Medical billing and coding software programs

The medical coder then translates the complex procedure into billing codes using his knowledge in human physiology, medical terminology, CPT coding and the International Classification of Diseases (ICD) coding practices.

A complete ultrasound was obtained for diagnostic paracentesis. Lastly, he read the details of the procedure to learn the ultrasound-guided percutaneous cholecystostomy was performed successfully. Next, he sees that moderate sedation was applied and monitored by ICU nurses. To translate the details of this procedure into billing codes, he needs coding knowledge about ultrasound and fluoroscopic guidance in intervention radiology.ДЇirst, he identifies the procedure as 'ultrasound-guided cholecystostomy drainage.' Then, he reviews the indication to learn that the patient has cholecystitis. In this medical coding example, the coder receives a patient record for a cholecystostomy exam. She uses the CPT codes 49405-59 to represent the various steps and supplies used in the image-guided fluid collection drainage process. The medical coder then translates all the steps involved in this procedure into medical codes using her knowledge in human physiology, medical terminology and the Current Procedural Terminology (CPT) coding process, which are skills you can gain from medical coding training. Lastly, she learns that the surgeon aspirated purulent fluid, which was sent to the lab for evaluation.

Next, she finds out that moderate sedation was used.

In this medical coding example, the coder receives a patient record on abscess drainage and needs to translate the information regarding the indications, medication and procedure into medical codes according to intervention radiology CPT codes.ДЇirst, she identifies the procedure performed, which is 'CT guided retroperitoneal peripancreatic fluid collection drainage.' Then, she reviews the indications to learn that the CT images show a mass that potentially represents an abscess.

Medical billing and coding software programs