Step-By-Step Medical Coding

by ; ;
Edition: 4th
Format: Paperback
Pub. Date: 2002-02-01
Publisher(s): Elsevier Science Health Science div
List Price: $52.95

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Summary

Step-by-Step Medical Coding takes a practical approach to training students for a career in medical coding. It begins with an introduction to Current Procedural Terminology (CPT), followed by in-depth explanations of the sections found in the CPT manual. Several chapters, organized to follow the CPT codes by body system, introduce various procedures and demonstrate how to code each one. Practice exercises following each step of information and at the end of each unit reinforce important concepts and allow users to check their comprehension. Unit 2 covers the International Classification of Diseases, 9th Revision, Clinical Modification (ICD 9-CM), and Unit 3 offers information about third party reimbursement. Appendices provide the official ICD-9-CM guidelines for coding and reporting, answers to the in-text exercises, and the documentation guidelines for E/M services. Repetition of skills in each chapter reinforces material, and creates a logical progression to for easy learning, as well as illustrating skill integration In-text exercises throughout each chapter immediately reinforce the coding rules and concepts, emphasizing the step-by-step organization of the book Medical procedures or conditions are illustrated and discussed in the text help readers understand the services being coded. Format for answers includes four response variations: one answer blank for coding questions that require a one-code answer; multiple answer blanks for coding questions that require a multiple-code answer; identifiers next to the blank(s) guide readers through the most difficult coding scenarios; and answer blanks with a preceding symbol prompt the reader to decide the number of codes necessary to correctly answer the question. Official Guidelines for Coding and Reporting boxes in the chapter on Using the ICD-9-CM (Chapter 15) visually indicate inpatient vs. outpatient use. Extensive glossary familiarizes new coders with important terms. Concrete, real-life examples demonstrate the application of important coding principles and practices, such as financial losses that can result from inappropriate coding. Chapter learning objectives and end-of-chapter review questions help readers focus on essential chapter content. From the Trenches feature highlights a different real-life medical coding practitioner in each chapter, with photographs throughout the chapter alongside quotes that offer practical advice or motivational comments. Coding Shots contain tips for the new coder. Stop! notes offer a brief summary of material that was just covered and provide a transition to the next topic. Caution! notes warn students of common coding mistakes and reinforce the concept of coding as an exact science. Check This Out boxes offer notes relevant to the coding profession. Official Coding and Reporting Guidelines boxes in the chapter on Using the ICD-9-CM contain excerpts of the actual guidelines so the reader can see the official wording presented alongside discussions of that topic in the text. A new full-color design makes the book more visually stimulating and makes it easier to identify key content. Appendix D, Quick Guide to HIPAA for the Physician's Office, provides important information about new HIPAA guidelines. New illustrations enhance the quality of the text and clarify the most important coding concepts. This best-selling textbook now publishes annually, to insure it contains the most up-to-date coding information.

Table of Contents

Unit I Current Procedural Terminology (CPT)
Introduction to the CPT
2(26)
Purpose of the CPT Manual
4(3)
The CPT Manual Format
7(11)
Starting with the Index
18(7)
Chapter Glossary
25(1)
Chapter Review
25(3)
The Evaluation and Management (E/M) Section
28(60)
Contents of the E/M Section
30(1)
Three Factors of E/M Codes
30(2)
Various Levels of E/M Service
32(21)
An E/M Code Example
53(1)
Using the E/M Codes
53(29)
Documentation Guidelines
82(2)
Chapter Glossary
84(1)
Chapter Review
85(3)
The Anesthesia Section and Modifiers
88(36)
Learning About the Anesthesia Section
90(1)
Types of Anesthesia
90(1)
Anesthesia Section Format
91(1)
Formula for Anesthesia Payment
92(7)
Unlisted Anesthesia Code
99(1)
Modifiers Used with CPT Codes
100(1)
The CPT Modifiers
100(1)
Modifiers That Usually Affect Reimbursement
101(13)
Modifiers That May Affect Reimbursement
114(2)
Modifiers That Provide Added Information Only
116(6)
Chapter Glossary
122(1)
Chapter Review
123(1)
Introduction to the Surgery Section and Integumentary System
124(42)
Introduction to the Surgery Section
126(1)
Format
126(4)
Separate Procedures
130(1)
Starred Procedures
131(1)
Surgical Package
132(4)
General and Integumentary System
136(1)
Format
136(1)
Skin, Subcutaneous and Accessory Structures
137(10)
Repair (Closure)
147(10)
Burns
157(2)
Destruction
159(2)
Breast Procedures
161(2)
Chapter Glossary
163(1)
Chapter Review
164(2)
Musculoskeletal System
166(20)
Format
168(1)
Coding Highlights
168(5)
General
173(7)
Application of Casts and Strapping
180(2)
Endoscopy/Arthroscopy
182(2)
Chapter Glossary
184(1)
Chapter Review
184(2)
Respiratory System
186(22)
Format
188(1)
Coding Highlights
189(2)
Nose
191(5)
Accessory Sinuses
196(1)
Larynx
196(3)
Trachea and Bronchi
199(2)
Lungs and Pleura
201(4)
Chapter Glossary
205(1)
Chapter Review
206(2)
Cardiovascular System
208(38)
Coding Highlights
210(2)
Cardiovascular Coding in the Surgery Section
212(17)
Cardiovascular Coding in the Medicine Section
229(11)
Cardiovascular Coding in the Radiology Section
240(4)
Chapter Glossary
244(1)
Chapter Review
244(2)
Female Genital System and Maternity Care and Delivery
246(20)
Female Genital System
248(1)
Format
248(1)
Coding Highlights
249(10)
Maternity Care and Delivery
259(1)
Format
259(1)
Coding Highlights
259(4)
Chapter Glossary
263(1)
Chapter Review
264(2)
General Surgery I
266(18)
Male Genital System
268(1)
Intersex Surgery
269(1)
Urinary System
270(3)
Digestive System
273(5)
Mediastinum and Diaphragm
278(2)
Chapter Glossary
280(3)
Chapter Review
283(1)
General Surgery II
284(16)
Hemic and Lymphatic Systems
286(2)
Endocrine System
288(2)
Nervous System
290(3)
Eye and Ocular Adnexa
293(3)
Auditory System
296(1)
Chapter Glossary
297(2)
Chapter Review
299(1)
The Radiology Section
300(30)
Format
302(1)
Radiology Terminology
302(1)
Procedures
303(1)
Planes
303(7)
Guidelines
310(3)
The Four Radiology Subsections
313(13)
Chapter Glossary
326(1)
Chapter Review
327(3)
The Pathology/Laboratory Section
330(14)
Format
332(1)
Subsections
333(9)
Chapter Glossary
342(1)
Chapter Review
342(2)
The Medicine Section and Level II National Codes
344(38)
Noninvasive Diagnostic and Therapeutic Services
346(21)
History of National Level Coding
367(10)
Chapter Glossary
377(1)
Chapter Review
378(4)
Unit II International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
An Overview of the ICD-9-CM
382(48)
What is the ICD-9-CM?
384(2)
Format and Conventions Used in the ICD-9-CM
386(8)
Volume 2: Alphabetic Index
394(10)
Volume 1: Tabular List
404(10)
The Five Appendices in Volume 1
414(3)
Volume 3: Procedures
417(10)
Chapter Glossary
427(1)
Chapter Review
428(2)
Using the ICD-9-CM
430(98)
Some General Guidelines
432(21)
Two Special Types of Codes You Need to Know About
453(5)
Chapter-Specific Guidelines
458(47)
More General Guidelines
505(2)
Basic Coding Guidelines for Outpatient Services
507(2)
Overview of ICD-10-CM and ICD-10-PCS
509(14)
Chapter Glossary
523(1)
Chapter Review
524(4)
Unit III An Overview of Reimbursement
Third-Party Reimbursement Issues
528(51)
Introduction
530(1)
The Basic Structure of the Medicare Program
530(3)
The Importance of the Federal Register
533(3)
Understanding Inpatient Diagnosis-Related Groups (DRGs)
536(15)
The Purpose of Peer Review Organizations (PROs)
551(3)
What is the Outpatient Resource-Based Relative Value Scale (RBRVS)?
554(6)
The Prospective Payment System for the Skilled Nursing Facility
560(1)
Outpatient Medicare Reimbursement System-APC
561(3)
Medicare Fraud and Abuse
564(8)
The Managed Health Care Concept
572(3)
Chapter Glossary
575(1)
Chapter Review
576(3)
Appendix A Official ICD-9-CM Guidelines for Coding and Reporting 579(24)
Appendix B Exercise Answers 603(34)
Glossary 637(14)
Index 651

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