Definition of Terms Vanessa Salgado HCS/533 October 15, 2012 Eric Rios

Definition of Terms
ICD-9- International Classification of Diseases, Ninth Revision, Clinical Modification- A coding system to classify disease data by disease information or procedure information for clinical information; The coding system assist with reimbursement of services provided by facilities. • The most important aspect of ICD-9 coding system is it defines disease in category allowing medical personnel to determine diagnosis, disorders, and procedures incorporating patient data and can assist in utilization process.
CPT- Current Procedural Terminology- CPT is another coding system to document medical services, surgical procedures, and diagnostic procedures. CPT codes are HCPC codes that can identify what has been done to a patient to assist in the diagnosis and prognosis of the patient by physicians, billers, coders, and administrative personnel. • The importance of CPT codes is it is a uniformed coding system for medical personnel to document accurately and maintain records for billing and diagnostic purposes.
CMS- Centers for Medicare and Medicaid Services- An agency within the Department of Health and Human Services that administers the Medicare and Medicaid program and standards for HIPPA. • The importance of CMS is it provides the different standards that Medicare and Medicaid providers must adhere to.

CMS-1500- Health Insurance Claim Form- Health insurance claim form physicians and facilities use to process procedures and services rendered to patients. • The importance of CMS-1500 is that medical providers are able to document what was done to patient for diagnostic purposes and accurately bill using CPT codes to bill correctly.
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