What Medical Coding is All About
Medical coding is turning medical reports into a set of codes. In medical claims, these codes make a crucial part. Could be, diagnosis, a prescription and any procedures performed on the patient by a doctor, a doctor’s report. It is essential for medical coding to ensure that diagnoses and medical procedures are properly classified. The purpose of these diagnostic codes apart from helping in insurance claims is keeping track of contagious and common diseases. Procedure coding helps to keep track of the mode of treatment provided.
Medical coding helps in diagnostic request forms and reimbursement forms of insurance claims. In research and statistical purposes, they are also used. Ensuring that there is uniform documentation of a patient’s health history between medical facilities is done by medical coding. The patient having been referred to another hospital or having moved to another region might be the cause. Efficient research and analysis is ensured by this uniform documentation. To effectively and efficiently keep track of health trends it is used by government and health agencies. Efficient transfer of huge amounts of information and data is also made possible by medical coding for instance from a system loaded with data.
There are different types of codes that are used but the most commonly used are; ICD and CPT codes. International Classification of Diseases codes is what ICD stands for. Identifying the problem that a patient was found to have an diagnoses is what they help in. On the other hand CPT stands for Current Procedural Terminology codes. They are used to code everything from a visit to the doctor to more complicated matters such as brain surgery. Representation of the doctor’s diagnosis and the condition of the patient ICD codes are used. Into six ranges CPT is divided and they correspond to major medical fields. Anesthesia, surgery, evaluation and management, radiology, pathology and laboratory and medicine is what includes these medical fields.
There is also ambulance and emergency medicine coding in the practice of medicine. It requires a totally unique set of codes because it is a specialty on its own. For physicians or hospital services, these codes are not used. The documentation and coding requirements for medical and ambulance coding are different from each other. The ambulance coder must take into account conditions, so as to produce an accurate and compliant claim. Condition codes must be used in this case. Since it is beyond their scope to render a diagnosis and only a physician can do that, the condition of the patient is considered in coding. The patient might have died between the dispatch of the ambulance and its arrival. In medical coding, evaluation and management coding are used while in ambulance coding, condition codes are used.
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