2. What is Coding?
 Converting descriptions of disease, injury, procedures,
and services into numeric or alphanumeric descriptors
 Accurate coding maximizes reimbursement

3. CPT
 Codes for procedures or services
 6 sections of the CPT Manual
1. Evaluation & Management
2. Anesthesiology
3. Surgery
4. Radiology
5. Pathology and Laboratory
6. Medicine

4. CPT
 Modifiers
 Appendix A
 Used when procedure/services needs to be clarified or
altered
 Unlisted codes
 CPT code symbols

5. CPT Coding Rules
 Select the name of the procedure or service that most
accurately identifies the service performed
 Typically marked on encounter form
 If clarification is needed to determine the correct code,
seek the provider

6. ICD
 Codes for diseases or conditions
 Establishes medical necessity
 ICD-9 Manual
 Volume I: Tabular List
 Volume II: Alphabetic Index
 Volume III: Used by hospital coders

7. ICD Coding Rules
 Follow the reason rule
 Code each problem to the highest level of specificity

8. Billing Process