by Dr. Yashashwini Reddy | Jun 17, 2025
→ Including Upcoding, Unbundling, Modifier Misuse, and More ❌ 1. Upcoding What It Is:Reporting a higher-level service than what was actually performed to receive higher reimbursement. Example:Coding a moderate-level visit (99214) when the documentation supports only a...
by Dr. Yashashwini Reddy | Jun 17, 2025
→ Structure, Usage, and Examples 🔹 1. ICD-10-CM (International Classification of Diseases – 10th Revision, Clinical Modification) 📌 Structure: Alphanumeric codes: 3–7 characters Format: Letter + 2 digits + optional charactersExample: M16.5 – Unilateral post-traumatic...
by Dr. Yashashwini Reddy | Jun 17, 2025
1. ICD-10 (International Classification of Diseases – 10th Revision) Use: To represent diagnoses and medical conditions. Example: E11.9 – Type 2 diabetes mellitus without complications. Why It Matters: Essential for documenting why a patient received...
by Dr. Yashashwini Reddy | Jun 17, 2025
Here’s a complete view of Medical Coding, designed as an easy-to-understand overview for beginners and professionals alike: 🔹 1. What is Medical Coding? Medical coding is the process of converting healthcare diagnoses, procedures, services, and equipment into...
by Dr. Yashashwini Reddy | Jun 17, 2025
→ Roles, Responsibilities, and Workflow Distinctions Medical coding and billing are two essential, yet distinct processes in the healthcare revenue cycle. Both work together to ensure that healthcare providers get paid for services rendered—but their functions are...
