Thank you for taking the time to use this guide. Accurate clinical documentation and coding are essential for every health care provider. Employing best practices and adhering to guidelines for documenting and coding of all conditions provides a complete description of the patient’s health status, improves communication to all providers, and it can also can help enhance quality and access to care by facilitating participation in special programs. The key to accuracy is adherence to ICD-10 Official Guidelines for Coding and Reporting; the guidelines are essential for compliant reporting of conditions.
This Partnership Guide is designed to support you in developing an accurate documentation and coding skill set and is not intended to replace clinical judgment when caring for the patient. Diagnosis codes are provided as examples and do not include all codes for the condition; it is not recommended that you code directly from this document. For a complete list of codes, please refer to the coding manuals, your EMR, or other coding tools that contain the ICD-10-CM codes presented in accordance with official coding guidelines. It does not intend to provide clinical guidance nor replace clinical judgment when caring for the patient. Improper use of codes and failure to follow guidelines may result in conflicts between the medical record and the codes reported, causing the information to be ineligible for reimbursement by CMS. Correct coding and reporting of conditions allows CMS to allocate the funds to provide appropriate care.
Thank you for partnering with us to accurately document and code chronic conditions to support quality, value-based care.
If you have questions or believe any codes were previously submitted in error, contact your provider education specialist or email us at ProviderEducation@Cigna.com
For quick tips to navigating and using the digital version of this guide, access our ICD-10 Digital Guide Tutorial at MedicareProviders.Cigna.com > Provider Education > 2023 ICD-10 Provider Partnership Guide.
Tip
To help ensure you are documenting to the highest degree of specificity for appropriate ICD-10 code assignment, go to MedicareProviders.Cigna.com > Provider Education.