What is Medical Coding - Online free Training

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Medical coding is a little bit like translation. Coders take medical reports from doctors, which may include a patient’s condition, the doctor’s diagnosis, a prescription, and whatever procedures the doctor or healthcare provider performed on the patient, and turn that into a set of codes, which make up a crucial part of the medical claim.

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learn more about medical coding this
video will get you through the whats
whys and hows of the coating process
coders take medical reports from doctors
which may include a patient's condition
the doctor's diagnosis a prescription
and whatever procedures the doctor or
healthcare provider performed on the
patient and turn that into a set of
codes which make up a crucial part of
the medical claim why we code let's
start with a simple question about
medical coding why do we call medical
reports wouldn't be enough to listen
symptoms diagnosis and procedures send
them to an insurance company and wait to
hear which services will be reimbursed
to answer that we have to look at the
massive amount of data that every
patient visit entails if you go to the
doctor with a sore throat and present
the doctor with symptoms like a fever
sore throat and enlarged lymph nodes
these will be recorded along with the
procedures the doctor performs and the
medicine the doctor prescribes in a
straightforward case like this
the doctor will only officially reported
diagnosis but that still means the
portion of that report that will be
coded contains a diagnosis a procedure
and prescription take a step back and
this is suddenly a lot of very specific
information and that's just for a
relatively simple doctor's visit
what happens when a patient comes into a
doctor with a complicated injury or
sickness like an ocular impairment
related to their type 2 diabetes as
injuries conditions and illnesses get
more complex the amount of data that
needs to be conveyed to insurance
companies increases significantly
according to the Center for Disease
Control CDC there were over 1.2 billion
patient visits in the past year
that's a stat that includes visits to
physicians office hospital outpatient
facilities and emergency rooms if they
were just five pieces of coded
information for a visit which is an
almost unrealistically low estimate that
be six billion individual pieces of
information that needs to be transferred
every year in assistive loaded the data
medical coding allows for the efficient
transfer of huge amounts of information
coating also allows for uniform
documentation between medical facilities
the code for streptococcal sore throat
is the same in Arkansas as it is in
hawaii having uniform data allows for
efficient research and analysis which
government and health agencies use to
track health trends much more
efficiently if the CDC for example wants
to analyze the prevalence of viral
pneumonia they can search for the number
of recent ammonia diagnosis by looking
for the icd-9-cm code for 80 finally
coating allows administration's to look
at the prevalence and effectiveness of
their treatment in their facility this
is especially important to large medical
facilities like hospitals like
government agencies tracking say the
incidence of a certain disease medical
facilities can track the efficiency of
their practice by analyzing now that we
understand the importance of this
practice let's take a look at the three
types of codes that you'll have to
become familiar with as a medical coder
three types of codes you'll have to know
there are three sets of codes you'll use
on a daily basis as a medical coder icd
the first of these is the international
classification of diseases or ICD codes
these are diagnostic codes that create a
uniform vocabulary for describing the
causes of injury illness and death this
code set was established by the world
health organization in the late nineteen
forties it's been updated several times
in the 60-plus years since its inception
the number following icd represents
which revision of the code is in use for
example the code that's currently in use
in the united states is icd-9-cm this
means is the ninth revision of the ICD
code that CM at the end stands for
clinical modification so the technical
name for this code is the international
classification of diseases 93 vision
clinical modification the clinical
modification is a set of revisions put
in place by the national center for
health statistics which is a division of
the Center for Medicare and Medicaid
studies the clinical modification
significantly increases the number of
codes for diagnosis
these this increased go gives coders
much more flexibility and specificity
which is essential for the profession to
give you an idea of how important the
clinical modification is the icd-10 code
has 14,000 codes its clinical
modification icd-10-cm contains over
68,000 ICD codes are used to represent a
doctor's diagnosis and the patient's
condition in the building process these
codes are used to determine medical
necessity coders must make sure the
procedure their billing for makes sense
with the diagnosis given to return to
our strep throat example if a coder
listed as strep throat diagnosis as a
medical justification for an xray that
claim would likely be rejected icd-9
codes are updated by the NCHSAA on a
regular basis
one of the biggest issues encoding and
indeed in the health information
business at large is the upcoming
switchover from icd-9-cm to icd-10-cm
will cover this in upcoming courses but
the quick summary is that icd-9-cm has
reached its capacity of use as a coding
system icd-10-cm provides significantly
more codes and thus more flexibility and
accuracy in the coding process the
entire medical system is set to change
over from icd-9-cm and icd-10-cm in
October of 2014
let's turn our attention now to the two
types of procedure codes cpt current
procedural terminology or CPT codes are
used to document the majority of the
medical procedures performed in a
physician's office this code set is
published and maintained by the American
Medical Association these codes are
copyrighted by the AMA and are updated
annually cpt codes are 5-digit numeric
codes that are divided into three
categories the first category is used
most often and it's divided into six
ranges evaluation and management
anesthesia surgery radiology pathology
and laboratory and medicine
the second category of cpt codes
corresponds to performance measurement
and in some cases laboratory or
radiology test results these five digit
alphanumeric codes are typically added
to the end of a category 1 cpt code with
a hyphen category two codes are optional
and may not be used in the place of
category 1 codes these codes are useful
for other physicians and health
professionals and the same anticipate
that category two codes will reduce
administrative burden on physicians
offices by providing them with more and
more accurate information specifically
related to the performance of health
professionals and health facilities the
third category of cpt codes corresponds
to emerging medical technology as a
coder you'll spend the vast majority of
your time with the first two categories
the first will undoubtedly be more
common cpt codes also have addendums
that increases specificity and accuracy
of the code used since many medical
procedures require finer level of detail
than the basic category 1 cpt code
offers the AMA has developed a set of
cpt modifiers these are two digit
numeric and alphanumeric codes that are
added to the end of the category 1 cpt
code cpt modifiers provide important
additional information to the procedure
code for instance
there is a cpt modifier that describes
which side of the body of procedures
performed on and there's also a code for
a discontinued procedure
dick pics healthcare common procedure
coding system HCPCS commonly pronounced
hick pics are set of codes based on cpt
codes developed by the CMS the same
organization that developed cpt and
maintained by the am a dick pics codes
primarily correspond to services
procedures and equipment not covered by
cpt codes
this includes durable medical equipment
prosthetics ambulance rides and certain
drugs and medicines dick pics is also
the official code set for outpatient
hospital care chemotherapy drugs
Medicaid and Medicare among other
services since Hicks codes are involved
in Medicaid and Medicare it's one of the
most important codes and medical coder
can use the hick pics code set is
divided into two levels
the first of these levels is identical
to the cpt codes that we covered earlier
level two is a set of alphanumeric codes
that is divided into 17 sections each
based on an area of specificity like
medical laboratory or rehabilitative
services like cpt codes each take pics
code should correspond with the
diagnostic code that justifies a medical
procedure it's the coders responsibility
to make sure whatever outpatient
procedures detail to the doctor's report
makes sense with alyssa diagnosis
typically describe via and ICD code
now that you've got a better idea of
what each of these codes is and what
they do
let's start exploring each code set in a
little more detail