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There are lots of ways you can search in the Folio versions of ICD-10-CA and CCI.
But in each classification, 1 method gives you better results in a shorter amount of time.
In ICD-10-CA, the best way to search is using the alphabetical index query.
Imagine I’m coding the abstract for a patient with an inguinal hernia who came in for a manual reduction with laparoscopic repair using mesh.
To access the alphabetical index query, I just click binocular 1, that’s also labelled ICD-10-CA Index Query. Enter the lead and secondary terms in the associated fields in the pop-up window and click OK.
When I see the search results onscreen, I click the “next hit” double-arrow icon until I get to the entry for “hernia, inguinal.”
When I click the link on the inguinal code K40.9, I go to the tabular list.
I can review all the codes at this level of the classification to make sure there isn’t a more specific one.
And I can look at the inclusions and exclusions listed in the entry to make sure I’m choosing the correct code.
It’s that quick and easy!
In CCI, the best way to search is with the advanced query.
Now I’m coding the manual reduction of the hernia with laparoscopic repair using mesh intervention.
To access the advanced query, I just click the first large binocular icon, labelled Advance Query, type “manual reduction hernia” in the Query For field and click OK to search for that intervention.
In CCI, the advanced query searches the tabular list before the alphabetical index.
Your search takes you to the tabular list, where you can look at the inclusions and exclusions in the rubric.
You can see that while there’s an inclusion for “Reduction, hernia (manual),” there’s also an exclusion note that says “that with abdominal wall repair.”
This means that when the hernia is both reduced and then repaired, you need to assign only 1 code.
So this isn’t the correct place in the classification.
When I click the link 1.SY.80 beside the exclusion “that with abdominal wall repair,” I go straight to the correct rubric.
I can see that the repair I’m looking for is in the inclusion list.
And when I scroll down, the table shows me the correct code to assign.
So in ICD-10-CA, the best way to search is using the alphabetical index query.
In CCI, the best way to search is using the advanced query.
I just found the 2 codes I was looking for in around a minute.