I believe that medical coding is how they bill you, I’m probably wrong lol, but I still don’t really understand the full scope of it. I had a physical last year and the receptionist (kind of a bitch), told me that since it was a physical, I couldn’t bring any concerns up, I would have to schedule another appointment. And then I’ve heard people mention that their insurance didn’t cover something because the way it was coded.
In: Biology
It also isn’t just the coding for the illness or disease. Those who mentioned the ICD-11 before are right. Every illness, disease, injury, or reason to see a medical provider has a diagnosis code.
In addition to the diagnosis code, every treatment has a procedure code. So, the pig bite, initial mentioned earlier has a code for the diagnosis. The band aid, stitches, and antibiotics also get procedure codes. All of those codes need to match in order for payment to be issued.
For example, if you saw a doctor because you had the flu, the billing would have a code for the reason for the visit (the flu), a code for the length of the appointment (a 15 minute appt has a different code than a 30 minute appt), and if you were written an Rx, there might be another code for the writing of the Rx. Finally, all of these are done on particular forms, which might be different depending upon the type of insurance used.
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