Step 1 while assisting the coding manager in preparing, Ask an Expert

Management Studies

Step 1: While assisting the coding manager in preparing for the electronic health record (EHR) implementation, you are reviewing diagnosis and procedure codes entered by the coders into the EHR.

To understand the importance of the codes, discuss medical necessity and how the International Classification of Disease 9th Clinical Modification (ICD-9-CM) and current procedural terminology (CPT) codes help to determine medical necessity.

Step 2: While discussing coding format for the EHR with the coding manager, you learn that The International Classification of Disease 10th Clinical Modification Procedure Classification System (ICD-10-CM-PCS) will be effective soon.

Discuss the following:

Explain when it is effective and why it replaces ICD-9-CM codes.
Is there a difference in format for these 2 coding systems?

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