TAILIEUCHUNG - Medical assisting: Administrative and clinical procedures (5e) - Chapter 18: Diagnostic coding

In this chapter students will be able to: Explain the purpose and format of the ICD-9-CM volumes that are used by medical offices, describe how to analyze diagnoses and locate correct codes using the ICD-9-CM, identify the purpose and format of the CPT, name three key factors that determine the level of Evaluation and Management codes that are selected,. | 18 Diagnostic Coding Learning Outcomes (cont.) Recall the six ways that ICD codes are used today. Describe the conventions used by ICD-9-CM. Outline the steps to code a diagnosis using ICD-9-CM. Explain the purpose and usage of V codes and E codes. Learning Outcomes (cont.) Name the appendixes found in ICD-9-CM. Compare ICD-9-CM and the ICD-10-CM. Summarize the ICD-10-CM general coding guidelines. Illustrate unique coding applications for neoplasms, diabetes mellitus, fractures, R codes, poisonings, and Z codes. Introduction Diagnosis – translated into ICD codes Reimbursement is based on codes entered so you must Understand what the codes mean Know how to chose correct codes Learning Outcome: Recall the six ways that ICD codes are used today. When submitting claims to insurance carriers, the diagnosis must be converted into numeric and alphanumeric codes, known as ICD (International Classification of Diseases) Codes. Insurance carriers pay claims, based on the codes assigned to describe the information within the medical record. It is vitally important to understand what the codes mean and how to choose the correct code based on the information found on the encounter forms and within the patient medical record. The Reasons for Diagnostic Codes Chief complaint (CC) Diagnosis (DX) Proves medical necessity of treatment Diagnostic code Coexisting conditions Learning Outcome: Recall the six ways that ICD codes are used today. Based on the patient’s chief complaint (CC), the physician establishes a diagnosis (Dx) that describes the primary condition for which a patient is receiving care. Additional conditions or symptoms that affect the patient’s management are called coexisting conditions. These conditions may be related or totally unrelated to the primary condition, but if they currently affect the patient’s condition or treatment, they must also be noted in the chart, coded, and reported to the .

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• Medical assisting
• Administrative practices
• Clinical practices
• Medical assisting practice
• Diagnostic codes
• Coding with ICD 9
• Clinical procedures
• Administrative medical assisting
• Clinical medical assisting
• Medical assisting profession
• Medical assistant credentials
• Responsibilities of the medical assistant
• Medical assisting organizations
• Medical assisting externships
• Externship scenarios
• Assisting in geriatrics
• Geriatric patients
• Medical office
• Accounting for the medical office
• Assisting in pediatrics
• Pediatric patient care
• Medical coding
• Diagnosis codes
• Minor surgery
• Medical asepsis
• Medical specialties
• Nursing careers
• Medical law
• Physician rights
• Externship process
• Expectations of externship candidates
• Insurance terminology
• Managed care plans
• Standard payment procedures
• Accepting payment
• Body organization
• Anatomical terminology
• Integumentary system
• Structure of skin
• Skeletal system
• Bone structure
• Skeletal muscles
• Muscular system
• Cardiovascular system
• Structures of the heart
• respiratory system
• Paranasal sinuses
• Nervous system
• Neuron structure
• Urinary system
• Renal sinus
• Reproductive system
• Male reproductive system
• Female reproductive system