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.

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[christinawatters]

Thank you so much for explaining without jokes, am in college taking up medical office assistant learning about CPT codes . Majority of people on YouTube take a lot of time of joking when they about to tech you something . You're the first person I did not have to fast forward . keep up the good work.

[howaydaeltantawy]

Thank you so much for the clear explanation.

[bryanh]

Also the ICD-10 to HCC coding is something important in Value-based systems like ChenMed!

[golfer]

What is the difference between charge entry and coding?

[jenniferchavez]

This is a great quick overview! What is the purpose of a DRG code? Is this just for extra reimbursement? Also, in this new ICD10 model, are ADG groupings obsolete?

[SeaFlower]

The detailed bill/statement that I requested only includes numbers, and no letters. It is ironic they they called it detailed. 🤦‍♀️ I think this is part of the attempt at deception.

What is your opinion on being billed for a facility fee when you had a virtual appointment?

What is your opinion on if you were billed two separate bills for the same visit, but different codes. It was a simple telehealth visit. Bill 1: the procedure codes codes is 99213. Bill 2: says Rev Code 0510 & procedure code

[Ilovelosangeles]

Sorry, but HCPCS is NOT pronounced as "hicks-picks". It's pronounced "hick-picks". The "S" is at the end. During my healthcare admin classes, we were taught to NEVER, EVER say "hicks-picks". It's "hick-picks". Look at - C - P - C - S.