Enable block ups to ensure access to the Encoder tool
Start by clicking on the help section to review how to use 3M Encoder CRS (Coding and
Reimbursement System) – commonly called 3M or just simply Encoder
This should open the following link in your web browser
https://apps.3mhis.com/download/3M_Docs_Secured/Coding/CRS_Library/index.htm#b
asic_information_for_new_users.htm
Read through the introduction, Coding References, Finding Codes, drugs, terms (In the
window you will see the following. Click through each of the hyperlinks to read further
information and how to search for codes, articles and references:
Finding codes, drugs, and terms
You can locate codes or terminology in a reference by:
•
Using the Index function to search for specific codes or terms.
•
Using the Search function for more complex search capabilities.
•
Browsing lists.
The 3M™ Integrated Codebooks (both ICD-9 and ICD-10 versions) use different search
capabilities. You can search by alphabetical index or search the tabulars by number or text.
In this section
Searching for codes or terms with the Index
AHA Coding Clinic for ICD-9-CM and ICD-10-CM/PCS
Finding codes, reference articles, or terms using Search
Viewing search results
Browsing the medical dictionary alphabetical listing
Ready to start coding?
First, set up your encoder for the patient you are coding. I like to set up a generic patient
who is undetermined sex, age 33. This allows for most codes to be available. Remember,
encoder will not let you code a diagnosis for a patient whose demographics do not match
the code you want, so you will need to ensure this is accurate!
You will also need to enter the date of service (or today’s date), and change the product
from DRGFINDER to CODEFINDER.
Let’s look up the code for a Excision of a malignant melanoma from the skin of the right
ear, 0HB2XZZ. By now, you should know by going through your ICD-10 PCS coding
book, that you would start in the medical and surgical section under the Root Operation
of “Excision/Skin/Ear” in the Index in the Alphabetical Section, which would direct you
code 0HB2XZUsing the same process of looking up the action word, or problem, you will begin by
searching for Excision
Take note of the
next to Resection and Other Specified. If you click on a
, 3M
will provide you with useful information to guide you in determining the proper code path,
often referencing AHIMA Coding Clinics and Coding specific guidelines with examples
of definitions. Take a look at Resection. Notice you may click on References for even
further information still.
Next:
Click on #2 for other
CG: If it’s not documented, it didn’t happen- meaning, if it is not stated
as a resection or identified as a total body part, then the lesser or Other
Specified option applies. If an option for Unspecified applies, this will
typically be your default when a specific “Other” option is not applicable.
Always review any question marks for more information and coding guidelines:
For “Skin”, you will select #8 after reviewing the
for further details.
On page 2, you will come to the end with the option of “Other/Unspecified” Since
“Essential” is not found, you will click on this.
Some codes have options for more information. Remember, if it’s not documented, it
didn’t happen! So, without information of Skin Graft, you will select the
“No/Unspecified” option
You will need to remember your anatomy, as with all coding:
Notice at this point that the coder will begin to show your code. You will see your code
being built on the top right once enough information is gained to provide some detail:
You still need to indicate the site, select Ear, right
Finally, we are given our code:
From here, you may also want to select “History” to review the coding path that you
took to find this code. This will prove very useful in showing a manager (or myself)
how you came to a specific code, and can help to identify where an incorrect code was
selected wrong. You will also use this for the assignment at the end of this lesson to
show your coding work! Mare sure you click “History” before clicking continue to
add the code. Once you add the code, you cannot come back here, and will need to
re-enter the entire code to see the code path.
By Clicking “Copy Path” your computer will have a copied “printscreen” of the steps you
took to get to your code, referred to as your “Coding Path”. Remember this, as you will
use it to turn in coding for this assignment.
Copy Path will look like this:
-- EXCI
-- Excision
-- Other specified (tissue, lesion, partial body part)
-- Skin (includes scar tissue)
-- No/unspecified
-- Head, face and neck
-- Ear, Right
Code Display
You may also click on a given section to go back to that section of the coding path and
make changes
Click continue to add the code to your patient profile. Now you have the option to add
additional information such as diagnoses, additional procedures (PCS) and review
references. In other products of 3M, you even have coding edits and references with ICD
10 CM and CPT/ HCPCS edits. You will learn about this in other coding modules.
Now it’s your turn, using the encoder and these same directions, code the assignment,
turn in a “print screen” showing the Coding Path for each of the following patients:
(Remember, if it’s not documented, it didn’t happen. Some of these may require you to
use “unspecified or not otherwise specified” options)
1. Routine Foley Catheter placement through the urethra
You will come up with the following code, turn in the coding path after you have coded
this:
Great! Now code:
2. Foreign body removal, skin of left thumb
3. TURP (not documented as a complete removal)
Turn in these 3 Coding Paths with the correct codes.
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