Villanueva Raissa, Cohen Bruce H
Continuum (Minneap Minn). 2018 Jun;24(3, BEHAVIORAL NEUROLOGY AND PSYCHIATRY):926-935. doi: 10.1212/CON.0000000000000608.
Medical coding is highly technical, and proper use of both Current Procedural Terminology (CPT) and the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) is difficult because of the considerable detail of the code definitions, the changes implemented yearly, and the vast change a few years ago with the transition to ICD-10-CM. Although basic office visit and hospital visit Evaluation and Management (E/M) codes have not changed in decades, new cognitive care codes have been added to the cognitive codes that fall under E/M. Accuracy in documentation is essential as the basis for precision in coding, which will result in both best practice and proper payment from payers.
医学编码技术要求很高，由于代码定义细节繁多、每年都有变化，且几年前向《国际疾病分类第十次修订本，临床修订版》（ICD - 10 - CM）的转变带来了巨大变化，正确使用《现行程序术语》（CPT）和ICD - 10 - CM都很困难。尽管基本的门诊和住院评估与管理（E/M）代码几十年来没有变化，但属于E/M的认知代码中增加了新的认知护理代码。文档记录的准确性对于编码的精确性至关重要，这将带来最佳实践并确保付款方的正确支付。
