Resolved R11.0

[ToniM_13794]

Have a question about 2021 code R11.0 (Nausea). It shows an extra digit is needed, yet I don't see any fifth digit for this code. Help!

 

[KalliP_67450]

Have a question about 2021 code R11.0 (Nausea). It shows an extra digit is needed, yet I don't see any fifth digit for this code. Help!

R11 shows it needs a 4th digit which would make it R11.0 but it does not need a fifth. Vomiting (R11.1) needs a 5th digit which is R11.10-R11.15!

 

[Jennifer]

Thank you KalliP! Just finally looked it up and was going to post the same thing

 

[ToniM_13794]

Thank you KalliP! Just finally looked it up and was going to post the same thing

Thank you for your quick reply. I attached a pic of what that code (R11.0) looks like in my book. Am I crazy or what?!! That red dot in my ICD-10 represents 'Use Additional Character' ... I'm using the Carol Buck publication.

 

[KalliP_67450]

Thank you for your quick reply. I attached a pic of what that code (R11.0) looks like in my book. Am I crazy or what?!! That red dot in my ICD-10 represents 'Use Additional Character' ... I'm using the Carol Buck publication.

Yea that is weird. I use Optum ICD-10-CM book and love it!! Maybe for the 2022 book, look into getting the Optum. It is extremely detailed compared to that picture and other pages I have seen from the book from other people. It actually says the number the code needs to go to.

 

[Lori]

I have a 2021 AAPC ICD-10

Thank you for your quick reply. I attached a pic of what that code (R11.0) looks like in my book. Am I crazy or what?!! That red dot in my ICD-10 represents 'Use Additional Character' ... I'm using the Carol Buck publication.

 

[SusanG_5352]

I have a 2021 AAPC ICD-10

View attachment 931View attachment 932

Hi Lori,
I have the Carol Buck 2021 ICD-10-CM -- finding that in Alpha a lot of codes don't have the addl character icon when required and a major contradiction in chapter guidelines in Z codes and what is shown in Tabular. She does put the chapter specific guidelines in the tabular right above the code set it applies to. Does the Optum do the same? I think I need to rebuy, as Buck seems like has errors.

 

[Lori]

Sorry, I do not have a Buck or Optum version so I am not sure if it is correct.

CCO has a Z Code thread here that may help you:

Resource - Z Codes

The Importance of Z Codes Z codes, found in Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99) of the ICD-10-CM code book, may be used in any healthcare setting. The ICD-10-CM Guidelines for Coding and Reporting instruct us to code for all coexisting...

www.cco.community

Medical Coding Books — Understand The Differences

One thing when you’re a coder especially where you’re taking courses and everything, you fall in love with your medical coding books and manuals...

www.cco.us

 

[SusanG_5352]

Hi Lori, I'm sorry -- I meant to ask if the AAPC ICD-10-CM places the chapter-specific guidelines in the Tabular at the beginning of each chapter and also snip-its of the guidelines within the chapter above the codes they apply to?

 

[Lori]

I do have the AAPC ICD-10 & it does not have guidelines in each chapter for example this is Chapter 21.

 

[SusanG_5352]

Thank you!

 

[KalliP_67450]

Hi Lori,
I have the Carol Buck 2021 ICD-10-CM -- finding that in Alpha a lot of codes don't have the addl character icon when required and a major contradiction in chapter guidelines in Z codes and what is shown in Tabular. She does put the chapter specific guidelines in the tabular right above the code set it applies to. Does the Optum do the same? I think I need to rebuy, as Buck seems like has errors.

Optum does have the guidelines in the front of the book as well as right in front of the chapters.