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NCCI: The National Correct Coding Initiative (NCCI) was implemented in 1996. The Centers for Medicare and Medicaid Services (CMS) developed the NCCI to promote national correct coding methodologies and to control improper coding leading to inappropriate payment. The purpose of the NCCI edits is to prevent improper payments when inappropriate code combinations or unlikely units of service are reported.
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For an inpatient claim for reimbursement, the ICD-9-CM diagnosis codes would be V04.81 for the reason for an influenza vaccination (need for prophylactic vaccination against influenza) and V03.82 (need for prophylactic vaccination against streptococcus pneumoniae, aka pneumococcal pneumonia) for the pneumonia vaccination. The ICD-9-CM procedure codes would be 99.55, Prophylactic administration of vaccine against disease, for the pneumococcal vaccine and 99.52, Prophylactic vaccination against influenza, for the flu vaccination.Outpatient claims are coded differently with more complex specificity related to patient demographics, etc. than the inpatient ICD-9-CM codes. For a quick reference to the proper coding for these for an outpatient episode of care, see the related link below to the official CMS information for CPTand pharmaceutical codes and additional guidelines for coding for Medicare.
Slanted brackets are used in the Index to Diseases of the ICD-9-CM coding book and they identify manifestation codes. A manifestation is a condition that occurs as the result of another condition, and manifestation codes are ALWAYS reported as secondary codes. In other words, when you see a code in slanted brackets (listed after a primary condition code), you MUST report and sequence it as the secondary code.
Medical coding is a very good career line to go into. There is always a job available where ever you go. There are several online websites where you can train for coding. Going the online route is much faster and more cost effective.
Nurses Doctors Surgeon Medical Coding and Billing Nurses Aids (CNA,STNA)
A. To verify the codes you've located in the Alphabetic Index.
hierarchial classification faceted classification serial coding sequential coding block coding interpretative coding mnemonic coding check digits
Programs run with a step by step coding line. For example, when you open your program, a piece of coding will see if you have registered or not. If you have, it will go to step 2, if not, it will either disable some futures, close program or always ask to register. There are only 2 ways to bypass it: 1. Register it 2. Delete the line coding within the program coding.
What I find for a female is 625.9, and as always in coding, verify this meets your diagnosis need.
Add-on codes are used in the reporting of CPT (Current Procedural Terminology) procedure codes.A + (plus) symbol next to add-on codes describe a service or procedure that can be reported only in addition to a primary procedure. It may be identified in the coding book by descriptors such as "each additional" or "list separately in addition to primary procedure".Add-on codes are NEVER reported as stand-alone codes because they are considered an integral part of another procedure. They are never reported alone because the procedures they describe would not be performed unless another primary procedure was performed.