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All medical billing is done using specific medical terms for diagnoses, procedures, etc. Every illness, disease, surgical procedure, injury, etc. has a medical term, and each of them correlates with a specific a diagnosis code number, and these numbers are used in billing. The diagnosis codes can be found in a book called an ICD-9, which stands for International Classification of Diseases, 9th Edition.

Having the right education and training for this industry is one of the keys to it's career success.

If you know the terminology, you will understand what you are billing, and what you are coding. All of this goes hand in hand. You honestly can't bill without knowing coding, and you can't do either without understanding the terminology. The CPT book is the procedure coding book; you would need to know where in the book to look for what you are billing, which requires knowledge of anatomy; for example, if you were asked to bill for a bilateral salpingo-oophorectomy due to endometriosis, you would need to know what that is, where in the body it took place, why it was done, etc. You need to know where in the CPT to find the procedure code, and where in the ICD-9-CM to find the diagnosis code. When reading the surgical notes, you need to be able to find out if there are any other procedures/diagnoses that need to be billed with it; you need to be able to understand the OP report.

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13y ago

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