ICD9CM Billing, Understanding It Better

By John Miller


In the medical world, they are using a coding system to get a hold of everything. ICD9CM billing are set of codes which are used to describe the diagnosis of a patient. These include symptoms, the disease, and disorders if there are any. In medical offices they are being used to establish a basic medical record for every time a patient visits and its reason for insurance.

In medical offices, it is their way of keeping track of medical history records. This includes the date and time of a visit from patient and the reason behind the visit. All of this are used for their insurance. They need to do this accurately for the quality to remain the same, doctors will not be charge with medical malpractices, and reimbursement from insurances is met.

The initials ICD9 stands for International Classification of Disease, ninth revision and are being referred as the diagnosis codes. Coding is considered as universal and standard for the system. The purpose is to be able to identify different kinds of diseases. Know that it has three up to five digits only.

It describes why the patient is visiting, what was the finding of the illness or perhaps an injury, and the information about the supplement given if there were any. It can be both numeric and alphanumeric. When coded, it needs to reach the highest level of specification and must be listed on the billing claim forms.

At first, you will have a hard time in understanding and could be confusing of course. You might decide to give up, but not knowing anything is even more frustrating. It has three volumes, the first two contains diagnostic information both used in billing and by physicians.

All the other rely only on the first two to support the necessity needed in medical billing healthcare claims. In every procedure that is provided to a patient a code is assigned which is linked to a corresponding reimbursement charge. Linked codes are found in the ICD9CM report where the reason of why such procedure was performed is indicated.

The first volume needs to be written in a numeric form, alphabetical for two, and both numeric and alphabetical for three. During formatting period you should be doing it manually while using a special format. That format will help so that you can identify and use correct codes. This is called conventions.

There will be some abbreviations present you will encounter along the way. Take note that NEC stands for not elsewhere classifiable while NOS is for not otherwise specified. There are also color codes, blue means you will not able to use it as primary diagnosis, yellow for having not enough information present, while gray for another code.

For the formats, when there are main terms it should be in bold letters. Put a bracket for synonyms and alternative words. For sub terms put some indention and have it italicize for supplemental. Bullet points indicate that there is a new code present. Surely, you at least have learned something by reading this article.




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