Classification Of Information For The Healthcare System

Under the references comes the 3M Coding Reference Plus, and it contains AHA Coding Clinic for HCPCS, Coders’ Desk Reference for Procedures by Optum, Anesthesia Crosswalk, Faye Brown’s ICD-9-CM Coding Handbook, and ICD-10-CM and ICD-10-PCS Coding Handbook. The References include introductions, changes in the ICD coding, and guidelines for coders to find and better understand the coding process. For example, the Anesthesia section provides the section of the surgery and next to it the section where the right code can be assigned. Then, the Coding Clinic for HCPCS provide some articles and questions with their answers related to coding and the changes to some codes. These references are crucial in the coding sector, especially with the changes that occur on some codes and modifiers. Coders should be aware of the references and use them to avoid intention and non-intention mistakes, frauds or abuse.

ICD-9-CM procedure codes had about 3,000 codes, ICD-10-PCS has over 72,000 codes. The way the new system has been set up this number has the ability to grow as well.

"In the United States, ICD-10 has been used to classify mortality data since 1999, while we continue to use ICD-9-CM for all other purposes, such as billing and morbidity statistics. In addition, government agencies, health care insures, and providers are studying the implications of switching to ICD-10-CM." (Aalseth, 2006)

Coding systems are used in the inpatient and outpatient settings for the classification of patient morbidity and mortality information for statistical use. The World Health Organization (WHO) developed the Ninth Revision, International Classification of Diseases (ICD-9) in the 1970s to track mortality statistics across the world. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), is the adaptation the U.S. health system uses as a standard list of six-character alphanumeric codes to describe diagnoses. Globally utilizing a standardized system improves consistency in recording symptoms and diagnoses for payer claims reimbursement, as well as clinical research, and tracking purposes.

16. If a patient were discharged from the hospital with a diagnosis of probable myocardial infraction without a history of MI in the past, what ICD-9 code would the document for this stay?

This standardized dialect is also pertinent for medical schooling and teaching in addition to clinical research and studies conducted by scholars, scientists, and physicians by providing a valuable foundation for domestic and coast-to-coast operation evaluations. CPT is used to describe doctor’s services, a vast amount of administrative services in addition to operating services executed in medical facilities, treatment care centers, and outpatient divisions. Providing support for clerical duties and functions such as processing medical claims and initiating strategies and procedures for the evaluation of clinical care is another cause of relevance for CPT. The system also meets the need for tracking trends and identifying improvements, plus progression goals and scaling the value of healthcare services received by patients. The CPT coding system provides physicians throughout the United States with a consistent method for classifying and coding clinical procedures which in return provides a more efficient tool for recording and reporting task that were completed. Physicians, scholars and payors, have been dependent upon CPT to interconnect with other fellow associates, patients,

The main and most obvious difference between ICD-9 and ICD-10 is that there is a significant increase in the amount of codes. ICD-9-CM has an approximate of 17,849 codes when combining all procedural and diagnosis codes, whereas ICD-10 has well over 68,000 Clinical Modification (CM) codes and over 71,000 Procedural Coding System (PCS) codes. There are also several structural differences between ICD-9-CM and ICD-10-CM/PCS. Some of them are:

To determine the CPT code for the above case scenario, the first step is to identify its category 1 which in this case will be emergency department services which range from code 99281-99288. In this category, the case scenario would also be assigned code 78000-79999 for nuclear medicine and code 76500-76999 for diagnostic radiology. The codes would be selected based on the chest x-ray and nuclear stress test done to the patient. Codes 99605-99607 would also be assigned based on the medication given to the patient. In category II of CPT, the case scenario would be assigned code 0500F – 0575F for patient management based on patient evaluation and prescription changing.

- structure of procedure codes. Codes in ICD-10-PCS have 7 characters where each of them can be either alpha or numeric. Compare to ICD-9-CM, there are 3-4 characters where all characters are numeric.

The International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding can be complex to the novice and experienced provider. However, they are a vital component of provider practice. Their usage provides information in a code to insurers, public health, and researchers booth nationally and international. The following will provide information related to ICD and CPT coding and how it was used in a recent clinical setting by two patients

HCPCs or Healthcare Common Procedure Coding System is used to represent procedures, supplies, products, and services that are provided to Medicare, Medicaid beneficiaries, and to individuals enrolled in a private insurance program. The setting I think you would use HCPCs codes in are Hospitals and in Doctor's Office. I think that would be a common setting in which you would use HCPCs codes because of everything that goes into each and every procedure. The doctor puts a lot of material into each and every procedure.

Coding violations is one of common ways that health care providers can defraud the Government. Health care provider must enter a numerical “Procedure Code” CPT (Current Procedural Terminology) code or HCPCS (Health Care Common Procedure Coding System) code that matches the specific type of care provided to the patient in order to bill either a government health care program such as Medicare, or Medicaid or private insurance company such as Blue Cross Blue Shield or a for payment.

Due to ICD-9-CMS’ ability to provide necessary detail for patients’ medical conditions or the procedures and services performed on hospital patients, ICD-10-CM/PCS was implemented.

ICD-10, which is the tenth revision of the International Statistical Classification of Diseases and Related Health Problem, refers to a medical classification inventory for the coding of diseases, their signs, symptoms and causes (Center for Disease Control and Prevention 1). The use of this revised version in the United States is scheduled to begin officially on the first of October 2013. Currently, ICD-10 is being used for diagnosis coding, in procedure coding systems and for inpatient procedure coding.

The outmoded coding professional’s role was to describe and apportion diagnosis, procedure, and other medicinal service codes using ICD-9-CM and HCPCS/CPT coding classifications while referencing the Coding Clinic for ICD-9-CM, Coding Clinic for HCPCS,