The Art of ICD-10-CM Coding for Hospice

Critical Concepts for 2021 & Beyond


What you’ve been waiting for! This one-day training provides a dynamic program for hospice coding training in ICD-10-CM with the latest updates on coding specifically for hospice agencies. Will include the proposed new codes for COVID-19, planned for an implementation date of January 1, 2021.

Start with an introduction to the ICD-10-CM code set, coding conventions, sequencing tips and chapter specific guidelines that cover all the chapters applicable to hospice patients. We will have plenty of practice accessing the index and locating codes, identifying tabular list instructions, and then on to coding hospice scenarios with common (and some not-so-common!) hospice diagnoses and conditions. We will also focus on the documentation needed to choose the most specific codes to describe the terminal illness and related diagnoses. Attendees will leave with the ability to identify key points in the plan of care documentation, query the physician as needed for more descriptive information, and find and sequence the diagnosis codes appropriate to hospice patients and their care. Get a great foundation in ICD-10-CM coding and its implications in hospice practice.

Program Topics:
  • Prioritize diagnoses based on clinical assessment and planned interventions and explain hospice specific issues with coding
  • Apply specific sequencing rules as required by the conventions and Official Coding Guidelines.
  • Explain coding of diagnoses of infections, neoplasms, endocrine disorders such as diabetes, anemias, mental disorders, and the nervous system.
  • Explain coding of diagnoses of cardiorespiratory illnesses, cerebrovascular disease and GI & GU disorders.
  • Explain coding of diagnoses of the musculoskeletal system, injuries and poisonings, including the optional use of V, W, X and Y codes.
  • Use the coding manual to find codes and sequence diagnoses for hospice scenarios in ICD-10-CM.


Required Resource
It is ESSENTIAL that participants bring a current ICD-10-CM Coding Manual to class to fully participate in this learning experience. Accurate code assignment is not possible without a coding manual.

The most current version of ICD-10-CM coding manual is available through the CAHSAH® Bookstore at here or by calling 916-262-6800.

Source documents will be reviewed at the workshop. Source documents include the current (2021) guidelines. Check your manual for the 2021 guidelines. You may download the guidelines here .

This guidance will allow participants to further their education outside the class and arm them with the tools to research answers to questions that arise in their agencies. If the current guidelines are not in the coding manual, then the guidelines available at the link above may be used in testing for the HCS-D credential. Mastering coding skills takes practice and knowing where to find guidance ensures coding accuracy and regulatory compliance.

This class is designed with intermediate coders in mind. We recommend a review of the ICD-10-CM Official Guidelines for Coding and Reporting for 2021, pages 1 -20 of the document found here prior to the workshop. These pages describe and define the Coding Conventions (Section I.A) & General Coding Guidelines (Section I.B). It is expected that intermediate coders already possess this foundational knowledge as it will not be the focus of this class. Your pre-class efforts will greatly enhance your learning experience.


Hospice Nurses, Therapists, Clinical Supervisors, Executive Directors, Medical Directors, Financial Managers, and Quality Improvement & Billing Staff who are experienced with hospice coding.



Speaker: Lisa Selman-Holman
BMSC Chair

Lisa is a veteran of home care with over 30 years spent in home health and hospice, both as an RN and as an attorney practicing exclusively in home care. She is the President of Selman-Holman & Associates, A Briggs Healthcare Company, a full-service home care and hospice consulting firm; CoDR (Coding Done Right), an outsourcing company for home care and hospice coding and OASIS review; and CodePro U, the premier comprehensive online education for ICD-10-CM, OASIS, and regulatory topics. She served as the Chair of the Board of Medical Specialty Coding for 15 years. She is the technical editor of the Decision Health Complete Home Health ICD-10-CM Diagnosis Coding Manual. She has provided education to home health and hospice professionals since 1994. She is known for her comprehensive knowledge of home health and hospice regulations and her ability to communicate with insight and humor.


Cancellations are subject to 20% handling fee. There will be NO REFUNDS issued for cancellations received within 10 business days prior to program. Cancellations must be in writing. Refunds will not be made for no-shows. However, substitutions will be allowed. Should CAHSAH® cancel the program, a full registration fee refund will be issued.


Provider approved by the California Board of Registered Nursing (Provider #CEP17394) for six and one half (6.5) contact hours of continuing education. You must be present for the entire workshop to earn Continuing Education Units. No partial credits can be given. Certificates are distributed at the close of the program.