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Step-By-Step Medical Coding 2006 Edition


Author(s): Buck
ISBN10:  141600131X
ISBN13:  9781416001317
Format:  Paperback
Pub. Date:  12/9/2005
Publisher(s): Saunders

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SummaryTable of Contents
This practical approach to training students for a career in medical coding 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 chapter reinforce important concepts and allow users to check their comprehension. Unit II covers the International Classification of Diseases, 9th Revision, Clinical Modification (ICD 9-CM), and Unit III 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.

  • Full-color design makes the book more visually stimulating.
  • In-text exercises throughout each chapter immediately reinforce the coding rules and concepts, emphasizing the step-by-step organization of the book.
  • Appendix D contains the Quick Guide to HIPAA for the Physician's Office, providing coding students & instructors with important information about new HIPAA guidelines.
  • Concrete "real-life" examples illustrate the application of important coding principles and practices.
  • Medical procedures or conditions are illustrated and discussed to help the student understand the services being coded.
  • Format for student answers guides the student in the development of his or her coding ability by using a format that includes a four response variations:
  • The 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 halt the reader for a reality check, offering a brief summary of material that was just covered and providing a transition into the next topic.
  • Caution! notes warn users of common coding mistakes and reinforce the concept of coding as an exact science.
  • Check This Out! boxes offer notes about accessing reference information related to coding, primarily via the Internet.
  • Official Guidelines for Coding and Reporting boxes in the Using the ICD-9-CM chapter contains excerpts of the actual guidelines, presenting the official wording alongside in-text discussions, and visual indicate Inpatient vs. Outpatient use.


  • All information has been updated to present the latest information available.
  • New illustrations enhance the quality of the text and illustrate the most important coding concepts.
  • This edition includes a 30-day demo of UnicorMed's Alpha II iCoder, and Appendix E contains cases to use with the demo.
UNIT I Current Procedural Terminology (CPT)
1(392)
Introduction to the CPT
3(23)
The Purpose of the CPT Manual
4(1)
Updating the CPT Manual
4(2)
The CPT Manual Format
6(12)
Starting with the Index
18(5)
Chapter Glossary
23(1)
Chapter Review
24(2)
Evaluation and Management (E/M) Section
26(54)
Contents of the E/M Section
28(1)
Three Factors of E/M Codes
28(2)
Various Levels of E/M Service
30(18)
An E/M Code Example
48(1)
Using the E/M Codes
49(26)
Documentation Guidelines
75(2)
Chapter Glossary
77(1)
Chapter Review
78(2)
Anesthesia Section and Modifiers
80(40)
Part I: Learning About the Anesthesia Section
82(1)
Types of Anesthesia
82(2)
Anesthesia Section Format
84(1)
Formula for Anesthesia Payment
85(7)
Unlisted Anesthesia Code
92(2)
Part II: Modifiers
94(1)
The CPT Modifiers
94(23)
Chapter Glossary
117(1)
Chapter Review
118(2)
Introduction to the Surgery Section and Integumentary System
120(44)
Part I: Introduction to the Surgery Section
122(1)
Format
122(4)
Separate Procedures
126(1)
Surgical Package
127(3)
Part II: General and Integumentary System Subsections
130(1)
General Subsections
130(1)
Format
130(1)
Skin, Subcutaneous and Accessory Structures
131(8)
Nails
139(3)
Repair (Closure)
142(14)
Burns
156(2)
Destruction
158(1)
Breast Procedures
159(2)
Chapter Glossary
161(1)
Chapter Review
162(2)
Musculoskeletal System
164(24)
Format
166(1)
Coding Highlights
166(6)
General
172(8)
Application of Casts and Strapping
180(3)
Endoscopy/Arthroscopy
183(2)
Chapter Glossary
185(1)
Chapter Review
186(2)
Respiratory System
188(22)
Format
190(1)
Coding Highlights
191(1)
Nose
192(6)
Accessory Sinuses
198(1)
Larynx
199(2)
Trachea and Bronchi
201(2)
Lungs and Pleura
203(4)
Chapter Glossary
207(1)
Chapter Review
208(2)
Cardiovascular System
210(40)
Coding Highlights
212(2)
Cardiovascular Coding in the Surgery Section
214(16)
Cardiovascular Coding in the Medicine Section
230(13)
Cardiovascular Coding in the Radiology Section
243(4)
Chapter Glossary
247(1)
Chapter Review
248(2)
Female Genital System and Maternity Care and Delivery
250(20)
Part I: Female Genital System
252(1)
Format
252(1)
Coding Highlights
252(11)
Part II: Maternity Care and Delivery
263(1)
Format
263(1)
Coding Highlights
263(5)
Chapter Glossary
268(1)
Chapter Review
268(2)
General Surgery I
270(18)
Male Genital System
272(1)
Intersex Surgery
273(1)
Urinary System
273(3)
Digestive System
276(6)
Mediastinum and Diaphragm
282(1)
Chapter Glossary
283(3)
Chapter Review
286(2)
General Surgery II
288(20)
Hemic and Lymphatic Systems
290(2)
Endocrine System
292(2)
Nervous System
294(6)
Eye and Ocular Adnexa
300(3)
Auditory System
303(2)
Chapter Glossary
305(2)
Chapter Review
307(1)
Radiology Section
308(32)
Format
310(1)
Radiology Terminology
310(1)
Procedures
311(1)
Planes
311(7)
Guidelines
318(3)
The Four Radiology Subsections
321(14)
Chapter Glossary
335(2)
Chapter Review
337(3)
Pathology/Laboratory Section
340(14)
Format
342(1)
Subsections
342(10)
Chapter Glossary
352(1)
Chapter Review
352(2)
The Medicine Section and Level II National Codes
354(39)
Diagnostic and Therapeutic Services
356(22)
History of National Level Coding
378(10)
Chapter Glossary
388(2)
Chapter Review
390(3)
UNIT II International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
393(158)
An Overview of the ICD-9-CM
395(49)
What is the ICD-9-CM?
396(2)
ICD-9-CM Format and Conventions
398(8)
Alphabetic Index, Volume 2
406(11)
Tabular List, Volume 1
417(10)
The Five Appendices in the Tabular List, Volume 1
427(3)
Procedures, Volume 3
430(11)
Chapter Glossary
441(1)
Chapter Review
442(2)
Using the ICD-9-CM
444(107)
Some General Information about the Official Guidelines for Coding and Reporting
446(23)
V Codes and Late Effects
469(5)
Chapter-Specific Guidelines
474(53)
More General Guidelines
527(2)
Diagnostic Coding and Reporting Guidelines for Outpatient Services
529(3)
Overview of ICD-10-CM and ICD-10-PCS
532(15)
Chapter Glossary
547(1)
Chapter Review
548(3)
UNIT III An Overview of Reimbursement
551(50)
Third-Party Reimbursement Issues
553(48)
Introduction
554(1)
The Basic Structure of the Medicare Program
554(4)
The Importance of the Federal Register
558(2)
Understanding Inpatient Diagnosis-Related Groups (DRGs)
560(15)
The Purpose of Peer Review Organizations (PROs)
575(2)
What Is the Outpatient Resource-Based Relative Value Scale (RBRVS)?
577(6)
The Prospective Payment System for the Skilled Nursing Facility
583(1)
Outpatient Medicare Reimbursement System---APC
583(3)
Medicare Fraud and Abuse
586(8)
The Managed Health Care Concept
594(3)
Chapter Glossary
597(2)
Chapter Review
599(2)
Appendix A ICD-9-CM Official Guidelines for Coding and Reporting 601(58)
Appendix B Exercise Answers 659(30)
Appendix C Documentation Guidelines for Evaluation and Management Services 689(26)
Appendix D Quick Guide to HIPAA for the Physician's Office 715(36)
Appendix E Alpha II iCoder Exercises 751(30)
Glossary 781

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