Ch.15ppt
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Ch.15ppt

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Ch.15ppt Ch.15ppt Presentation Transcript

  • What is Coding? Converting descriptions of disease, injury, procedures, and services into numeric or alphanumeric descriptors Accurate coding maximizes reimbursement
  • CPT Codes for procedures or services 6 sections of the CPT Manual 1. Evaluation & Management 2. Anesthesiology 3. Surgery 4. Radiology 5. Pathology and Laboratory 6. Medicine
  • CPT Modifiers  Appendix A  Used when procedure/services needs to be clarified or altered Unlisted codes CPT code symbols
  • CPT Coding Rules Select the name of the procedure or service that most accurately identifies the service performed  Typically marked on encounter form  If clarification is needed to determine the correct code, seek the provider
  • ICD Codes for diseases or conditions Establishes medical necessity ICD-9 Manual  Volume I: Tabular List  Volume II: Alphabetic Index  Volume III: Used by hospital coders
  • ICD Coding Rules Follow the reason rule Code each problem to the highest level of specificity
  • Billing Process