Medical Coding Final Exam
PART A: 1. The main difference between coding outpatient and inpatient is the procedure codes. Current Procedural Terminology (CPT) codes are used for outpatient coding and the International Classification of Diseases Ninth Revision Clinical Modification (ICD-9-CM) is used for inpatient coding. CPT codes are published by the American Medical Association and The World Health Organization (WHO) is responsible for ICD codes. The ICD-9 diagnoses codes are used for both outpatient and inpatient coding.
Inpatient medical coding: This refers to coding the records of patients who are required to stay in a hospital or any other healthcare unit for more than 24 hours, hence the name inpatient coding. Since the medical records of patients who are admitted to a hospital for treatment tend to be a lot more complex, this naturally makes the job of inpatient medical coders that much harder. Due to advances in medicine, a lot of procedures that earlier required a hospital stay can now be performed on a same-day basis.
Outpatient medical coding: As the name suggests, outpatient coding involves coding the medical charts of patients who are discharged from a healthcare facility within 24 hours. So, outpatient medical coders are responsible for charting the medical records of patients who receive treatments or undergo diagnostic procedures in clinics, doctor offices or hospital emergency rooms on the same-day basis. 2. CPT Code: 21930
ICD-9-CM Code: 782.2 3. One of the unusual aspects of OB is the global fee that encompasses the antepartum, delivery, and postpartum period of normal pregnancy. The initial blood history, physical examination, blood pressure, weight, fetal heart tones, routine analysis, and monthly visits up to twenty-eight weeks gestation, biweekly visits, thirty-six weeks gestation, and weekly visits until delivery are all included in antepartum care. Delivery services should include hospital admission with history and physical, the management of
Inpatient medical coding: This refers to coding the records of patients who are required to stay in a hospital or any other healthcare unit for more than 24 hours, hence the name inpatient coding. Since the medical records of patients who are admitted to a hospital for treatment tend to be a lot more complex, this naturally makes the job of inpatient medical coders that much harder. Due to advances in medicine, a lot of procedures that earlier required a hospital stay can now be performed on a same-day basis.
Outpatient medical coding: As the name suggests, outpatient coding involves coding the medical charts of patients who are discharged from a healthcare facility within 24 hours. So, outpatient medical coders are responsible for charting the medical records of patients who receive treatments or undergo diagnostic procedures in clinics, doctor offices or hospital emergency rooms on the same-day basis. 2. CPT Code: 21930
ICD-9-CM Code: 782.2 3. One of the unusual aspects of OB is the global fee that encompasses the antepartum, delivery, and postpartum period of normal pregnancy. The initial blood history, physical examination, blood pressure, weight, fetal heart tones, routine analysis, and monthly visits up to twenty-eight weeks gestation, biweekly visits, thirty-six weeks gestation, and weekly visits until delivery are all included in antepartum care. Delivery services should include hospital admission with history and physical, the management of