Diagnostic & Procedural Codes

Question 1

Diagnostic & Procedural Coding

Answer 1

it translates written descriptions of diseases, ailments, injuries, or any health encounter into numeric or alphanumeric codes

each code identifies a specific encounter, ailment, or injurey

Question 2

ICD-10-CM coding

Answer 2

allows more specific reporting of diseases & newly recognized conditions

3-7 characters
1st character –» alphabetical
2nd & 3rd characters –» numeric
4th, 5th, 6th & 7th –> either alphabetic or numeric

Question 3

ICD-10-PCS

Answer 3

Procedural Coding System (PCS)

is a system comprised of medical classifications for procedural codes typically used within hospitals that record various health treatments and testing

Question 4

CPT codes & modifiers

Answer 4

Current Procedural Terminology (CPT) codes and modifiers…

-are used to document procedures & technical services based on services by providers in outpatient settings

-5-digit numeric nodes used to describe an evaluation management service rendered by providers

assist in communicating data on procedures & services, correct filing of insurance claims

Question 5

HCPCS

Answer 5

Healthcare Common Procedure Coding System

a group of codes & descriptions that represent procedures, supplies, products, & services not covered or included in the CPT coding system

these codes are typically used for Medicare and Medicaid insurance plans

codes created by the Centers for Medicare and Medicaid Services to report supplies, materials, and other procedures & services not defined in the CPT manual