Examine the Differences between diagnostic and procedural coding Examine the Differences between diagnostic and procedural coding What are the differences between diagnostic and procedural coding? What is the name of the major coding system for each? Why is it important to use the correct codes when processing claims? ? BrainMass Inc. brainmass.com March 21, 2019, 8:49 pm ad1c9bdddf https://brainmass.com/health-sciences/health-care-ethics/differences-between-diagnostic-and-procedural-coding-349974 Solution Preview What are the differences between diagnostic and procedural coding? ?No words are required to be on a medical claim form. Everything that a doctor does and why it was needed appears on the claim forms as a series of codes? (The Coding Network, n.d.). Procedural coding: Procedural coding relates to or uses the Current Procedural Terminology (?CPT?) coding system with the aim of providing ?uniform language that accurately describes medical, surgical, and diagnostic services? (?CPT-ICD9 Codes,? n.d.). A CPT code consists of a five digit numeric code used to identify and delineate services rendered by physicians, hospitals, and other health care providers whether medical, surgical, radiology, laboratory, anesthesiology, and evaluation/management services (?CPT-ICD9 Codes,? n.d.; The Coding Network, n.d.). The American Medical Association ? ORDER YOUR PROFESSIONAL PAPER HERE What are the differences between diagnostic and procedural coding? What is the name of the major coding system for each? Why is it important to use the correct codes when processing claims? ? BrainMass Inc. brainmass.com March 21, 2019, 8:49 pm ad1c9bdddf https://brainmass.com/health-sciences/health-care-ethics/differences-between-diagnostic-and-procedural-coding-349974 Solution Preview What are the differences between diagnostic and procedural coding? ?No words are required to be on a medical claim form. Everything that a doctor does and why it was needed appears on the claim forms as a series of codes? (The Coding Network, n.d.). Procedural coding: Procedural coding relates to or uses the Current Procedural Terminology (?CPT?) coding system with the aim of providing ?uniform language that accurately describes medical, surgical, and diagnostic services? (?CPT-ICD9 Codes,? n.d.). A CPT code consists of a five digit numeric code used to identify and delineate services rendered by physicians, hospitals, and other health care providers whether medical, surgical, radiology, laboratory, anesthesiology, and evaluation/management services (?CPT-ICD9 Codes,? n.d.; The Coding Network, n.d.). The American Medical Association ? Order Now
ADDITIONAL DETAILS
Differences between diagnostic and procedural coding
Introduction
The ICD-10 and ICD-9 are the two major codes in healthcare. They’re used to track patient treatment, diagnosis, and other health information. Here’s what you need to know about their differences:
Diagnostic codes focus on symptoms and how to treat them.
Diagnostic codes focus on symptoms and how to treat them. They are used to help record a patient’s health history, which can be very helpful in determining the cause of a patient’s illness or injury. A diagnosis may be based on symptoms alone, or it could also include findings from tests performed for other reasons (e.g., blood tests). The ICD-10 is more specific and complicated than its predecessor, so it can be difficult to understand at first glance; however if you just glance at this list of diagnostic codes then you’ll see that they’re much more specific than procedural codes:
-
[0228] Chest pain without angina pectoris (not related to heart disease)
-
[3243] Gastritis/gastroenteritis resulting in neutropenia <1500/mm3 -<800/mm3 within 6 weeks after onset of symptoms
Diagnostic codes are often more specific than procedural codes.
Diagnostic codes are often more specific than procedural codes.
Procedural codes are used to record a procedure, or the treatment of a condition. They may be used in conjunction with diagnostic codes, but they are not required by the same set of standards as those required for diagnostic coding (CMS 2015). Therefore, while you should understand what procedural coding is and how it differs from diagnostic coding before learning about its use in your workplace or industry, it’s important that you also understand how these two types of coding can interact with each other and why this might happen (or not happen).
The ICD-10 is more specific and complicated than the ICD-9.
The ICD-10 is more specific and complicated than the ICD-9. It has 15 chapters, while the ICD-9 only has 9 chapters.
ICD-10 codes can be used to identify diseases or injuries that have been diagnosed by a medical professional in a hospital setting. They also describe procedures performed by physicians during an office visit, such as ordering tests for patients with symptoms such as pain or fever; prescribing medications for conditions like high blood pressure; performing surgeries on people who need them (e.g., removing gallstones); placing metal plates into bones after broken bones heal; inserting devices under skin layers called prostheses when organs fail to work normally due to damage caused by disease or injury.
Diagnostic coding is used to help record a patient’s health history.
Diagnostic coding is used to help record a patient’s health history. A diagnosis is made by entering the code for each specific medical problem that you encounter during your visit. The ICD-10 (the international classification of diseases) is more specific and complicated than its predecessor, the ICD-9 (the international classification of diseases—9th revision).
The diagnostic codes include not only diseases but also conditions that have symptoms related to them and drugs used to treat them or prevent complications from occurring again in future patients who may have similar symptoms or conditions.
Takeaway:
-
The ICD-10 is more specific than the ICD-9.
-
It’s more complicated to code in the ICD-10 than in the ICD-9.
-
Diagnostic codes focus on symptoms and how to treat them, while procedural codes focus on procedures and equipment used during a procedure.
Conclusion
It should be noted that the diagnostic and procedural codes are not mutually exclusive. Both types of coding can be used in conjunction with one another to describe a medical condition or procedure.
Leave a Reply