Medical coding is the transformation of healthcare
diagnosis, procedures, medical services, and equipment into
universal medical alphanumeric codes. The diagnoses and procedure
codes are taken from medical record documentation, such as
transcription of physician's notes, laboratory and radiologic results, etc.
Coders take medical reports from doctors, which may
include a patient’s condition, the doctor’s diagnosis, a prescription, and
whatever procedures the doctor or healthcare provider performed on the patient,
and turn that into a set of codes, which make up a crucial part of the medical
claim.
Diagnosis codes track diseases and
other health conditions, inclusive of chronic diseases, and
infectious diseases. Procedure codes track interventions performed.
These diagnosis and procedure codes are used by health care providers,
government health programs, private health insurance companies, workers'
compensation carriers, software developers, and others for a variety of
applications in medicine, public
health and medical-informatics, including:
· statistical analysis of diseases and therapeutic
actions
· reimbursement (e.g., to process claims
in medical billing based on diagnosis-related groups)
· knowledge-based and decision support systems
· direct surveillance of epidemic or pandemic
outbreaks
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