Module 2 - Codes
Module 2 - Codes
Module 2
Assigning pre-defined
numeric or alpha-
numeric codes to a
patient’s medical
condition and provider’s
treatment
2
Why Medical coding?
3
Classification of Medical codes
• Explains the reason for patient’s visit • Explains the treatment or checkup
/medical condition /disease of the done by the doctor; includes
patient. medicines & supplies.
4
Types of ICD-9-CM codes
Explains the reason for patient’s visit /medical condition/disease of the patient.
E-codes V-codes
Numeric codes
(alpha-numeric codes) (alpha-numeric codes)
123.12 V12.12
5
Code Ailments Category Examples
A few ICD-9-CM Codes
Diseases of the Nervous System 320-389 332.0 – Paralysis.
c code
Diseases of the Digestive System 460-519
506.0 – Breathing trouble.
7
Types of procedure codes
Explains the treatment or check up done by the doctor including medicines & supplies
• Format: • Format:
12345 (A-V)1234
8
CPT code category
Type of Service CPT Code Range Examples
00537 - Anaesthesia for cardiac
Anesthesiology 00100 to 01999
surgery
21270 - Augmentation, prosthetic
Surgery 10040 to 69990
material
9
HCPCS Level II Codes
Level II HCPCS codes represents products or
equipment.
10
POP Quiz!
11
What are Modifiers?
Modifiers are used along with procedure codes to explain additional
information or any modifications done to the particular procedure.
LT Left side
RT Right side
TC Technical component
26 Professional component
12
Place of Service Codes
POS codes should be used in CMS 1500 to specify the place where service(s) were
rendered. This code will have an impact on insurance reimbursement.
21 Inpatient hospital
22 Outpatient hospital
11 Office visit
13
Learning check/ Try it yourself
14
Glossary
• Medical reimbursement: Act of compensating subscriber for an medical expense.
• Pre-defined : Already defined.
• Vaccinations: Vaccination is the use of vaccines (medicines) to prevent oneself from specific
diseases.
• Nervous system: The nervous system is responsible for carrying instruction from brain leading to
voluntary actions.
• Circulatory system: The circulatory system is an organ system that passes nutrients, hormones,
blood cells, etc. to and from cells in the body to help fight diseases and help stabilize body
temperature.
• Respiratory system : The primary function of the respiratory system is to supply the blood with
oxygen in order for the blood to deliver oxygen to all parts of the body.
• Hazards: A situation that poses a level of threat to life, health, property, or environment.
• Self inflicted injury: A self-inflicted wound (SIW), is the act of harming oneself.
• Injectable rugs: An injectable drug is an method of putting fluid into the body, usually with a
syringe and a hollow needle which is pierced through the skin to a sufficient depth for the
material to be administered into the body.
• Paralysis: The loss of the ability to move (and sometimes to feel anything) in part or most of the
body,
15