1. Official policies published by the Centers for Medicare and Medicaid Services (CMS) that tell how procedure codes are to be assigned by providers when submitting insurance claims for patients who have received medical services. 2. Official rules for assigning ICD-9-CM diagnostic codes to patients’ conditions of illnesses, injuries, and diseases.
Insurance Encyclopedia
Coding rules
Official code conventions used when selecting diagnostic and procedural code numbers for a patient who has received medical services by a provider.
Coding specialist
Expert in coding diagnoses and procedures using diagnostic and procedural code books.
Coding specialist for payers (CSP) / Physician Coding Specialist (PCS) / Facility Coding Specialist (FCS)
One type of certification earned by meeting the requirements of the American College of Medical Coding Specialists (ACMCS).