NJPR blogs are for educational purposes and are accurate at the time of publishing. For up-to-date information from the official source, coders should refer to the “ICD-10-CM Official Guidelines for Coding and Reporting, the “ICD-10-PCS Official Guidelines for Coding and Reporting,” and the American Hospital Association quarterly publications “Coding Clinic for ICD-10-CM and ICD-10-PCS.”
“The Official Guidelines for Coding and Reporting are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM and ICD-10-PCS. The instructions and conventions of the classification take precedence over guidelines. The guidelines provide additional instruction. Adherence to these guidelines when assigning ICD-10 diagnosis and procedure codes is required under the Health Insurance Portability and Accountability Act (HIPAA).
The Coding Clinic is to be used as an official resource when the classification and the guidelines do not provide direction. Coding Clinic was deemed by CMS as the official source of coding information is noted in the Federal Register, Vol. 74, No. 165, Thursday, August 27, 2009.”