he coding system developed to report procedures in an in-patient setting.

by Gregg Wolf 6 min read

Chapter 27: Inpatient Coding Flashcards | Quizlet

8 hours ago In the inpatient setting, a procedure code from ICD-10-PCS would be assigned to identify a procedure. True. In the inpatient setting, the physician documents possible aspiration pneumonia in the discharge summary. The aspiration pneumonia is coded as if it exists. >> Go To The Portal


Volume III is used to report procedure codes performed in the inpatient hospital facility setting only. Healthcare Common Procedural Coding System (HCPCS) codes are utilized to report supplies, drugs and temporary codes developed to use in reporting new procedures not yet included in the CPT coding system.

System (ICD-10-CM/PCS)
ICD-10-PCS codes – A code set facilities use to report inpatient procedures and services furnished in U.S. hospital inpatient health care settings.

Full Answer

Can a procedure code be assigned in the inpatient setting?

It is unacceptable to assign codes in the inpatient setting to diagnoses that are documented as being "probable," "suspected," or "likely." In the inpatient setting, a CPT code would be assigned for the procedure code. In the inpatient setting, a procedure code from ICD-10-PCS would be assigned to identify a procedure.

What is the job description of a medical coder?

As a medical coder, it is your responsibility to ensure that the data reported are as accurate as possible, not only for classification and study purposes but also to obtain appropriate ____________. The largest third-party payer in the United States is ________________.

Who is responsible for the development of ICD 10 PCs?

In the inpatient setting, the principal diagnosis is also called the "first-listed" diagnosis. The American Hospital Association is responsible for the development of the ICD-10-PCS. The Centers for Medicare and Medicaid Services (CMS) is responsible for the development for ICD-10-PCS.

What should the coder query the physician about the abnormal lab values?

a low magnesium level and magnesium supplements are ordered, the coder should query the physician regarding the significance of the abnormal lab value and subsequent treatment Cutting into a body part without draining fluids and/or gases from the body part in order to separate or transect a body part is: division An example of fragmentation is:

Which coding system is used to report procedures?

The CPT coding systemCPT® (Current Procedural Terminology) The CPT coding system describes how to report procedures or services. The CPT system is maintained and copyrighted by the American Medical Association. Each CPT code has five digits.

Which coding system is used to report inpatient procedures?

ICD procedure codes are used only on inpatient hospital claims to capture inpatient procedures. Entities that will use the updated ICD-10 codes include hospital and professional billing, registries, clinical and hospital departments, clinical decision support systems, and patient financial services.

What coding system are used in healthcare?

The medical coding systems currently used in the United States are ICD-10-CM/PCS and HCPCS (Level I CPT codes and Level II National Codes). The Healthcare Common Procedure Coding System (HCPCS) is used to report hospital outpatient procedures and physician services.

What is Procedure Coding system?

The Healthcare Common Procedure Coding System (HCPCS) is a collection of codes that represent procedures, supplies, products and services which may be provided to Medicare beneficiaries and to individuals enrolled in private health insurance programs.

What are the three main coding systems?

There are three sets of code you'll use on a daily basis as a medical coder.ICD. The first of these is the International Classification of Diseases, or ICD codes. ... CPT. Current Procedure Terminology, or CPT, codes, are used to document the majority of the medical procedures performed in a physician's office. ... HCPCS.

Which coding system is used to report procedures and services on inpatient hospital claims quizlet?

Current Procedural Terminology (CPT): Coding system published by the American Medical Association that is used to report procedures and services performed during outpatient and physician office encounters, and professional services provided to inpatients.

What are the types of coding system?

There are four types of coding:Data compression (or source coding)Error control (or channel coding)Cryptographic coding.Line coding.

What are the main coding systems?

Two common medical coding classification systems are in use — the International Classification of Diseases (ICD) and the Current Procedural Terminology (CPT).

Which coding system is used to report diagnosis and conditions on claims?

Providers document diagnoses in medical records and coders assign codes based on that documentation. CDC developed and maintains code set. Use ICD-10-CM diagnosis codes on all inpatient and outpatient health care claims.

What is the purpose of Healthcare Common Procedure Coding System?

HCPCS is a collection of standardized codes that represent medical procedures, supplies, products and services. The codes are used to facilitate the processing of health insurance claims by Medicare and other insurers.

What type of code is used for reporting each procedure and service that the physician has documented in treating the patient?

Current procedural terminology (CPT) is a set of codes, descriptions, and guidelines intended to describe procedures and services performed by physicians and other health care providers. Each procedure or service is identified with a five-digit code.

How many coding systems are there?

The coding also known as number systems include Binary, Octal, Hexadecimal, BCD and American Standard Code for Information Interchange (ASCII), Grey code and Excess three codes.

What is the main term in a patient record?

The main term represents the diseases, conditions, nouns, and adjectives that you might see in the patient record. The main term is the first place you go to locate the code for the patient's disease or condition. Subterms or essential modifiers are located beneath the main term. All of the above. All the above.

What does Z mean in a medical exam?

indicate that a person who is not ill is being seen for a specific reason, such as for a pre-employment examination. All of these are indicated with Z codes. all of these are indicated with Z codes.

Is coding for inpatient and outpatient the same?

Coding for inpatient and outpatient services uses the same coding guidelines. Coding for inpatient and outpatient services uses coding guidelines are interchangeable, so it's acceptable to only memorize one set of codes. Coding for inpatient and outpatient services uses different coding guidelines. None of the above.

Can a coder assign a code directly from the index?

Coders are not allowed to assign codes directly from the index without obtaining physician confirmation. It is an acceptable practice for coders to both reference and code directly from the index. It is not acceptable for coders to both reference and code directly from the index. None of the above.