The learning objectives for this chapter include: List the sections of the CPT manual, giving the code range for each, describe briefly each of the CPT’s general guidelines, list the types of E/M Codes within the CPT, list the areas included in the Surgical Coding Section,. | 19 Procedure Coding Learning Outcomes (cont.) List the sections of the CPT manual, giving the code range for each. Describe briefly each of the CPT’s general guidelines. List the types of E/M Codes within the CPT. List the areas included in the Surgical Coding Section. Learning Outcomes (cont.) Locate a CPT code using the CPT manual. Explain how to locate a HCPCS code using the HCPCS coding manual Explain the importance of code linkage in avoiding coding fraud Introduction Procedural coding Translate medical procedures and services into codes Explains what services were provided Code “linkage” with diagnostic codes Maximum reimbursement This chapter introduces the language of procedural coding which is the translation of medical terms for procedures and services provided to patients into code numbers selected from standardized procedural coding systems. Procedural coding explains to third-party payers the services patients received from . | 19 Procedure Coding Learning Outcomes (cont.) List the sections of the CPT manual, giving the code range for each. Describe briefly each of the CPT’s general guidelines. List the types of E/M Codes within the CPT. List the areas included in the Surgical Coding Section. Learning Outcomes (cont.) Locate a CPT code using the CPT manual. Explain how to locate a HCPCS code using the HCPCS coding manual Explain the importance of code linkage in avoiding coding fraud Introduction Procedural coding Translate medical procedures and services into codes Explains what services were provided Code “linkage” with diagnostic codes Maximum reimbursement This chapter introduces the language of procedural coding which is the translation of medical terms for procedures and services provided to patients into code numbers selected from standardized procedural coding systems. Procedural coding explains to third-party payers the services patients received from the provider. This chapter also introduces “linking” of diagnosis codes with procedure codes to explain the medical necessity of each procedure or service performed. Accurate procedure codes plus accurate and appropriate diagnosis codes equal the maximum appropriate reimbursement to the physicians in your medical office. The CPT Manual Procedure code Medical procedures and services Based on encounter form or patient record Current Procedural Terminology (CPT) HIPAA-required code set Published by the AMA Updated annually Use the appropriate CPT based on date of service Learning Outcome: List the sections of the CPT manual, giving the code range for each. Procedure codes – represent medical procedures and medical services to evaluate a patient’s condition. CPT Manual – a reference manual published by the American Medical Association The most commonly used system of procedure codes. HIPAA-required code set translates descriptions for physicians and other provider .
