3-2-1 Code It!

by Green, Michelle A.

• ISBN13: 9781418012557
• ISBN10: 1418012556
• Edition: 1st
• Format: Paperback
• Copyright: 2006-11-30
• Publisher: Cengage Learning

Summary

3-2-1 Code It! is your comprehensive learning solution for coding. This exciting new book combines ICD-9-CM, HCPCS level II and CPT coding concepts into one convenient learning package. This book presumes no prior knowledge of coding, and yet offers a level of detail suitable for both beginning and more experienced coders. Each coding chapter contains case studies to guide the user through the assignment of codes, and contains the most up-to-date information regarding coding guidelines and reimbursement issues. Also includes information on career opportunities for coders, the importance of joining professional organizations and obtaining credentials, the impact of working with other coding professionals, and how to develop opportunities for career advancement.

Table of Contents

List of Tables	p. v
Preface	p. viii
How to Use this Text	p. xiv
How to Use the StudyWare CD-ROM	p. xvi
How to Use the Encoder Pro CD-ROM	p. xix
Coding Overview
Overview of Coding	p. 2
Career as a Coder	p. 4
Professional Associations and Discussion Boards	p. 7
Coding Overview	p. 8
Documentation as Basis for Coding	p. 11
Health Data Collection	p. 17
International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) Coding System
Introduction to ICD-9-CM Coding	p. 28
Overview of ICD-9-CM	p. 30
ICD-9-CM Tabular List of Diseases	p. 33
ICD-9-CM Index to Diseases	p. 50
ICD-9-CM Index to Procedures and Tabular List of Procedures	p. 55
ICD-9-CM Official Guidelines for Coding and Reporting	p. 59
ICD-9-CM Coding Conventions	p. 66
Format	p. 68
Eponyms	p. 70
Abbreviations	p. 71
Punctuation	p. 73
Boxed Notes	p. 76
Tables	p. 77
Includes Notes	p. 78
Excludes Notes	p. 79
Inclusion Terms	p. 81
Other, Other Specified, and Unspecified Codes	p. 82
Etiology and Manifestation Rules	p. 83
And	p. 85
Due To	p. 86
In	p. 86
With	p. 87
Cross-References	p. 88
ICD-9-CM Coding Guidelines	p. 98
ICD-9-CM Official Guidelines for Coding and Reporting	p. 100
General ICD-9-CM Diagnosis Coding Guidelines	p. 102
General ICD-9-CM Procedure Coding Guidelines	p. 107
ICD-9-CM Chapter-Specific Coding Guidelines	p. 113
ICD-9-CM Inpatient Coding	p. 190
Inpatient Health Care Settings	p. 193
Inpatient Reimbursement Systems	p. 198
Inpatient Coding Guidelines	p. 204
Long-term Care Coding Guidelines	p. 214
ICD-9-CM Outpatient Coding	p. 234
Outpatient Care	p. 236
Diagnostic Coding and Reporting Guidelines for Outpatient Services: Hospital-Based and Physician Office	p. 243
ICD-9-CM Coding Guidelines for Outpatient Diagnostic Tests	p. 248
Home Health Care Coding	p. 252
Hospice Outpatient Coding	p. 262
Health Care Procedure Coding System (HCPCS), Level II National Coding System
HCPCS Level II National Coding System	p. 284
Overview of HCPCS	p. 285
HCPCS Level II National Codes	p. 286
Assigning HCPCS Level II Codes	p. 295
Determining Payer Responsibility	p. 306
Current Procedural Terminology (CPT) Coding System
Introduction to CPT Coding	p. 318
History of CPT	p. 319
Overview of CPT	p. 320
Organization of CPT	p. 322
CPT Index	p. 323
CPT Appendices	p. 326
CPT Symbols	p. 327
CPT Sections, Subsections, Categories, and Subcategories	p. 330
CPT Modifiers	p. 334
National Correct Coding Initiative (NCCI)	p. 350
CPT Evaluation and Management	p. 360
Overview of Evaluation and Management Section	p. 362
Evaluation and Management Section Guidelines	p. 364
Levels of Evaluation and Management Services	p. 368
Evaluation and Management Categories and Subcategories	p. 380
CPT Anesthesia	p. 414
Anesthesia Terminology	p. 416
Overview of Anethesia Section	p. 419
Anesthesia Section Guidelines	p. 421
Anesthesia Subsections	p. 434
CPT Surgery I	p. 454
Overview of Surgery Section	p. 455
Surgery Guidelines	p. 461
General Subsection	p. 474
Integumentary System Subsection	p. 475
CPT Surgery II	p. 504
Musculoskeletal System Subsection	p. 506
Respiratory System Subsection	p. 532
CPT Surgery III	p. 550
Cardiovascular System Subsection	p. 552
Hemic and Lymphatic Systems Subsection	p. 590
CPT Surgery IV	p. 602
Mediastinum and Diaphragm Subsection	p. 604
Digestive System Subsection	p. 605
Urinary System Subsection	p. 633
CPT Surgery V	p. 650
Male Genital System Subsection	p. 652
Intersex Surgery Subsection	p. 657
Female Genital System Subsection	p. 657
Maternity Care and Delivery Subsection	p. 663
Endocrine System Subsection	p. 667
Nervous System Subsection	p. 669
Eye and Ocular Adnexa Subsection	p. 684
Auditory System Subsection	p. 691
Operating Microscope Subsection	p. 695
CPT Radiology	p. 708
Radiology Terminology	p. 710
Overview of Radiology Section	p. 713
Radiology Section Guidelines	p. 717
Radiology Subsections	p. 720
Diagnostic Radiology (Diagnostic Imaging)	p. 721
Diagnostic Ultrasound	p. 732
Radiation Oncology	p. 736
Nuclear Medicine	p. 744
CPT Pathology and Laboratory	p. 754
Overview of Pathology and Laboratory Section	p. 755
Pathology and Laboratory Section Guidelines	p. 759
Pathology and Laboratory Subsections	p. 761
CPT Medicine	p. 784
Overview of Medicine Section	p. 785
Medicine Section Guidelines	p. 786
Medicine Subsections	p. 788
Insurance and Reimbursement Overview
Insurance and Reimbursement	p. 831
Third-Party Payers	p. 833
Health Care Reimbursement Systems	p. 843
Impact of HIPAA on Reimbursement	p. 856
ICD-9-CM Official Guidelines for Coding and Reporting	p. 877
E/M Codebuilder	p. 916
ICD-10-CM: Diagnostic Coding for the Future	p. 920
ICD-10-PCS	p. 926
Alternate Care Coding Systems	p. 927
Bibliography	p. 932
Glossary	p. 935
Index	p. 972
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