Coding Review and Practice

Introduction

All provider offices, outpatient health care settings, and healthcare facilities must report ICD-9-CM /ICD-10-CM diagnosis codes.  All provider-based offices and outpatient health care settings report CPT and HCPCS level II codes for procedures and services.   This includes physicians, nurse practitioners, and physician assistants who provide services to inpatients during hospitalization.

ICD-9-CM/ICD-10-CM codes are assigned to diagnoses, conditions, signs, and symptoms documented by the health care provider.  Diagnosis codes reported on insurance claims results in uniform reporting of medical reasons for healthcare services provided. CPT and HCPCS level II codes are reported on insurance claims for procedures and services provided in the provider’s office and outpatient health care settings.

 

Objectives

Upon completion of this module, the student will be able to:
  • Identify basic steps in diagnosis coding
  • Assign diagnosis codes using the Alphabetic Index and Tabular List
  • Identify the main differences between the ICD- and CPT coding systems for diagnosis coding.
  • Select and code diagnoses and procedures from case studies and sample reports.

Readings & Resources

Required Textbook reading:  Kuehn, Lynn.  Procedural Coding and Reimbursement for Physician Services:  Applying Current Procedural Terminology and HCPCS.  AHIMA Press. 2012 edition. Chapter 12
 
Required Textbook reading:  Smith, Gail.  Basic Current Procedural Terminology and HCPCS Coding.  AHIMA Press.  Most current edition Chapter 10
 
cms.gov

CMS Medical Learning Network (Note: This site requires a free registration before use).

www.decisionhealth.com

EncoderPro.com

Findacode.com

Schraffenberger, L.  Basic ICD-10-CM/PCS and ICD-9-CM Coding.  AHIMA Press.  Most current edition.

Leon-Chisen, N.  ICD-10-CM and ICD-10-PCS Coding Handbook.  AHA.  Most current edition. 

Assignments and Activities