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Medical Coding OverviewIntermediate

Applied knowledge and worked examples

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Written by senior engineers. Reviewed for technical accuracy.· Updated 2025 · SynfraCore Medical Coding Overview Team
Expert Content

scharge OASIS

🏠 Home→

🏥 Hospital (<24hrs)→

Resume OASIS (ROC)→

🏠 Discharge OASIS

↑ This whole cycle is within 60 days of SOC

⚠️ OT (Occupational Therapist) cannot fill the OASIS. Only SN, ST/SLP, and PT can fill OASIS.

🔤 ICD-10-CM A to Z — Complete Chapter Guide

Every ICD-10-CM code starts with a letter that tells you the category. Memorise this A-Z map — it is the foundation of coding speed.

A–B

Infection codes

Cellulitis, UTI, sepsis, HIV (B20), wound infections

C

Malignant neoplasm — cancer

Primary cancer, secondary cancer, metastasis

D

Benign neoplasm + blood conditions

D63 anaemia with malignancy, D64 drug-induced anaemia

E

Endocrine conditions

Diabetes (E08–E13), thyroid, adrenal, vitamin deficiency, hyperlipidaemia

F

Psychological / mental health

Dementia (F01–F03), depression, anxiety, substance use

G

Nervous system + pain management

Neuropathy, Parkinson's, MS, pain — G89

H

Eye and ear diseases

Post-cataract, glaucoma, hearing loss, vertigo

I

Circulatory system

HTN (I10), CHF, CAD, CVA/stroke, MI — very common in HH

J

Respiratory system

COPD (J44), pneumonia (J18), asthma, respiratory failure

K

Gastrointestinal system

GERD, colostomy care, Crohn's, bowel obstruction

L

Skin and tissue

Pressure ulcers (L89), cellulitis, non-pressure ulcers (L97)

M

Musculoskeletal

Arthritis, fracture aftercare, back pain, osteoporosis — very common HH

N

Genitourinary

UTI, CKD (N18), urinary incontinence, nephropathy

O

Pregnancy codes

Complications, childbirth, puerperal — OB codes

P

Newborn conditions

Neonatal sepsis (P36), prematurity, newborn conditions

Q

Congenital malformations

Genetic problems, birth defects

R

Signs and symptoms

Use when no definitive diagnosis — R52 pain, SOB, weakness

S

Traumatic fractures + injuries

Require 7th character: A=initial, D=subsequent, S=sequela

T

Poisoning, adverse effect, underdose

Drug-induced conditions, overdose, underdose, adverse effect

U

COVID-19

U07.1 COVID confirmed, U07.2 COVID unconfirmed

V–Y

External cause codes

Cause of injury — falls, accidents, place of occurrence, abuse

Z

Encounter, history, status codes

Aftercare (Z48), long-term meds (Z79), history codes, artificial joints (Z96)

💡 Home Health most common chapters: I (circulatory), M (musculoskeletal), E (endocrine/DM), G (nervous), L (skin/wounds), Z (aftercare/status)

📖 ICD-10-CM Conventions — Rules Every Coder Must Know

Abbreviations

**NEC — No

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