What is Coding Clinic for ICD-10-CM and ICD-10-PCS?


Coding Clinic for ICD-10-CM and ICD-10-PCS is the quarterly newsletter published by the American Hospital Association's Central Office on ICD-10-CM and ICD-10-PCS. The advice provided in Coding Clinic is the result of a formal cooperative effort between the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), the Centers for Disease Control and Prevention (CDC) National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services (CMS).  In addition to these organizations, the Editorial Advisory Board consists of an expert panel of physicians representing the American Medical Association, the American College of Surgeons, the American Academy of Pediatrics and the American College of Physicians, as well as coding professionals representing healthcare facilities.

Published since 1984, Coding Clinic brings the latest official coding information to coding professionals, auditors, third-party payers, government agencies, and consultants who are interested in and dedicated to improving the accuracy and uniformity of medical coding. CMS' affirmation of the Coding Clinic as the official source of coding information is noted in the Federal Register, Vol. 74, No. 165, Thursday, August 27, 2009. 

The Official Guidelines for Coding and Reporting (developed by the four cooperating parties) are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-9-CM and 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-9-CM and 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.