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Dec 6, 2023

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Coding Description Assignment Answer each of the following in your own words. DO NOT copy and paste information. DO NOT plagiarize. 1. What is the difference between a CPT code and an ICD 9 code? Why would you need both? 2. What does ICD 9 code mean? (Not the meaning of the abbreviation) 3. What does CPT mean in medical terms? 4. What are the differences between ICD 9 and ICD 10 coding? Approximately how many codes does each have? 5. What are the three categories of CPT codes? Describe each category. 6. Why is CPT coding important? 7. How often is CPT updated? 8. What is CPT modifier? Student Name __________________________ Date: ________________________ 1. CPT codes describe what you do, and ICD-9 codes describe why you do it. Each service you provide becomes a line item (a CPT code) on an insurance claim form. 2. ICD-9-CM is a set of codes used in American healthcare to assign alphanumeric codes to patient diagnoses. 3. Current Procedural Terminology 4. ICD-9-CM codes are very different than ICD-10-CM/PCS code sets: There are nearly 19 times as many procedure codes in ICD-10-PCS than in ICD-9-CM volume 3. There are nearly 5 times as many diagnosis codes in ICD-10-CM than in ICD-9-CM. ICD-10 has alphanumeric categories instead of numeric ones 5. Category I: These codes have descriptors that correspond to a procedure or service. Codes range from 00100–99499 and are generally ordered into sub-categories based on procedure/service type and anatomy. Category II: These alphanumeric tracking codes are supplemental codes used for performance measurement. Using them is optional and not required for correct coding.

Category III: These are temporary alphanumeric codes for new and developing technology, procedures and services. They were created for data collection, assessment and in some instances, payment of new services and procedures that currently don’t meet the criteria for a Category I code. Proprietary Laboratory Analyses (PLA) codes: Recently added to the CPT code set, these codes describe proprietary clinical laboratory analyses and can be either provided by a single (“solesource”) laboratory or licensed or marketed to multiple providing laboratories that are cleared or approved by the Food and Drug Administration (FDA)). This category includes but is not limited to Advanced Diagnostic Laboratory Tests (ADLTs) and Clinical Diagnostic Laboratory Tests (CDLTs), as defined under the Protecting Access to Medicare Act of 2014 (PAMA). 6. to ensure they are correctly logging and billing the correct procedures for the correct patient. Without a code set to match services, hospitals would have no way of tracking this data. 7. annually 8. used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician . Understanding Coding Why is coding important? What are some of the pros and cons of coding? Minimum 200 words. USE YOUR OWN WORDS! Medical billers and coders play an important role in the medical field. They help to ensure that patients receive the correct medical care and that their bills are accurate. They also help to ensure that insurance companies are billed correctly. The work is challenging and interesting, so you won't get bored easily. Medical billers and coders work with a variety of medical professionals, such as doctors, nurses, and therapists. This gives them a broad understanding of the medical field and how different procedures work. This knowledge is important in order to accurately code bills. Medical billing and coding can be complex and challenging. Billers and coders need to have a good understanding of medical terminology and billing procedures. They also need to be able to use various software programs. Those who are not comfortable with technology may find the job difficult. One of the benefits of being a medical biller and coder is that you can use your coding skills to improve the efficiency of the billing process. By accurately coding bills, medical billers and coders can help to speed up the billing process. This can save time and money for both the medical facility and the insurance company. There is a lot of paperwork involved in being a medical biller and coder. This paperwork can include billing invoices, patient charts, and

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