![]() The medical billing and coder will identify the main term and any sub-terms in the Alphabetic Index. The medical billing and coding professional must use both the Alphabetic Index and Tabular List to assign a clinical code. ![]() All letters of the alphabet are used except for the letter U that is reserved by the World Health Organization (WHO) for new diseases and for bacterial agents resistant to antibiotics. The first character of an ICD-10-CM code is always an alphabetic letter. It is divided into 21 chapters and focus on the body or organ system and certain infectious and parasitic diseases. The Tabular List is a numerical listing of all codes. It is designed to allow medical billing and coding assistants to look up medical terms and connect them with the appropriate ICD codes. The Alphabetic Index is divided into two parts 1) the index to diseases and injury 2) index to external causes of injury. The colon is a punctuation term that is used in the Tabular List after an incomplete term that needs additional terms to assign a specific clinical code. Parentheses are a punctuation mark that encloses supplementary words or explanatory information not present in the statement of the diagnosis. The manifestation code represents a secondary condition that was caused by the primary condition. Slanted brackets are used in the Alphabetic Index to identify manifestation codes. Square brackets are a punctuation mark used in the Tabular List to enclose synonyms, abbreviations, alternative wording or explanatory phrases. Punctuation is used in the coding system including brackets, parentheses and colons. The first three characters identify the category of the clinical code, the next three characters identify the etiology, anatomic site and the severity, and the seventh character can be used to add a specificity to the clinical code.Ībbreviations are used in ICD-10-CM including “not elsewhere classifiable”(NEC) and “not otherwise specified”(NOS). Clinical codes consist of three to seven basic characters. The clinical coding conventions for ICD-10-CM address the structure and format of the coding system, including an Alphabetic Index, Tabular List and the rules and instructions that a medical billing and coding assistant must follow. The CPT & HCPCS coding systems are maintained by with the Centers for Medicare & Medicaid Services. The official version of the ICD-10-CM guidelines are approved by the Cooperating Parties for the ICD-10-CM including members from the American Hospital Association (AMA), the American Health Information Management Association (AHMA), Centers for Medicare and Medicaid Services (CMS) and National Center for Health Statistics (NCHS). The classification system used in the United States is the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). A clinical code can be part of a classification system that groups similar diseases and procedures together, helping to organize related medical information. ![]() Assigning numeric or alphanumeric codes for clinical procedures and conditions. What is Clinical Coding?Ĭoding is the transformation of verbal descriptions into numbers. They will also need to understand the basic definition of a medical diagnosis and medical procedure. As a medical biller and coding professional, you will need to know how to locate a code in the ICD-10-CM & CPT. ![]() The ICD-10-CM is broken into the Alphabetic Index and Tabular Index that work together to create clinical coding used by the medical billing and coding assistant. Clinical coding will identify procedures and conditions that the physician will need to report on based on patient diagnosis. The medical billing and coding professional will need to become very familiar with clinical coding using the basic ICD-10-CM & CPT coding system as this will be used for clinical coding on patient charting and medical insurance billing. ![]()
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