2014 Conference, Track 1:ICD-10-CM/PCS Documentation Requirements for Children’s Hospitals

Natalie Sartori, MEd, RHIA, AHIMA-Approved ICD-10-CM/PCS Trainer, and Rebecca A. “Ali” Williams, RN, MSN, CCDS, explain how children's hospitals will need to focus CDI efforts to address the specific documentation that is needed for ICD-10-CM/PCS code will enumerate documentation requirements to capture the clinical details to support ICD-10 codes for specific pediatric cases. The presentation includes pediatric condition/procedure discussed, and a comparison of the clinical details captured in ICD-9-CM vs. ICD-10-CM/PCS and explicitly describes the clinical elements that must be documented.