Medical Coding Format

Medical Coding Format:

 ICD-9-CM:

ICD-9-CM contains 3 Volumes.

Vol.1 and Vol.2 are used for Diagnostic Purpose

Vol.3 is used for Hospital Procedures

Vol. 1 -           Tabular list

            Vol.2  -           Alphabetical Index

            Vol.3  -           Procedural Coding

Format of ICD-9-CM codes are 

Vol.1 and Vol.2

 Numerical Code:

          Minimum of 3 digits and Maximum of 5 digits with decimal point after 3 digits

          No need of decimal point for 3 digit codes

Format with Examples:

          3 Digit Code:   XXX         (Eg., AIDS - 042)

          4 Digit Code:   XXX.X     (Eg., Cough - 786.2)

          5 Digit Code:   XXX.XX   (Eg., Asthma - 493.90)

Alphanumeric Code:       

V-Codes:   Minimum of 3 digits and Maximum of 5 digits with decimal point after 3 digits, Begin with "V"

Format with Examples:

        3 Digit Code:    VXX        (Eg., HIV + - V08)

        4 Digit Code:    VXX.X    (Eg., History of Breast Cancer - V10.3)

        5 Digit Code:    VXX.XX (Eg., Status post CABG procedure - V45.81)

E-Codes:   Minimum of 4 digits and Maximum of 5 digits with decimal point after 4 digits, Begin with "E"

Format with Examples:

        4 Digit Code:    EXXX        (Eg., Injury occurred at Home - E849.0)

        5 Digit Code:    EXXX.X    (Eg., Fall from Ladder  - E881.0)

Vol.3

Minimum of 3 digits and Maximum of 4 digits with decimal point after 3 digits

Format with Examples:

          3 Digit Code:   XX.X         (Eg., Radical Laryngectomy - 30.4)

          4 Digit Code:   XX.XX      (Eg., Proximal Pancreatectomy – 52.51)

CPT:

CPT codes are used for Physician services

CPT codes are 5 digit Numerical codes without decimal point

Format with Examples:

          5 Digit Code:   XXXXX         (Eg., Chest X-Ray - 71010)

HCPCS:

HCPCS codes are used for Non-Physician services such as Ambulance, Wheel Chairs, Injection and etc..

HCPCS codes are 5 digit Alphanumerical codes without decimal point, begin with Alphabet

 Format with Examples:

          5 Digit Code:   GXXXX         (Eg.,Non-Emergency Transportation, per mile - A0080)