Medical billing is a complicated position that requires training. There are a myriad of procedures, medications and illnesses with difficult to spell names. A coder must know the Current Procedural Terminology, known as the cpt codes to function in that position.
There is a panel of experts who oversee maintenance of the medical code under the direction of the American Medical Association. It is called the CPT Editorial Panel. It is copyright protected by the AMA.
The code facilitates clarity in communication from one medical department to another. It covers descriptions of diagnostic, surgical and medical care for coders. It identifies what service a patient is being billed for.
ICD-10 coding identifies the illness or condition a patient is suffering from. Three types of CPT code exist, identified as Category I, Category II and Category III. In Category I you will find six sections. Some examples of Category I are Office or outpatient, Critical care and Home health care services.
There are specific ones for the administration of anesthesia. Each code refers to a body part or type of procedure. For example, upper or lower abdomen, radiological procedures and neck are each assigned their own code.
Individual numbers assigned to surgical services may include pelvic, reproductive system and auditory system. To make the billing very specific, a cochlear implant surgery is classified under auditory system. Billing is rendered less complicated when used in the bills sent out to the patient.
Radiology includes diagnostic ultrasound, radiation oncology and mammography. The mammogram is most often a routine check for breast cancer. It is administered by a nurse and read by a physician.
Pathology and laboratory are another category. Included are drug tests, evocative suppression testing and the simple urinalysis administered as part of any routine exam in the physicians office. Complicated testing includes hematology and coagulation, transfusion medicine and the postmortem anatomic pathology.
The ones for the category named medicine include routine vaccinations, administering those immunizations and treatments for kidney disease, which are transfusions to clean the blood. It is dialysis that maintains the patients life while they wait for a kidney transplant. After that, if successful, they will no longer require dialysis treatments.
This same classifications for medicine include psychiatry, special otorhinolaryngologic services and noninvasive vascular diagnostic studies. The otorhinolaryngologic specialist is also known as an ear, nose and throat man or woman.
They include a letter of the alphabet to indicate they belong in Category II. There will be four numbers and then a letter of the alphabet. There are eleven Category II codes that include diagnostic screenings, taking a patient history and physical examination.
Category III codes include those for psychotherapy and other counseling. Some will be retired as of 2014. However psychological testing codes will not be changed. Codes are re-evaluated on an annual basis.
It is true that CPT is a copyright protected registered trademark belonging to the American Medical Association. However, its use is not limited to that organization. It is used by other health care organizations. Some examples are the Centers for Medicare and Medicaid, and the Federal Register. Each pays a licensing fee to entitle them to utilize the code.
There is a panel of experts who oversee maintenance of the medical code under the direction of the American Medical Association. It is called the CPT Editorial Panel. It is copyright protected by the AMA.
The code facilitates clarity in communication from one medical department to another. It covers descriptions of diagnostic, surgical and medical care for coders. It identifies what service a patient is being billed for.
ICD-10 coding identifies the illness or condition a patient is suffering from. Three types of CPT code exist, identified as Category I, Category II and Category III. In Category I you will find six sections. Some examples of Category I are Office or outpatient, Critical care and Home health care services.
There are specific ones for the administration of anesthesia. Each code refers to a body part or type of procedure. For example, upper or lower abdomen, radiological procedures and neck are each assigned their own code.
Individual numbers assigned to surgical services may include pelvic, reproductive system and auditory system. To make the billing very specific, a cochlear implant surgery is classified under auditory system. Billing is rendered less complicated when used in the bills sent out to the patient.
Radiology includes diagnostic ultrasound, radiation oncology and mammography. The mammogram is most often a routine check for breast cancer. It is administered by a nurse and read by a physician.
Pathology and laboratory are another category. Included are drug tests, evocative suppression testing and the simple urinalysis administered as part of any routine exam in the physicians office. Complicated testing includes hematology and coagulation, transfusion medicine and the postmortem anatomic pathology.
The ones for the category named medicine include routine vaccinations, administering those immunizations and treatments for kidney disease, which are transfusions to clean the blood. It is dialysis that maintains the patients life while they wait for a kidney transplant. After that, if successful, they will no longer require dialysis treatments.
This same classifications for medicine include psychiatry, special otorhinolaryngologic services and noninvasive vascular diagnostic studies. The otorhinolaryngologic specialist is also known as an ear, nose and throat man or woman.
They include a letter of the alphabet to indicate they belong in Category II. There will be four numbers and then a letter of the alphabet. There are eleven Category II codes that include diagnostic screenings, taking a patient history and physical examination.
Category III codes include those for psychotherapy and other counseling. Some will be retired as of 2014. However psychological testing codes will not be changed. Codes are re-evaluated on an annual basis.
It is true that CPT is a copyright protected registered trademark belonging to the American Medical Association. However, its use is not limited to that organization. It is used by other health care organizations. Some examples are the Centers for Medicare and Medicaid, and the Federal Register. Each pays a licensing fee to entitle them to utilize the code.
About the Author:
You can visit www.codingtemplate.com for more helpful information about Cpt Codes Exist To Facilitate Medical Billing.
No comments:
Post a Comment