Coding Practice Using ICD-10 for Nurse Practitioner Students

Family Nurse Practitioner students have little opportunity to work with ICD-10 coding prior to clinical experiences. Feedback from FNP students identified a need to incorporate more background information and introduction to ICD-10 coding of patient presentations. A discussion question was created for an online graduate Nursing Informatics course to introduce these students to ICD-10 coding in a non-threatening manner to help students gain insights into how to correctly code, then interpret, a patient’s presentation. The discussion question is attached as a file. The instructor helps students to make the link between the ICD-10 codes and standardized nursing language (NIC/NOC, NANDA, etc.) by having student access the provided websites. The instructor can encourage students to continue the discussion using ICD-10 codes to follow-up with the patient over time and can guide students to continue coding a patient based on what they would expect to see during follow-up clinic visits.