What Codes Are Used For Outpatient Coding? - PowerPoint PPT Presentation

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What Codes Are Used For Outpatient Coding?

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When you own a small medical practice, you know all about the fine line you have to balance between providing quality patient care while also staying on top of your medical coding and billing—not to mention adhering to all the inpatient and outpatient coding guidelines. – PowerPoint PPT presentation

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Date added: 15 February 2025
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Title: What Codes Are Used For Outpatient Coding?


1
What Codes Are Used For Outpatient Coding?
2
  • When you own a small medical practice, you know
    all about the fine line you have to balance
    between providing quality patient care while also
    staying on top of your medical coding and
    billingnot to mention adhering to all the
    inpatient and outpatient coding guidelines.
  • Whether its for securing the right amount of
    reimbursement for your medical services rendered
    or simply ensuring your patients diagnoses are
    properly documented, your medical coders play a
    major part in the overall stability of your
    medical practice.

3
  • As a result, your medical billing team must
    always be aware of the official coding guidelines
    for both inpatient coding and in an outpatient
    setting.
  • This can be a fairly convoluted experience
    without the time and resources available to
    larger practices, so well be breaking down all
    you need to know about outpatient medical coding
    within this article.

4
Current Procedural Terminology (CPT) Codes
  • First on our list, we have CPT codes. These are
    fairly integral codes for following outpatient
    and inpatient coding guidelines and are
    ultimately used for describing things like
    medical procedures, services, and tests, too.
  • Lets take a look at the three main categories
    CPT codes are organized into

5
Evaluation and Management (E/M) Codes
  • E/M codes are primarily used for describing
    patient encountersthink of things such as office
    visits, consultations, and even hospital
    follow-ups.
  • Basically, they take into account factors like
    the complexity of their medical history and the
    level of physical examination provided.

6
Procedure Codes
  • These are slightly different as they refer to
    medical interventions instead. For example,
    surgeries, diagnostic tests, and therapeutic
    procedures, too. Each one of these procedures is
    then assigned a specific CPT code, which
    essentially allows for accurate billing.

7
Ancillary Service Codes
  • Lastly, ancillary service codes are used for
    things such as laboratory tests and radiology
    services, which help categorize all the different
    tests used to diagnose and treat a patient.
  • To read our full blog, click here
    https//pmninc.biz/what-codes-are-used-for-outpati
    ent-coding/
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