Buck's Step-by-Step Medical Coding, 2022 Edition
- 1st Edition - September 28, 2021
- Imprint: Saunders
- Author: Elsevier
- Language: English
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 1 1 3 5 - 4
Take your first step toward a successful career in medical coding with guidance from the most trusted name in coding education! The bestselling Buck’s Step-by-Step Medical Codin… Read more
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Request a sales quoteTake your first step toward a successful career in medical coding with guidance from the most trusted name in coding education! The bestselling Buck’s Step-by-Step Medical Coding is a practical, easy-to-use resource that shows you exactly how to code using all current coding sets. To reinforce your understanding, practice exercises follow the explanations of each coding concept. In addition to coverage of reimbursement, ICD-10-CM, CPT, HCPCS, and inpatient coding, an Evolve website includes 30-day access to TruCode® Encoder Essentials. No other book so thoroughly covers all coding sets!
- Theory and practical review questions (located at the end of each chapter) focus on recalling important chapter information and application of codes.
- A step-by-step approach makes it easier to build your coding skills and remember the material.
- Learning objective and glossary review questions reinforce your understanding of key chapter concepts and terms
- 30-day trial to TruCode® Encoder Essentials gives you experience with using an encoder (plus access to additional encoder practice exercises on the Evolve website).
- UNIQUE! "Real-life" coding reports simulate the reports you will encounter as a coder and help you apply coding principles to actual cases.
- Online activities on Evolve provide extra practice with assignments, including coding reports.
- More than 450 illustrations help you understand the types of medical conditions and procedures being coded, and include examples taken directly from Elsevier's professional ICD-10 and HCPCS manuals.
- UNIQUE! Four coding-question variations — covering both single-code questions and multiple-code questions and scenarios — develop your coding ability and critical thinking skills.
- UNIQUE! Coders’ Index in the back of the book makes it easy to quickly locate specific codes.
- Official Guidelines for Coding and Reporting boxes show the official guidelines wording for inpatient and outpatient coding alongside in-text explanations.
- Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information.
- Valuable tips and advice are offered in features such as From the Trenches, Coding Shots, Stop!, Caution!, Check This Out, and CMS Rules.
- Sample EHR screenshots (in Appendix D) show examples similar to the electronic health records you will encounter in the workplace.
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- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- About the authors
- Acknowledgments
- Preface
- Development of this edition
- Introduction
- List of Tables
- List of Illustrations
- Unit 1. Reimbursement
- 1. Reimbursement, HIPAA, and compliance
- Introduction
- Basic structure of the medicare program
- Health insurance portability and accountability act
- Federal register
- Outpatient resource-based relative value scale (RBRVS)
- Medicare fraud
- Managed health care
- References
- Unit 2. ICD-10-CM
- 2. An overview of ICD-10-CM
- The ICD-10-CM
- ICD-10-CM format
- Index
- Tabular
- Official instructional notations in the ICD-10-CM
- 3. ICD-10-CM outpatient coding and reporting guidelines
- First-listed diagnosis
- Unconfirmed diagnosis
- Outpatient surgery
- Additional diagnoses
- Z codes
- Observation stay
- First-listed diagnosis and coexisting conditions
- Uncertain diagnoses
- Chronic diseases
- Documented conditions
- Diagnostic services
- Therapeutic services
- Preoperative evaluation
- Prenatal visits
- 4. Using ICD-10-CM
- Organization of the guidelines
- Accurate coding
- Alphabetic index and tabular list
- Level of specificity
- Integral conditions
- Multiple coding
- Acute and chronic
- Combination codes
- Late effects (sequela)
- Reporting same diagnosis code more than once
- Laterality
- 5. Chapter-specific guidelines (ICD-10-CM Chapters 1-10)
- Certain infectious and parasitic diseases
- Neoplasms
- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
- Endocrine, nutritional, and metabolic diseases
- Mental, behavioral and neurodevelopmental disorders
- Diseases of the nervous system
- Diseases of the eye and adnexa
- Diseases of the ear and mastoid process
- Diseases of the circulatory system
- Diseases of the respiratory system
- 6. Chapter-specific guidelines (ICD-10-CM Chapters 11-14)
- Diseases of the digestive system
- Diseases of the skin and subcutaneous tissue
- Diseases of the musculoskeletal system and connective tissue
- Diseases of the genitourinary system
- 7. Chapter-specific guidelines (ICD-10-CM Chapters 15-22)
- Pregnancy, childbirth, and the puerperium
- Certain conditions originating in the perinatal period
- Congenital malformations, deformations, and chromosomal abnormalities
- Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified
- Injury, poisoning, and certain other consequences of external causes
- Unit 3. CPT and HCPCS
- 8. Introduction to CPT
- The purpose of the CPT manual
- Updating the CPT manual
- CPT manual format
- Starting with the index
- General rules
- 9. Introduction to the level II National Codes (HCPCS)
- History of national level codes
- Updating the HCPCS manual
- HCPCS format
- National physician fee schedule
- 10. Modifiers
- CPT modifiers
- Modifiers -22 through -26
- Modifiers -32 through -52
- Modifiers -53 through -59
- Modifiers -62 through -82
- Modifiers -90 through -99
- 11. Evaluation and management (E/M) services
- Contents of the E/M section
- Three factors of E/M codes
- Office or other outpatient code guidelines
- Various levels of E/M service
- An E/M code example
- Using the E/M codes
- Documentation guidelines
- 12. Anesthesia
- Types of anesthesia
- Anesthesia section format
- Formula for anesthesia payment
- Concurrent modifiers
- Unlisted anesthesia code
- Other reporting
- 13. Surgery guidelines and general surgery
- Introduction to the surgery section
- Notes and guidelines
- Unlisted procedures
- Special reports
- Separate procedure
- Surgical package
- General subsection
- 14. Integumentary system
- Integumentary system
- Format
- Skin, subcutaneous, and accessory structures
- Nails, pilonidal cyst and introduction
- Repair (closure)
- Burns
- Destruction
- Breast procedures
- 15. Musculoskeletal system
- Format
- Fractures and dislocations
- General
- Application of casts and strapping
- Endoscopy/arthroscopy
- 16. Respiratory system
- Format
- Endoscopy
- Nose
- Accessory sinuses
- Larynx
- Trachea/bronchi
- Lungs and pleura
- 17. Cardiovascular system
- Coding highlights
- Cardiovascular coding in the surgery section
- Cardiovascular coding in the medicine section
- Cardiovascular coding in the radiology section
- 18. Hemic, lymphatic, mediastinum, and diaphragm
- Hemic and lymphatic systems
- Mediastinum and diaphragm
- 19. Digestive system
- Format
- Lips
- Vestibule of mouth
- Tongue and floor of mouth
- Dentoalveolar structures
- Palate and uvula
- Salivary gland and ducts
- Pharynx, adenoids, and tonsils
- Esophagus
- Stomach
- Intestines (except rectum)
- Meckel’s diverticulum and the mesentery
- Appendix
- Colon and rectum
- Anus
- Liver
- Biliary tract
- Pancreas
- Abdomen, peritoneum, and omentum
- 20. Urinary and male genital systems
- Urinary system
- Male genital system
- 21. Reproductive, intersex surgery, female genital system, and maternity care and delivery
- Reproductive system procedures
- Intersex surgery
- Female genital system
- Maternity care and delivery
- 22. Endocrine and nervous systems
- Endocrine system
- Nervous system
- 23. Eye, ocular adnexa, auditory, and operating microscope
- Eye and ocular adnexa
- Auditory system
- Operating microscope
- 24. Radiology
- Format
- Radiology terminology
- Terms
- Planes
- Guidelines
- Diagnostic radiology
- Breast, mammography
- Diagnostic ultrasound
- Radiation oncology
- Nuclear medicine
- 25. Pathology/laboratory
- Format
- Organ or disease-oriented panels
- Drug assay
- Therapeutic drug assays
- Evocative/suppression testing
- Pathology clinical consultations
- Urinalysis, molecular pathology, and chemistry
- Hematology and coagulation
- Immunology
- Transfusion medicine
- Microbiology
- Anatomic pathology
- Cytopathology and cytogenic studies
- Surgical pathology
- Other procedures
- 26. Medicine
- Format
- Introduction to immunizations
- Psychiatry
- Biofeedback
- Dialysis
- Gastroenterology
- Ophthalmology
- Special otorhinolaryngologic services
- Cardiovascular
- Noninvasive vascular diagnostic studies
- Pulmonary
- Allergy and clinical immunology
- Endocrinology
- Neurology and neuromuscular procedures
- Central nervous system assessments/tests
- Health behavior assessment and intervention
- Hydration
- Chemotherapy administration
- Photodynamic therapy
- Special dermatological procedures
- Physical medicine and rehabilitation
- Medical nutrition therapy
- Osteopathic manipulative treatment (OMT)
- Chiropractic manipulative treatment (CMT)
- Non-face-to-face nonphysician services
- Special services, procedures, and reports
- Other services and procedures
- Home health procedures/services
- Medication therapy management services
- Unit 4. Inpatient Coding
- 27. Inpatient coding
- Differences between inpatient and outpatient coding
- Selection of principal diagnosis
- Reporting additional diagnoses
- Present on admission (POA)
- Development of the ICD-10-PCS
- Appendix A. Online resources
- Appendix B. Exercise quick check and toolbox answers
- Appendix C. Learning objective and glossary review answers
- Appendix D. EHR Screens
- Glossary
- Figure credits
- Coder’s index
- Index
- Edition: 1
- Published: September 28, 2021
- Imprint: Saunders
- No. of pages: 832
- Language: English
- eBook ISBN: 9780323811354