Medical Coding Examples or Sample Charts For Coders

However, I can provide some general examples of medical coding to help illustrate the process. Example 1: Patient presents with chest pain and is diagnosed with acute myocardial infarction (heart attack). The medical coder would use ICD-10-CM diagnosis code I21.4 (Non-ST elevation (NSTEMI) myocardial infarction) to indicate the patient’s condition. Example 2: A patient undergoes a laparoscopic cholecystectomy (removal of the gallbladder). The medical coder would use CPT code 47562 (Laparoscopy, surgical; cholecystectomy) to indicate the procedure performed. Example 3: A patient receives a prescription for a new medication to manage their high blood pressure. The medical coder would use HCPCS Level II code JNC15 (Drug, oral, antihypertensive, for administration to patients with a documented history of hypertension, not otherwise specified) to indicate the medication prescribed. It’s important to note that medical coding is a complex and nuanced field, and the specific codes used can vary depending on factors such as the patient’s condition, the provider’s specialty, and the location of the medical facility. Additionally, coding guidelines and regulations can change over time, so it’s important for medical coders to stay up-to-date on the latest coding standards and best practices.