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What's the difference between outpatient and inpatient coding


Outpatient coding refers to a detailed diagnosis report in which the patient is generally treated in one visit, whereas an inpatient coding system is used to report a patient's diagnosis and services based on his extended stay.

Is outpatient coding easier than inpatient coding?

Inpatient coding is more complex than outpatient coding. Inpatient codes report the full range of services provided to the patient over an extended period of time or the period of hospitalization. Inpatient coding also comes with a present on admission (POA) reporting requirement.

What codes are used for outpatient coding?

The three main coding systems used in the outpatient facility setting are ICD-10-CM, CPT®, and HCPCS Level II. These are often referred to as code sets.

Do you code symptoms in outpatient?

Under ICD-10 coding rules, in the outpatient setting, if you note your patient's diagnosis as probable or use any other term that means you haven't established a diagnosis, you are not allowed to report the code for the suspected condition. However, you may report codes for symptoms, signs, or test results.

What are the three main types of medical coding?

Right now, there are five major types of medical coding classification systems that are used by medical coding professionals — ICD-11, ICD-10-CM, ICD-10-PCS, CPT and HCPCS Level II. If you're interested in becoming a medical billing and coding professional, it's important to learn more about each system.

What is inpatient and outpatient coding?

Inpatient is a term used to refer to a patient who is admitted to a hospital for an extended stay. The translation of the information of such as patient is called outpatient coding. This coding system keeps a track of the patient’s admission details and the services they receive.

When is a patient considered to be an outpatient?

Even if a patient stays for over 24 hours, he/she can be considered an outpatient. The outpatient coding is based on the ICD-9/10-CM diagnostic codes for billing and appropriate reimbursement, but uses CPT or HCPCS coding system to report procedures.

What are the icd-9/10-cm codes for outpatient care?

The outpatient coding is based on the ICD-9/10-CM diagnostic codes for billing and appropriate reimbursement, but uses CPT or HCPCS coding system to report procedures. Documentation plays a crucial role in the CPT and HCPCS codes for services.




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