Ch.15ppt

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Ch.15ppt

  1. 1. What is Coding? Converting descriptions of disease, injury, procedures, and services into numeric or alphanumeric descriptors Accurate coding maximizes reimbursement
  2. 2. 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
  3. 3. CPT Modifiers  Appendix A  Used when procedure/services needs to be clarified or altered Unlisted codes CPT code symbols
  4. 4. 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
  5. 5. 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
  6. 6. ICD Coding Rules Follow the reason rule Code each problem to the highest level of specificity
  7. 7. Billing Process

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