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originally published by the AMA in 1966, currently AMA publishes annual revisions which are used by physicians and outpatient healthcare settings
also includes level II, managed by Medicare CMS, this system is used to classify medical equipment, injectable drugs, transportaiton services, and other services not classified in Level I
Large code set
substances, equipemnt, supplies, diseases, injury, impairments, or other health-related problems, actions taken to preven, diagnose, treat or manage diseases, injuries and impairments
reporting multiple codes to increase reimbursement when a single combination should be reported
routinely assigning lower-level CPT codes as a convenience instead of reviewing patient record documentation and the coding manual to determine the proper code to be reported
reporting codes that are not supported by documentation in the patent record for the purpose of increasing reimbursement
routinely assigning a 0 or 9 as the fourth or fifth digit position of an ICD-9-CM disease code instead of reviewing the coding manual to select the appropriate code number
evaluating quality of patient care, providign data for use in clinical research, serving medicolegal interests of patien, facility and providers
the business record for a patient encounter that documents health care services provided to a patient
the patient's diagnosis must justify diagnostic and/or therapeutic procedures or services provided
patient identification information collected according to facility policy, which includes the patient's name, date of birth, and so on.
ICD-9-CM tabular list of procedures chapters are arragnged
according to anatomic site (body systems)
to initially locate an E code, go to the?
alphabetic indext ot external cause of injury and poisoning
adhering to the ICD-9-CM coding guidlines is
mandated by the cooperating parties for the ICD-9-CM and required by HIPAA
NCHS and CMS
work together to prepare official ICD-9-CM disease classification for coding and reporting
arrages codes and description in numerical order and it contains 17 chapter that classify diseases and injuries, 2 supplemental classifications and 4 appendices
supplementary codes that are reported for patient encounters when a circumstance other than disease or injury is documented
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