MEDICAL CODING
The process of translating medical diagnoses, surgeries, treatments, and other healthcare services into standardized alphanumeric numbers is known as medical coding. These codes are used for a variety of purposes, including medical billing, insurance claims, and data analysis in healthcare. Medical coding is critical in the healthcare business because it ensures that healthcare providers, insurers, and government agencies can track and document patient treatment, reimbursement, and public health statistics accurately.
Medical coding employs two basic coding systems:
- International Classification of Diseases (ICD): The ICD system, which is now in its tenth version (ICD-10), is used to code and classify diseases, disorders, and other health-related issues. It is maintained by the World Health Organization (WHO) and serves as a global standard for reporting diseases and health problems. ICD codes are used to describe a patient's diagnosis and the reasons for medical interactions.
- The American Medical Association (AMA) maintains the CPT system, which is used to categorize medical operations and services delivered by healthcare professionals. CPT codes are frequently used for billing and insurance purposes, indicating the treatments, tests, operations, and other services that a patient receives.
Medical coders, also known as medical coding professionals, are in charge of assigning proper codes to diagnoses and treatments reported in a patient's medical record.
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