Coding and reimbursement: A tutorial

Robert C. Fifer

Research output: Contribution to journalShort survey

Abstract

This discussion is a brief overview and tutorial of rationales for accurate selection of procedure (CPT) and diagnosis (ICD-9-CM) codes. The CPT selection procedure is very stringent and is contingent upon finding the code descriptor that describes precisely what was performed. In contrast to the magnitude of precision of the CPT codes, the ICD-9-CM system is incomplete with regard to coding options. For diagnosis code selection, the provider must choose a code that is as dose as possible to the evaluation's diagnostic conclusion and patient status. Also included in this tutorial is a brief discussion of the documentation requirements to justify and support the particular codes that were selected.

Original languageEnglish (US)
Pages (from-to)18-26
Number of pages9
JournalSeminars in Hearing
Volume27
Issue number1
DOIs
StatePublished - Feb 2006

Keywords

  • Coding
  • Current Procedural Terminology
  • HCFA Common Procedure Coding System
  • Health Care Economic Committee
  • HIPPA
  • ICD-9-CM
  • Reimbursement
  • Resource Based Relative Value System

ASJC Scopus subject areas

  • Otorhinolaryngology

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