Continuing Education

Toggle Menu
  • Search for CEUs
  • Conferences
  • Workshops
  • Webinars
  • Codify
  • On Demand Events
  • Local Chapter Events
  • Low Cost CEUs
  • Approved CEU Vendors
  • FAQs
  • CEU Information - Members
  • CEU Information - Vendors
  • Search for CEUs

Ask & Learn: R Codes: Signs, Symptoms and Coding From the Documentation

Presenter John Piaskowski, CPC, CIRCC, CPMA, CRC, CCC, CCVTC, CGIC, CGSC, COSC, CUC, Approved-Instructor
Broadcast Date 6/14/2023
Time 10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
Presentation Length 60 minutes
Price $65 (Non-members $85)
Ask & Learn: R Codes: Signs, Symptoms and Coding From the Documentation Webinar

Mastering R Codes: A Deep Dive into ICD-10-CM Chapter 18 Coding Guidelines

This Ask and Learn session will focus mainly on the proper use of “R codes” or codes located in Chapter 18 of the ICD-10-CM. There are many similar guidelines for similar types of diagnostic coding situations and we will discuss each in relation to proper coding for signs and symptoms.

We will discuss multiple impacting factors such as sequalae, manifestations, combination codes and how they differ from signs and symptoms of confirmed conditions. We will also explore elements of queries, risk adjustment and documentation standards related to coding signs and symptoms.

Here are some examples of questions that will be addressed during this webinar:


• What is the AMA definition of a sign and symptom?
• My provider always codes a primary conditions and codes its signs and symptoms, how can I correct this?
• My provider always documents signs and symptoms in addition to the presumed related primary diagnosis, how can I know if it related?
• My provider is seeing a patient for their annual wellness exam. One finding they documented was ataxia with history of stroke. Would this be captured with R27.0 and Z86.73?
• ICD-10-CM states to code Dementia with Alzheimer’s when they are both present, isn’t dementia a sign and symptom of Alzheimer’s?

Why is this topic important?

This topic is important because at a core level, knowing the distinction between signs/symptoms and primary conditions are vital maximizing your selection of diagnosis codes without redundancy. This can be a tricky task for both new and experience coders as provider have different perspectives from coders and we must be consistent. A constant review of the guidelines is key to routinely coding correctly.

Who would benefit from this topic?

• Coders of all levels
• Newly certified coders and those not expertly versed in diagnosis code selection

John Piaskowski, CPC, CIRCC, CPMA, CRC, CCC, CCVTC, CGIC, CGSC, COSC, CUC, Approved-Instructor

About The Author

John Piaskowski, CPC, CIRCC, CPMA, CRC, CCC, CCVTC, CGIC, CGSC, COSC, CUC, Approved-Instructor

John has 13 years of experience in surgical documentation and the impact it has on coding and auditing. He is certified as a CPC instructor (CPC-I) and holds certifications in Medical Auditing (CPMA), Cardiology (CCC), Cardiovascular and Thoracic Surgery (CCVTC), Interventional Radiology (CIRCC), Urology (CUC), General Surgery (CGSC), Gastroenterology (CGIC), Orthopedic Surgery (COSC) and Risk Adjustment Coding (CRC). John is currently the chairperson of the AAPC Coding Advisory Committee and AAPC Surgical SME that sat on multiple exam committees. Currently, he works as a specialty medicine auditor at Capital Health in NJ; a Vascular Surgery/Interventional radiology auditor for AAPC Audit services, and a content creator for AAPC.

Two ways to register for this event

Two ways to register for this event
This event was recommended by 94.56% of your peers.
You rated this event: 

Single Event

  • Individual access only
  • 1 CEU
  • Online streaming via desktop or mobile downloading for offline viewing
  • Access broadcast, downloadable podcast (MP3), presentation slides, Q&A and any other event materials

Webinar Subscription

  • 40+ live webinars each year (including this event)
  • 1 CEU per webinar (40+ annually)
  • Online streaming via desktop or mobile device, or downloading for offline viewing
  • Access to a growing number of on-demand events (includes over 250+ on-demand recordings)
  • A library of topics to choose from: coding, billing, auditing, compliance, and practice management, covering more than 20 specialties
  • For more details visits our annual subscription page
Auto-Renew my subscription

* Auto-Renew applies to single Webinar Subscriptions only
* Pricing below reflects member price.