Medical Coding Overview
Dr. Eric Bricker Explains the Basics of Medical Codes:
ICD-10 Codes: International Classification of Diseases, 10th Revision
These are Diagnosis Codes for Conditions Such as Diabetes or Pneumonia. They Are Also the Codes for Symptoms Such as Headache or Chest Pain.
CPT Codes: Current Procedural Terminology
These are Procedures Codes that Describe What is Done by the Healthcare Provider, Hospital, etc., such as MRI, Gall Bladder Surgery or Complete Blood Count Lab Test. CPT Codes are Also Used for Doctor's Office Visits... These CPT Codes are Referred to as E/M Codes for Evaluation and Management Codes.
DRG Codes: Diagnosis Related Groups
DRG Codes are Used for Inpatient Medical Services. A Hospitalized Patient May Have Multiple ICD-10 Diagnosis Codes and Multiple CPT Codes and these will be 'Rolled Into' One DRG Diagnosis Related Group for that Hospital Stay.
HCPCS Codes: Healthcare Common Procedure Coding System
HCPCS Codes are Also Procedures Codes, but They Are for Procedures that Are Not a Part of the CPT Coding System. Many Special Medications that are Administered in the Hospital are Coded with a HCPCS Code Because a CPT Code for Them Does Not Exist.
Related Video: Health Insurance Claims Processing Explained
BACK To Healthcare Finance Video Library
BACK to AHealthcareZ Home
ICD-10 Codes: International Classification of Diseases, 10th Revision
These are Diagnosis Codes for Conditions Such as Diabetes or Pneumonia. They Are Also the Codes for Symptoms Such as Headache or Chest Pain.
CPT Codes: Current Procedural Terminology
These are Procedures Codes that Describe What is Done by the Healthcare Provider, Hospital, etc., such as MRI, Gall Bladder Surgery or Complete Blood Count Lab Test. CPT Codes are Also Used for Doctor's Office Visits... These CPT Codes are Referred to as E/M Codes for Evaluation and Management Codes.
DRG Codes: Diagnosis Related Groups
DRG Codes are Used for Inpatient Medical Services. A Hospitalized Patient May Have Multiple ICD-10 Diagnosis Codes and Multiple CPT Codes and these will be 'Rolled Into' One DRG Diagnosis Related Group for that Hospital Stay.
HCPCS Codes: Healthcare Common Procedure Coding System
HCPCS Codes are Also Procedures Codes, but They Are for Procedures that Are Not a Part of the CPT Coding System. Many Special Medications that are Administered in the Hospital are Coded with a HCPCS Code Because a CPT Code for Them Does Not Exist.
Related Video: Health Insurance Claims Processing Explained
BACK To Healthcare Finance Video Library
BACK to AHealthcareZ Home
Subscribe to Healthcare Finance Video Newsletter
The Current 3,000+ Subscribers Include: Employee Benefits Professionals, HR, CFOs, Insurance Brokers, Benefits Consultants, Doctors and Nurses in Leadership Roles, Hospital and Health System Administrators, Health Insurance Carrier and PBM Professionals, Pharma and Med Device Professionals, Academic Professors and Students in Healthcare Administration and Public Health. YOUR INFORMATION WILL NOT BE SHARED OR SOLD.