Introduction to Medical Coding: An Applied Approach
Edition: 1
Copyright: 2022
Edition: 1
Copyright: 2022
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This workbook will provide guidance on helping you understand the steps and application of ICD-10-CM and CPT coding. It will begin with coding rules and guidelines as a foundation and then move into application. Upon completion of the exercises, you will have gained an understanding of the purpose of ICD-10-CM and CPT codes and compliance of the application process. The importance and accuracy of medical insurance coding plays a critical role to the patient, physician, provider, and all healthcare facilities from a reimbursement perspective. Compliance and accuracy of medical insurance coding is vital to the patient receiving treatment and payment being sought for services rendered. We will focus on telling a concise story with the ICD-10-CM and CPT coding nomenclature of why (ICD-10-CM) a patient is seeking care or treatment and what (CPT) services were rendered to the patient by the physician or provider during the patient encounter.
Part One
Guidelines: ICD-10-CM
ICD-10-CM International Classification of Diseases, 10th Revision, Clinical Modification Diagnostic Coding
Chapter 1. Certain Infectious and Parasitic Diseases (A00-B99)
Chapter 2. Neoplasms (C00-D49)
Chapter 3. Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)
Chapter 4. Endocrine, Nutritional and Metabolic Diseases (E00-E89)
Chapter 5. Mental, Behavioral, and Neurodevelopmental Disorders (F01-F99)
Chapter 6. Diseases of the Nervous System (G00-G99)
Chapter 7. Diseases of the Eye and Adnexa (H00-H59)
Chapter 8. Diseases of the Ear and Mastoid Process (H60-H95)
Chapter 9. Diseases of the Circulatory System (I00-I99)
Chapter 10. Diseases of the Respiratory System (J00-J99)
Chapter 11. Diseases of the Digestive System (K00-K95)
Chapter 12. Diseases of the Skin and Subcutaneous Tissue (L00-L99)
Chapter 13. Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
Chapter 14. Diseases of the Genitourinary System (N00-N99)
Chapter 15. Pregnancy, Childbirth, and the Puerperium (O00-O9A)
Chapter 16. Certain Conditions Originating in the Perinatal Period (P00-P96)
Chapter 17. Congenital Malformations, Deformations, and Chromosomal Abnormalities (Q00-Q99)
Chapter 18. Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
Chapter 19. Injury, Poisoning, and Certain Other Consequences of External Causes (S00-T88)
Chapter 20. External Causes of Morbidity (V00-Y99)
Chapter 21. Factors In‑ uencing Health Status and Contact with Health Services (Z00-Z99)
Chapter 22. Codes for Special Purposes (U00-U85)
Part Two
Guidelines: CPT and Evaluation & Management
CPT Coding / Evaluation & Management / Modifiers
Chapter 1. Evaluation and Management (E&M) (99201–99499)
Chapter 2. Anesthesia (00100–01999, 99100–99140)
Introduction Surgery
Chapter 3. General: Integumentary System (10021–19499)
Chapter 4. Musculoskeletal System (20005–29999)
Chapter 5. Respiratory System (30000–32999)
Chapter 6. Cardiovascular System (33016–37799)
Chapter 7. Hemic and Lymphatic Systems: Mediastinum and Diaphragm (38100–39599)
Chapter 8. Digestive System (40490–49999)
Chapter 9. Urinary System (50010–53899)
Chapter 10. Female and Male Genital System; Reproductive System Procedures; Intersex Surgery; and Maternity Care and Delivery (54000–59899)
Chapter 11. Endocrine System; Nervous System (60000–64999)
Chapter 12. Eye and Ocular Adnexa; Auditory System; Operating Microscope (65091–69990)
Chapter 13. Radiology Section (70010–79999)
Chapter 14. Pathology and Laboratory Section (80047–89398)
Chapter 15. Medicine Section (90281–99607)
Chapter 16. CPT Modifiers
Part Three
Medical Terminology / Key Terms
Suffixes and Prefixes
Key Terms
Appendix: Common ICD-10 Main Terms