained by AHIMA-certified ICD-10-PCS trainers can use this manual to build their knowledge of ICD-10-PCS. In addition to a textual adaptation of AHIMA’s “ICD-10-PCS Overview: Deciphering the Code,” a distance education course that is a prerequisite to AHIMA’s ICD-10 Academies, the manual contains references to and explanations of ICD-10-PCS coding guidelines and conventions. It provides ICD-10-PCS coding exercises at the beginning, intermediate, and advanced level. These exercises emphasize all aspects of the coding classification system to allow students to apply their knowledge of coding principles and definitions. Answers are also provided.

Key Features

  • Overview of ICD-10-PCS, with review questions, that establishes base of understanding from which to build knowledge and skill
  • ICD-10-PCS definitions and guidelines review, including root operations
  • Basic and intermediate coding exercises covering all root operation groups in ICD-10-PCS’s medical and surgical section
  • Detailed, complex ICD-10-PCS case studies and scenarios from health records
  • Lists of ICD-10-PCS resources and references

Order ICD-10-PCS Coder Training Manual, 2011 here.



HRS Coding


Optum Insight


August 15-16
2011 Legal EHR Summit
Chicago, IL

August 17-19
AHIMA Academy for ICD-10-CM/PCS: Building Expert Trainers in Diagnosis and Procedure Coding
Chicago, IL

August 24-26
AHIMA Academy for ICD-10-CM/PCS: Building Expert Trainers in Diagnosis and Procedure Coding
Sioux Falls, SD

September 13
Flowing from ICD-9-CM to ICD-10-CM: Coding Circulatory System Disease
Audio Seminar

September 14-16
AHIMA Academy for ICD-10-CM/PCS: Building Expert Trainers in Diagnosis and Procedure Coding
Albany, NY

September 19-21
AHIMA Academy for ICD-10-CM/PCS: Building Expert Trainers in Diagnosis and Procedure Coding
Warwick, RI

October 1-2
Privacy and Security Institute
Salt Lake City, UT

View a complete listing of all AHIMA events and audio seminars/webinars

Upcoming AHIMA Convention & Exhibit Dates and Locations

October 1–6, 2011
Salt Lake City, UT

Online Courses

ICD-10-CM Overview: Deciphering the Code

ICD-10-PCS Overview: Deciphering the Code

CATS ICD-10-PCS A&P Focus: Central and Peripheral Nervous Systems Assessment

CATS ICD-10-PCS A&P Focus: Central and Peripheral Nervous Systems Course

CATS ICD-10-PCS A&P Focus: Musculoskeletal System Course

CATS ICD-10-PCS A&P Focus: Musculoskeletal System Assessment

Recorded Audio Seminars, Webinars Available

From Point A to ICD: Successfully Implementing ICD-10-CM/PCS

ICD-10-CM and ICD-10-PCS: Prepare for Tomorrow, Today!

ICD-10-CM/PCS Impact Assessment

Preparing to Implement ICD-10-CM/PCS

Curriculum Approval to Accommodate ICD-10-CM/PCS

Transitional Instructional Design to Accommodate ICD-10-CM/PCS


The Communities of Practice is a benefit of AHIMA membership. If you are already a member, click here. For information on becoming a member, click here.