Chapter 14- Coding Flashcards
ICD-9-CM
International classification of Diseases, ninth revision, clinical modification; transforms verbal descriptions of disease, injuries, conditions, and procedures into numeric codes.
When does ICD-10-CM/PCS go into effect?
October 1,2013, third party payers require use after January 1, 2014
Volume 1 of ICD-9
Tabular List of diseases; classification of diseases and injuries; justifies physician services
ABN
Advance beneficiary notice; patient is responsible for paying bill for non medically necessary procedure
Volume 2 of ICD-9
Alphabetic index of diseases; diagnostic terms not in vol. 1; justifies physician services
V codes
Used when u are not sick; from V01-V82
3 sections of alphabetic index(Volume 2)
1- main terms printed in bold type
2- table of drugs and chemicals
3- external cases of injuries and poisonings
E codes
External injuries and poisoning; from E800- E999; do not affect reimbursement
Volume 3 of ICD-9
Tabular list & alphabetic index of procedures; inpatient coding for hospital procedures only
What form is used to report physician services
CMS-1500
Conventions
General notes, symbols, typeface, format, and punctuation that direct and guide a coder to the most accurate ICD-9 code
4th and 5th digits with specificity
Subcategory codes used to provide more detail
How are codes listed when there is more than one?
The primary code, or reason they came in the office today, is listed first
Late effects
Symptoms arising from an acute illness
Category Y93 codes
Include activity codes, which are only used on the initial visit for treatment or injury
