Transcript CODING WITH E- BOOKS

CODING
WITH
E-BOOKS
What is an e-Book?
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The term "e-book" stands for "electronic book." PMIC e-Books are supplied
in Adobe Acrobat PDF format.
The PDF file is created during the process of preparing the book manuscript
for printing.
e-Books are exact reproductions of the original book including pagination,
color coding, indexing, tables and illustrations.
Advantages of e-Books
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e-Books reside on your PC or MAC, can be left “open” permanently and
take up no physical space like print books.
e-Books are instinctively easy to use with mouse clicks, keyboard
movement keys, or tabs within the PDF documents.
e-Books include Book Marks for easy navigation to chapters or sections.
e-books are fully searchable by code, key word, or phrase.
You can use zoom options to increase type size or page width.
You can selectively print high-quality pages of the e-Book.
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What is a “PDF” file?”
• PDF is an acronym for Portable Document format.
• The PDF format is well established, extremely versatile and runs on
both Windows and Mac operating systems. The Acrobat Reader
software needed to read PDF books is available as a free download
from Adobe.
• If you do not have the Adobe Acrobat Reader on your PC, click
http://get.adobe.com/reader/.
Opening a PDF File
• PDF files have the extension .pdf or .PDF.
• To open a PDF file, position your mouse pointer on the desired file
and click once or twice (depending on how your mouse is set up).
• Alternately you may have a desktop icon that you click to open a
specific PDF file.
• Large PDF files, such as e-Books may take a few seconds to open
fully, depending on the speed and available memory of your PC or
document server.
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First Page of an Open e-Book
When an e-Book is opened, the Title Page will appear on the right side of the
screen and the Book Marks will appear on the left.
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Using The Pre-Formatted Book Marks
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PMIC e-Books include Book Marks that make it
easy to navigate to specific book sections.
The Book Marks correspond to the major
sections or chapters of the e-Books.
Clicking on a Book Mark will open the first page
of that section.
The Book Mark panel can be closed by clicking
the x in the top right corner.
Expanding and Collapsing Book Marks
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Some Book Marks have sub-categories and are
marked by a
.
Clicking on the + sign expands the Book Mark.
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What You Click is What You Get!
Clicking a Book Mark results in the first page of that
section appearing on the right side of your monitor.
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How to Search an e-Book with Find
You can search a
PDF file using
The Find or
functions.
The “find” option
is activated by
clicking View on
your toolbar, then
Toolbars, then
checking the Find
box. This will
display the Find
option on the
Acrobat Reader.
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How to Search an e-Book with Search
The Search option
Is activated by clicking
. This opens a
Search window on the
right side of the screen.
Key in the search word,
phrase, or code then
click the search button.
The search will begin
from the current
position through the
end of the document,
the start at the
beginning back to the
current location.
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Search Results
The PDF search function will find all occurrences of the search term. Click on
any line in the results to go to that location in the e-Book.
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Navigating the e-Book
In addition to getting to the desired Section of an e-Book, you also need to
browse and turn pages and scroll within the page.
Moving from Page to Page
There are four ways to move from one page to another in an e-Book.
1. You can use the right and left buttons and/or wheel of your mouse.
2. You can use the movement keys on your keyboard.
Click the left button
to page back
3.
Click the right button
to page forward
You can use the movement symbols within the PDF document.
Click the left arrow
to page back
4.
Click the right arrow
to page forward
You can also use the vertical scroll bar of your browser window.
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Navigating the e-Book (continued)
Scrolling within a Page
There are three ways to scroll within a page of an e-Book.
1. You can use the wheel of your mouse.
2. You can use the movement keys on your keyboard.
Click the up button
to scroll up
Click the down button
to scroll down
3.
You can also use the vertical scroll bar of your browser window.
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Printing Pages of an e-Book
To print a page/pages of an e-Book, click File on the menu bar or the Print icon.
On the print control page select Current page or enter a range of pages. Make
sure the Print color as black box is unchecked. Click OK to print the page(s).
Note: Color coding will print in black if you are not using a color printer.
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General Contents of PMIC e-Books
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PMIC e-Books include all official codes and descriptions current as of the
release of the edition.
PMIC e-Books include comprehensive coding instructions.
PMIC CPT Plus! and
ICD-9-CM e-Books include
unique, full-color, full page
anatomical illustrations with
code section cross-references.
PMIC e-Books include a
standardized color-coding
system that helps the coder
identify codes subject to special coding rules, coverage limitations, and
payment restrictions. This unique color-coding system helps users code
faster and more accurately, while decreasing audit liability, claims
processing errors, as well as potentially increasing revenues.
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CPT Plus!
CPT® Plus! is an enhanced, value added CPT coding reference that includes
features to help users code easier, better and faster. CPT Plus! includes:
• All official CPT codes with full descriptions, coding and parenthetical notes.
• Comprehensive introduction covering CPT Coding Fundamentals.
• Discussion of common coding and billing issues.
• List of additions, deletions and revisions in the current edition.
• Full-color anatomical illustrations with coding cross-references.
• Instructions and Guidelines for each section of CPT.
• Evaluation & Management Documentation guidelines.
• Unique symbol and color-coding system to identify special coding rules.
• Comprehensive Alphabetical Index.
CPT® is a registered trademark of the American Medical Association (AMA).
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Key Points Regarding the CPT Coding System
• CPT codes describe medical procedures, services and supplies.
• All CPT codes are five digit codes.
• CPT codes are mandated by HIPAA for government and private
health plans.
• CPT codes are self-definitive, i.e. with the exception of CPT codes
for unlisted procedures and/or the few CPT codes which include the
term specify in the description, each CPT code number represents
the universal definition of the service or procedure.
• CPT codes are revised and updated annually by the AMA and the
revisions become effective each January 1st.
• Accurate CPT coding provides an efficient method of communicating
medical, surgical and diagnostic services and procedures among
providers, facilities, and party payers.
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CPT Plus! Symbols
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A filled BLACK CIRCLE preceding a CPT code indicates that the code is
new to the CPT coding system.
A filled BLACK TRIANGLE preceding a CPT code indicates that there is a
revision to the description.
CPT codes enclosed within parenthesis have been deleted from the CPT
coding system and should no longer be used.
A bold plus sign preceding a CPT code indicates that the code is an “addon” code and must be listed in addition to the main CPT code.
This symbol preceding a CPT code indicates that the code is exempt from
the use of modifier -51.
This symbol preceding a CPT code indicates that the procedure includes
conscious sedation as a part of providing the procedure and that the
conscious sedation codes, 99141 or 99142, should not be reported
separately.
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CPT Plus! Color Coding
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ICD-9-CM Coder’s Choice
ICD-9-CM Coder’s Choice is an enhanced, value added ICD-9-CM coding
reference that includes features to help users code easier, better and faster.
ICD-9-CM Coder’s Choice includes:
• All official ICD-9-CM Volume 1 (diagnosis) and Volume 3 (procedure) codes
with full descriptions, along with all official tables, appendices and indexes.
• Comprehensive introduction covering ICD-9-CM coding fundamentals.
• Official CMS Guidelines for coding and reporting.
• Present on Admission (POA) Guidelines.
• List of additions, deletions and revisions in the current edition.
• Full-color anatomical illustrations with coding cross-references.
• 4th and 5th digit symbol alerts.
• Unique symbol and color-coding system to identify special coding rules;
including 3-digit codes, unspecified codes, nonspecific codes, manifestation
codes, MSP alerts, primary and secondary V-codes.
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Key Points Regarding the ICD-9-CM Coding System
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ICD-9-CM includes Volume 1 diagnosis codes and Volume 3 procedures
codes.
ICD-9-CM Volume 1 codes are three to five digit numeric or alphanumeric
codes.
ICD-9-CM Volume 3 codes are two to four digit numeric codes.
ICD-9-CM codes are mandated by HIPAA for government and private
health plans.
ICD-9-CM codes must be reported to the highest level of specificity.
ICD-9-CM codes are self-definitive, i.e. with the exception of codes for
unlisted diagnosis, each ICD-9-CM code number represents the universal
definition of the diagnosis or procedure.
ICD-9-CM codes are revised and updated annually by CMS and NCHS and
the revisions become effective each October1st.
Accurate ICD-9-CM coding provides an efficient method of communicating
diagnostic and procedure information among providers, facilities, and party
payers.
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ICD-9-CM Conventions
The ICD-9-CM Tabular List (Volume 1) makes use of abbreviations,
punctuation, symbols, and other conventions that must be clearly understood.
The purpose of these conventions is to provide special coding instructions and
to conserve space.
Abbreviations
NOS
Not Otherwise Specified. Equivalent to Unspecified. This abbreviation
refers to a lack of sufficient detail in the statement of diagnosis to be
able to assign it to a more specific sub division within the
classification.
NEC
Not Elsewhere Classified. Used with ill-defined terms to alert the
coder that a specified form of the condition is classified differently.
The category number for the term including NEC is to be used only
when the coder lacks the information necessary to code the term to a
more specific category.
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ICD-9-CM Coding Conventions (continued)
Punctuation
( ) PARENTHESES are used to enclose supplementary words that may be
present or absent in a statement of disease without affecting the code
assignment.
[ ] SQUARE BRACKETS are used to enclose synonyms, alternate wordings or
explanatory phrases.
: COLONS are used after an incomplete phrase or term that requires one or
more of the modifiers indented under it to make it assignable to a given
category. EXCEPTION to this rule pertains to the abbreviation NOS.
Symbols
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A filled BLACK CIRCLE preceding a code indicates that the code is new to
this revision of ICD-9-CM. A symbol key appears on all left-hand pages of
the Tabular List, Volume 1 and Volume 3.
▲ A filled BLACK TRIANGLE preceding a code indicates that there is a
revision to the text of an existing code.
 A circle containing the number 4 or 5 preceding a code indicates that a
fourth or fifth digit is required for coding to the highest level of specificity.
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ICD-9-CM Coding Conventions (continued)
Other conventions
Type Face:
• BOLD: Bold type face is used for all codes and titles in the Tabular List.
• Italics: Italicized type face is used for all exclusion notes and to identify
those rubrics that are not to be used for primary tabulations of disease.
Format: ICD-9-CM uses an indented format for ease in
reference.
Instructional Notations
Instructional terms define what is, or what is not, included in a given
subdivision. This is accomplished by using both inclusion and exclusion terms.
• INCLUDES: Indicates separate terms, such as, modifying adjectives, sites
and conditions, entered under a subdivision, such as a category, to further
define or give examples of, the content of the category.
• Excludes: Exclusion terms are enclosed in a box and are printed in italics to
draw attention to their presence. The importance of this instructional term is
its use as a guideline to direct the coder to the proper code assignment. In
other words, all terms following the word EXCLUDES: are to be coded
elsewhere as indicated in each instance.
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ICD-9-CM Coding Conventions (continued)
Instructional Notations (continued)
• NOTES These are used to define terms and give coding instructions. Often
used to list the fifth-digit subclassifications for certain categories.
• SEE The “see” instruction following a main term in the index indicates that
another term should be referenced. It is necessary to go to the main term
referenced with the “see” note to locate the correct code.
• SEE CATEGORY A variation of the instructional term SEE. This refers the
coder to a specific category. You must always follow this instructional term.
• SEE ALSO A “see also” instruction following a main term in the index
instructs that there is another main term that may also be referenced that
may provide additional index entries that may be useful. It is not necessary
to follow the “see also” note when the original main term provides the
necessary code.
• CODE FIRST This instructional note is used for those codes not intended to
be used as a principal diagnosis, or not to be sequenced before the
underlying disease. The note requires that the underlying disease (etiology)
be coded first with the code the note is applied to being coded second. This
note appears only in the Tabular List (Vol. 1).
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ICD-9-CM Coding Conventions (continued)
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USE ADDITIONAL CODE This instruction is placed in the Tabular List in
those categories where the coder may wish to add further information, by
using an additional code, to give a more complete picture of the diagnosis
or procedure.
Related terms
• AND The word “and” should be interpreted to mean either “and” or “or”
when it appears in a title.
• WITH The word “with” in the alphabetic index is sequenced immediately
following the main term, not in alphabetical order.
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ICD-9-CM Color Coding (Volume 1)
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ICD-9-CM Color Coding (Volume 3)
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HCPCS Coder’s Choice
HCPCS Coder’s Choice is an enhanced, value added HCPCS coding
reference that includes features to help users code easier, better and faster.
HCPCS Coder’s Choice includes:
• All official HCPCS codes with full descriptions, along with all official tables,
appendices and indexes.
• Comprehensive introduction covering HCPCS coding fundamentals.
• List of additions, deletions and revisions in the current edition.
• Unique symbol and color-coding system to identify special coding rules;
including 3-digit codes, unspecified codes, nonspecific codes, manifestation
codes, MSP alerts, primary and secondary V-codes.
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Key Points Regarding the HCPCS Coding System
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HCPCS codes describe supplies, materials, injections and procedures
provided by medical professionals.
HCPCS codes are five-digit, alphanumeric codes. The first digit is a letter
between A and Z, and the second through fifth digits are numbers.
The HCPCS coding system is a two-level system consisting of CPT Level I
and HCPCS Level II national codes. HCPCS codes follow a specific
hierarchy of selection and use. HCPCS National Level II takes precedence
over HCPCS Level I (CPT).
HCPCS codes are mandated by HIPAA for government and private health
plans.
HCPCS codes are self-definitive, i.e. each HCPCS code number represents
the universal definition of the supply, injection or procedure.
HCPCS codes are revised and updated annually by CMS and the revisions
become effective each January 1st.
Accurate HCPCS coding provides an efficient method of communicating
supply, material, injection and procedure information among providers,
facilities, and party payers.
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HCPCS Color Coding
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HCPCS Color Coding (Continued)
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