Purchase Solution

ICD-9 and CPT Diagnostic Codes

Not what you're looking for?

Ask Custom Question

What kind of problems can ensue from inaccuracies in the assignment of ICD-9 and CPT codes? How do such inaccuracies affect patient care and reimbursement?

Purchase this Solution
Solution Summary

This solution examines the kind of problems that can ensue from inaccuracies in the assignment of ICD-9 and CPT diagnostic codes and how such inaccuracies affect patient care and reimbursement.

Solution Preview

RESPONSE:

1. What kind of problems can ensue from inaccuracies in the assignment of ICD-9 and CPT codes?

Let's get some definitions out of the way. On the World Health Organization (WHO) website, for example:

"The ICD is the international standard diagnostic classification for all general epidemiological, many health management purposes and clinical use. These include the analysis of the general health situation of population groups and monitoring of the incidence and prevalence of diseases and other health problems in relation to other variables such as the characteristics and circumstances of the individuals affected, reimbursement, resource allocation, quality and guidelines. It is used to classify diseases and other health problems recorded on many types of health and vital records including death certificates and health records. In addition to enabling the storage and retrieval of diagnostic information for clinical, epidemiological and quality purposes, these records also provide the basis for the compilation of national mortality and morbidity statistics by WHO Member States?(http://patients.about.com/gi/dynamic/offsite.htm?zi=1/XJ&sdn=patients&cdn=health&tm=6&f=20&su=p736.8.336.ip_&tt=2&bt=1&bts=1&zu=http%3A//www.who.int/classifications/icd/en/).

On the other hand, the CPT (Current Procedural Terminology) codes are numbers assigned to every task and service a medical practitioner may provide to a ...

Purchase this Solution
Free BrainMass Quizzes
Managed Care Organizations

This quiz will test the basics of managed care organizations. It is important to know how our health care delivery system operates through managed care.

Fibromyalgia

This quiz provides a brief overview of Fibromyalgia. Research is currently evolving regarding this diagnosis.

Labor and Delivery

Do you know about the stages of delivery? Find out with this quiz!

Tumor Markers

This quiz help you memorize common tumor markers used to detect and diagnose some types of cancer.

CPR (Red Cross Standards)

Are you up to date on your CPR skills? Find out if you know what to do in an emergency with this quiz.

View More Free Quizzes
Related BrainMass Solutions

  • Diagnostic and Procedural billing

    Retrieved on March 9, 2010 from: http://www.who.int/classifications/icd/en/ The differences between diagnostic (ICD-10) and procedural (CPT) codes are discussed with examples explaining the importance of their correct use in billing.

  • Differences between diagnostic and procedural coding

    Diagnostic: ICD-9-CM means International Classification of Diseases, 9th Revision, Clinical Modification coding system ("CPT-ICD9 Codes," n.d.). Why is it important to use the correct codes when processing claims?

  • Procedural and diagnostic coding

    For diagnostic coding the name of the major coding system is the ICD-9, whixh stands for the International Classification of Diseases, 9th Revision.

  • claims for this procedure

    What CPT and ICD 9-CM codes should be inclided in the claims for this procedure?.

  • Difference between ICD 9 and ICD 10

    Most ICD-9 codes had three characters followed by a one or two digits decimal point. Some codes were preceded by a V or E. ICD-10 organizes the codes by chapters and diseases are group by letters.

  • ICD codebook usage

    Mary tells you that she lost her new ICD-9-CM codebook that is currently being used, so she looks up the codes in the old ICD-8 codebook. What can happen as a result of Mary using codes that are from an outdated manual?

  • Fundamentals of Healthcare Technology

    a) CPT codes b)ICD-9 codes c) HCPCs codes d) none of the above 13) A_________ is a two digit character that is appended to a CPT code to report special circumstances involved in a procedure or service. 14. Define electronic claim. 15.

  • Definition of terms used in health care

    It includes AMR, CMR, CMS, CMS-1500, CPT, DRG, EPR, HL7, ICD-9, and UB-92. Recomendations and possible alternative definitions are also given. References are inlcuded for each term discussed.

  • Mental Health & DSM-IV-TR

    It also provides the student with a brief overview of the ICD-9-CM codes found in the multiaxial disorders.

View More Related Solutions