healthcare common procedure coding system

Summary

Summary: Uniform method for health care providers and medical suppliers to report professional services, procedures, and supplies. It consists of alphanumeric codes and modifiers for the use of all public and private health insurers. It is developed by the Centers for Medicare and Medicaid Services.

Top Publications

  1. ncbi Assessment of risk in radiology using malpractice RVU
    Massimo Cristofaro
    U O di Diagnostica per Immagini, Istituto Nazionale per le Malattie Infettive IRCCS, L Spallanzani Via Portuense, 292, 00149 Rome, Italy
    Eur J Radiol 61:367-71. 2007
  2. doi 2008 wound-related coding changes
    Kathleen D Schaum
    Kathleen D Schaum and Associates, Inc, Lake Worth, FL 33467, USA
    Adv Skin Wound Care 21:114, 116. 2008
  3. pmc Costs of alcohol screening and brief intervention in medical settings: a review of the literature
    Jeremy W Bray
    RTI International, Research Triangle Park, North Carolina
    J Stud Alcohol Drugs 73:911-9. 2012
  4. ncbi General clinical practice getting the intermittent catheter the patient needs: considerations in coding, coverage, and documentation
    Steve Boettcher
    Coloplast Corporation, Minneapolis, MN, USA
    Urol Nurs 33:119-21. 2013
  5. doi Maximizing reimbursement through correct coding initiatives
    Eric A Orzeck
    Endocrinology Associates, Houston, Texas 77025 5252, USA
    Diabetes Technol Ther 11:S121-7. 2009
  6. ncbi What are the new Trauma Codes, Form Locator (FL) 19, Type 5 and Revenue Code, 68x "G" 0390 and APC 0618 and how should they be implemented?
    Connie J Potter
    National Foundation for Trauma Care, Las Cruces, New Mexico 88001, USA
    J Trauma Nurs 14:178-9. 2007
  7. ncbi Strategies to improve external cause-of-injury coding in state-based hospital discharge and emergency department data systems: recommendations of the CDC Workgroup for Improvement of External Cause-of-Injury Coding
    Joseph L Annest
    MMWR Recomm Rep 57:1-15. 2008
  8. doi Make sense of wound care billing: turn your cents into reimbursement dollars
    Deanna M Vargo
    Department of Ambulatory Care Wound Care, Summa Health System, Barberton Citizens Hospital, Barberton, Ohio 44203, USA
    J Wound Ostomy Continence Nurs 35:186-96; quiz 197-8. 2008
  9. ncbi [Study on classification and coding for public health information]
    Li Hua Liu
    Department of Health Statistics, General Hospital of PLA, Beijing, China
    Zhonghua Yu Fang Yi Xue Za Zhi 41:344-7. 2007
  10. ncbi Making the connection between standard terminologies, use cases and mapping
    Kathy Giannangelo
    American Health Information Management Association, Chicago, IL 62707, USA
    HIM J 35:8-12. 2006

Scientific Experts

Detail Information

Publications45

  1. ncbi Assessment of risk in radiology using malpractice RVU
    Massimo Cristofaro
    U O di Diagnostica per Immagini, Istituto Nazionale per le Malattie Infettive IRCCS, L Spallanzani Via Portuense, 292, 00149 Rome, Italy
    Eur J Radiol 61:367-71. 2007
    ..Analysis on the causes and remedies needed to reduce the incidence of malpractice has been under continual studies, although limited data is available regarding quantitative evaluation of the risk...
  2. doi 2008 wound-related coding changes
    Kathleen D Schaum
    Kathleen D Schaum and Associates, Inc, Lake Worth, FL 33467, USA
    Adv Skin Wound Care 21:114, 116. 2008
  3. pmc Costs of alcohol screening and brief intervention in medical settings: a review of the literature
    Jeremy W Bray
    RTI International, Research Triangle Park, North Carolina
    J Stud Alcohol Drugs 73:911-9. 2012
    ..This article summarizes the literature on the implementation costs of alcohol screening and brief intervention (SBI) in medical settings...
  4. ncbi General clinical practice getting the intermittent catheter the patient needs: considerations in coding, coverage, and documentation
    Steve Boettcher
    Coloplast Corporation, Minneapolis, MN, USA
    Urol Nurs 33:119-21. 2013
    ....
  5. doi Maximizing reimbursement through correct coding initiatives
    Eric A Orzeck
    Endocrinology Associates, Houston, Texas 77025 5252, USA
    Diabetes Technol Ther 11:S121-7. 2009
    ..correct Common Procedural Terminology (CPT, American Medical Association, Chicago, IL), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD-9) coding there will be an increased ..
  6. ncbi What are the new Trauma Codes, Form Locator (FL) 19, Type 5 and Revenue Code, 68x "G" 0390 and APC 0618 and how should they be implemented?
    Connie J Potter
    National Foundation for Trauma Care, Las Cruces, New Mexico 88001, USA
    J Trauma Nurs 14:178-9. 2007
  7. ncbi Strategies to improve external cause-of-injury coding in state-based hospital discharge and emergency department data systems: recommendations of the CDC Workgroup for Improvement of External Cause-of-Injury Coding
    Joseph L Annest
    MMWR Recomm Rep 57:1-15. 2008
    ....
  8. doi Make sense of wound care billing: turn your cents into reimbursement dollars
    Deanna M Vargo
    Department of Ambulatory Care Wound Care, Summa Health System, Barberton Citizens Hospital, Barberton, Ohio 44203, USA
    J Wound Ostomy Continence Nurs 35:186-96; quiz 197-8. 2008
    ..Therefore, investing the time to check the site for the latest updates can make a critical difference in your success with reimbursement for wound care services...
  9. ncbi [Study on classification and coding for public health information]
    Li Hua Liu
    Department of Health Statistics, General Hospital of PLA, Beijing, China
    Zhonghua Yu Fang Yi Xue Za Zhi 41:344-7. 2007
    ..To improve data unified descriptions, identification, query and management in public health service by means of establishing public health information classification framework and coding system...
  10. ncbi Making the connection between standard terminologies, use cases and mapping
    Kathy Giannangelo
    American Health Information Management Association, Chicago, IL 62707, USA
    HIM J 35:8-12. 2006
    ..Driven by a philosophy of "code once, use many times", after clinical care is recorded in an electronic health record (EHR) using a standard terminology, mapping tables can be used to identify the related code(s) in legacy terminologies...
  11. ncbi Utilization, cost trends, and member cost-share for self-injectable multiple sclerosis drugs--pharmacy and medical benefit spending from 2004 through 2007
    April M Kunze
    Prime Therapeutics, 1305 Corporate Center Drive, Eagan, MN 55121, USA
    J Manag Care Pharm 13:799-806. 2007
    ..Self-injectable MS drugs are expensive, costing approximately $2,000 per month per patient in 2007...
  12. ncbi 2007 update: wound care-related HCPCS codes
    Kathleen D Schaum
    Kathleen D Schaum and Associates, Inc, Lake Worth, FL, USA
    Adv Skin Wound Care 20:379-80. 2007
  13. doi Use of intravenous bisphosphonates in older women with breast cancer
    Sharon H Giordano
    Department of Breast Medical Oncology, The University of Texas, Houston, Texas 77030, USA
    Oncologist 13:494-502. 2008
    ..i.v. bisphosphonates reduce skeletal events in women with bone metastases from breast cancer, but little is known about the prevalence and duration of bisphosphonate use...
  14. doi The devil is in the details: maximizing revenue for daily trauma care
    Stephen L Barnes
    Department of Surgery, University of Cincinnati, Cincinnati, Ohio, USA
    Surgery 144:670-5; discussion 675-6. 2008
    ..We compared current procedure terminology code distribution and billing patterns for Subsequent Hospital Care (SHC) before and after the institution of standardized documentation...
  15. doi Excess costs associated with patients with chronic thromboembolic pulmonary hypertension in a US privately insured population
    Noam Y Kirson
    Analysis Group, Inc, Boston, MA, USA
    Appl Health Econ Health Policy 9:377-87. 2011
    ..Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare and potentially fatal disease. Little is known about the economic burden associated with CTEPH patients in the US...
  16. ncbi Uncovering pharmacy department risks and opportunities
    Gary R Fong
    Panacea Healthcare Solutions, Inc, Scottsdale, Ariz, USA
    Healthc Financ Manage 65:84-90. 2011
    ..The audit should look for inaccuracies with respect to: National drug codes. Healthcare Common Procedure Coding System codes. UB-04 revenue codes. Billable units...
  17. pmc Economic impact of the clinical benefits of bariatric surgery in diabetes patients with BMI ≥35 kg/m²
    Samuel Klein
    Division of Gastroenterology, Center for Human Nutrition, Washington University School of Medicine, St Louis, Missouri, USA
    Obesity (Silver Spring) 19:581-7. 2011
    ..with diabetes, aged 18-65 years, who were treated with bariatric surgery identified using Healthcare Common Procedure Coding System codes...
  18. ncbi A review of bioactive materials and chronic wounds
    Alisha N Plotner
    Northeastern Ohio Universities College of Medicine, Rootstown, USA
    Cutis 85:259-66. 2010
    ..commonly available bioactive materials indicated for chronic wound healing and provides an overview of the relevant Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes for these products.
  19. pmc Exploratory study of radiology coding in health information management practice
    Melanie Brodnik
    Ohio State University, Columbus, OH, USA
    Perspect Health Inf Manag 6:1d. 2009
    ..Suggested solutions to challenges of radiology coding such as establishing a good working relationship with physicians, radiology, and charge description master (CDM) departments were suggested...
  20. ncbi Sports medicine practice economics part 1: coding basics
    Chris Madden
    Longs Peak Family Practice, Longmont, CO, 80501, USA
    Phys Sportsmed 33:21-31. 2005
    ..current procedural terminology (CPT), awareness of international classification of diseases (ICD-9) and healthcare common procedure coding system (HCPCS) codes, and the knowledge of how to apply them benefit sports medicine physicians.
  21. doi Characterizing hospitalizations of end-stage renal disease patients on dialysis and inpatient utilization of erythropoiesis-stimulating agent therapy
    Donald F Brophy
    Department of Pharmacotherapy and Outcomes Science, School of Pharmacy, Virginia Commonwealth University, Richmond, VA 23298, USA
    Ann Pharmacother 44:43-9. 2010
    ..Studies have found that hemoglobin concentrations are often low among dialysis patients after hospital discharge, yet little is known about inpatient anemia treatment...
  22. doi Survey of national usage of trauma response charge codes: an opportunity for enhanced trauma center revenue
    Samir M Fakhry
    Department of Surgery, National Foundation for Trauma Care Trauma Center Association of America, Las Cruces, New Mexico, USA
    J Trauma 67:1352-8. 2009
    ..Potential over- and underutilization of these enhanced reimbursements was assessed...
  23. ncbi [The French Common Classification of Procedures CCAM. An option for Germany]
    A Zaiss
    Universitatsklinikum Freiburg, Freiburg, BRD
    Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50:944-52. 2007
    ....
  24. ncbi [ICD and OPS. Historical development and current situation]
    B Graubner
    Zentralinstitut für die Kassenärztliche Versorgung in der Bundesrepublik Deutschland, Berlin, BRD
    Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50:932-43. 2007
    ....
  25. ncbi Illustrating the root-cause-analysis process: creation of a safety net with a semiautomated process for the notification of critical findings in diagnostic imaging
    Vaishali R Choksi
    Department of Veterans Affairs, Ann Arbor VA Healthcare System, Ann Arbor, MI 48109 0030, USA
    J Am Coll Radiol 2:768-76. 2005
    ....
  26. ncbi Medicare payment system for surgical dressings containing silver
    Kathleen D Schaum
    Kathleen D Schaum and Associates, Inc, Lake Worth, FL, USA
    Ostomy Wound Manage 52:30-3. 2006
  27. ncbi Teaching residents coding and documentation: effectiveness of a problem-oriented approach
    Sawsan As-Sanie
    Division of Advanced Laparoscopy and Gynecologic Surgery, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA
    Am J Obstet Gynecol 193:1790-3. 2005
    ..We sought to assess the effectiveness of a problem-oriented approach to teaching residents accurate coding and documentation of ambulatory gynecology visits...
  28. ncbi Development and assessment of a Web-based evaluation and management coding curriculum for residents
    Paul M Lemen
    Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, WI, USA
    Am J Obstet Gynecol 193:1785-9. 2005
    ..The purpose was to assess a Web-based learning module for residents on evaluation and management coding, and to determine whether using a point system based on reimbursement is an effective way to measure improvement in performance...
  29. ncbi Reshuffling the DRG deck. New cardiac DRGs praised for more equitable reimbursements while post-acute-transfer changes are generating some worries
    Matthew DoBias
    Mod Healthc 35:6-7, 16, 1. 2005
    ..Tom Watson, left, a partner with accounting firm BKD, which specializes in healthcare reimbursement, says it's unlikely the changes will put any hospitals out of business, but they will feel a pinch...
  30. ncbi Coding and reimbursement: the lifeline of the urologist's office
    Stephanie N Stinchcomb
    Practice Management Department, American Urological Association, 1000 Corporate Boulevard, Linthicum, MD 21090, USA
    Urol Clin North Am 32:285-90, vi. 2005
  31. ncbi Negative pressure wound therapy pumps and ostomy supplies
    Kathleen D Schaum
    Kathleen D Schaum and Associates, Inc, Lake Worth, FL, USA
    Ostomy Wound Manage 51:20, 22. 2005
  32. ncbi 2005 HCPCS changes impact wound care
    Kathleen D Schaum
    Kathleen D Schaum and Associates, Inc, Lake Worth, FL, USA
    Adv Skin Wound Care 18:76-8. 2005
  33. ncbi Maximizing reimbursement from trauma response fees (UB-92: 68X) - lessons learned from a hospital comparison
    John B Fortune
    Southern Illinois Trauma Center, Springfield, Illinois, USA
    J Trauma 58:482-6. 2005
    ..This study compares two trauma centers' performance in collecting this fee help define methodologies that can enhance reimbursement...
  34. ncbi Overview of inpatient coding
    Sherri Alexander
    Outcomes Research Group, US Medical Division, Eli Lilly and Company, Indianapolis, IN 46285, USA
    Am J Health Syst Pharm 60:S11-4. 2003
    ..Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) coding system; the Healthcare Common Procedure Coding System (HCPCS); the process and importance of appropriate chart documentation; and the development of ..
  35. ncbi Will a "G" PS clarify the landscape?
    James P McMichael
    Anesth Analg 102:1229-30. 2006
  36. ncbi Efficiency of a semiautomated coding and review process for notification of critical findings in diagnostic imaging
    Vaishali R Choksi
    Department of Veterans Affairs, Ann Arbor VA Healthcare System, Ann Arbor, MI 48109, USA
    AJR Am J Roentgenol 186:933-6. 2006
    ..On the basis of prior root cause analysis, we developed and instituted a semiautomated process for notification of critical diagnostic imaging findings. We now report our 12-month experience with the process...
  37. ncbi Compliance: not all fun and games
    Richard Duszak
    West Reading Radiology Associates, Reading, PA 19612 6052, USA
    J Am Coll Radiol 1:311-2. 2004
  38. ncbi Revised coding guidelines for surgical dressings
    Kathleen D Schaum
    Kathleen D Schaum and Associates, Inc, Lake Worth, FL 33467, USA
    Adv Skin Wound Care 19:490-1. 2006
  39. ncbi Understanding basic concepts and strategies for obtaining pharmaceutical reimbursement
    Anne T Jarrett
    Wake Forest University Medical Center, Medical Center Boulevard, Winston Salem, NC 27157, USA
    Am J Health Syst Pharm 63:S7-9. 2006
    ..The rules that govern pharmaceutical reimbursement and strategies for obtaining reimbursement for hospital inpatients and outpatients and patients treated at physician-owned clinics are discussed...
  40. ncbi Effect of the Medicare Prescription Drug Improvement and Modernization Act on the bottom line
    Anne T Jarrett
    Wake Forest University Medical Center, Medical Center Boulevard, Winston Salem, NC 27157, USA
    Am J Health Syst Pharm 63:S10-3. 2006
    ....
  41. ncbi Voicing opinions on local coverage determinations: part I
    Kathleen D Schaum
    Kathleen D Schaum and Associates, Inc, Lake Worth, FL, USA
    Adv Skin Wound Care 19:374-8. 2006
  42. ncbi Mid-year update: Medicare physician fee schedule and average sales prices for wound care products and services
    Kathleen D Schaum
    Kathleen D Schaum and Associates, Inc, Lake Worth, FL, USA
    Adv Skin Wound Care 19:308-9. 2006
  43. ncbi Computers and medical coding G codes are coming (from CMS)
    Stephen A Imbeau
    Allergy, Asthma and Sinus Center, Florence, SC 29506, USA
    J S C Med Assoc 101:381-2. 2005
  44. ncbi New 2006 wound care-related HCPCS codes
    Kathleen D Schaum
    Kathleen D Schaum and Associates, Inc, 6491 Rock Creek Drive, Lake Worth, FL 33467, USA
    Adv Skin Wound Care 19:127-9. 2006
  45. ncbi Validation of data collection for the HEDIS performance measure on chlamydia screening in an MCO
    Feifei Wei
    HealthPartners Research Foundation, PO Box 1524, Minneapolis, MN 55440 1524, USA
    Am J Manag Care 9:585-93. 2003
    ..To determine the validity of calculating the chlamydia Health Plan Employer Data and Information Set (HEDIS) measure using administrative data available in a mixed-model managed care organization (MCO)...

Research Grants9

  1. Alcohol Screening and Brief Intervention in an EAP
    Jeremy Bray; Fiscal Year: 2007
    ..Taken together, our findings will provide researchers, EAP professionals, employers, and policy makers with a complete picture of the costs, benefits, feasibility, and sustainability of an SBI program within an EAP. ..
  2. The Study of the Impact of a Terrorist Attack on Individual Trauma Centers
    Connie Potter; Fiscal Year: 2005
    ....
  3. Adherence Among Older Women with Breast Cancer
    Sharon Giordano; Fiscal Year: 2007
    ..The proposed studies and career development activities will provide the applicant with the skills to develop into an independent investigator. ..