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2017 ICD-10-CM Documentation Trainer


Table of Contents

Price: $159.95
Format: Softbound, 8.5" x 11"
Edition: 2017
Publisher: DecisionHealth
Sample Pages: View Sample

Product Code: IPBPDC17



Essential charting guidance to support medical necessity

ICD-10-CM requires very specific documentation in order to correctly choose diagnostic codes, a skill that both coders and physicians must master to code successfully.

The ICD-10-CM Documentation Trainer brings coders and physicians together to ensure documentation success, identifying all additional ICD-10-CM documentation requirements using detailed checklists.

Designed for use alongside an ICD-10-CM code manual, this critical training guide provides all the tools necessary to conduct an effective documentation analysis and create a corrective action plan, making it ideal for both non-facility and facility coders alike. The chapter organization mirrors the structure of code books and all guidance is geared toward the process of code decision-making. Plus, exercises and quizzes test knowledge and understanding of key points throughout the book.


  • NEW! Detailed, full-page anatomy illustrationsfor better interpretation of clinical notes
  • Checklists to identify documentation elementsfor categories, subcategories and codes
  • Checklists for specialty-specific documentationto review current records and identify any documentation deficiencies
  • ICD-10-CM documentation scenariosdisplay documentation requirements with important elements highlighted
  • CDI checklistsidentify common documentation deficiencies faced when coding COPD, Pneumonia and Sepsis/SIRS
  • Glossary of Medical Terminology


  • Scenarios showing required documentation in ICD-10-CM, with additional ICD-10 requirement highlightedsee where the documentation will appear in common coding scenarios based on real life healthcare encounters. The correct codes are included with any applicable guidelines explained.
  • End of chapter quizzesdive right into coding practice with the conditions discussed in each chapter.