Product code #: AB201923 ©2025
ISBN #: 978-1-58426-962-5
Category: Books
Book Type: Softcover
Publisher: AHIMA Press
Pages: 676 pages
Healthcare Code Sets, Clinical Terminologies, and Classification Systems, Fifth Edition, features up-to-date content to familiarize readers with healthcare’s vast and complex structure of terminologies. With topics that include ICD-10-CM, ICD-10-PCS, CPT®, HCPCS, CDT, SNOMED CT, LOINC, RxNorm, DSM-5, and ICD-11, this new edition also accounts for the use and advancement of artificial intelligence (AI) and clinical documentation technology. This resource provides students and practitioners with an overview of each system and how they interact with each other.
Parts I and II of this book introduce the content, principles, and guidelines while demystifying the terminologies through use cases and explanations of tools for access and use — from code sets and classification systems commonly used for administrative reporting to more complex clinical terminologies for semantic interoperability. Part III highlights the use of data standards and explores how terminology and classifications are applied in real-world settings.
- Updated content includes ICD-11, SNOMED CT, LOINC, data sets, terminologies, the use and adoption of AI, and interchange standards, such as FHIR and data mapping.
- Code set adoptions and real-world use cases provide an understanding of how the terminology is used in the field.
- The relationships between terminologies and how they work together are explored.
Part I: Healthcare Code Sets and Classifications Commonly Used for Administrative and Statistical Reporting
- Use of Terminologies, Classifications, and Value Sets
- International Classification of Diseases (ICD) and the US Modifications
- Current Procedural Terminology (CPT)
- Healthcare Common Procedure Coding System (HCPCS)
- National Drug Codes (NDCs)
- Current Dental Terminology (CDT)
- SNOMED Clinical Terms (SNOMED CT)
- ICD-11 Overview
- RxNorm
- Diagnostic and Statistical Manual of Mental Disorders (DSM)
- Logical Observation Identifiers, Names, and Codes (LOINC)
- International Classification of Functioning, Disability, and Health
- Terminologies Used in Nursing Practice
- Other Terminologies and Classification Systems
Part II: Data Standards and Interoperability
- Healthcare Data Governance and Data Set Standards
- Data Interchange Standards
Part III: Application of Terminologies and Classification Systems in Healthcare
- Centralized Locations and Tools for Multiple Terminologies: Servers, Services, Databases, and Registries
- Data Mapping of Clinical Terminologies, Classifications, and Ontologies
Appendix A: Answer Key for Checking Your Understanding Exercises (Odd-Numbered Answers Only)
Appendix B: Glossary
Index
Instructor Resources include the following:
- Sample syllabi
- Test bank
- Full answer key
- Presentation slides
- Transition guide
The test bank is also available in Respondus.
Student Resources include:
Kathy Giannangelo, MA, RHIA, CCS, FAHIMA, has a comprehensive background in the field of clinical terminologies, classification, and data standards with more than 40 years of experience in HIM.
