Answer:
CPT is what was done, the ICD is why it was done. Insurance companies, especially Medicare and Medicaid have procedures that they will not cover if you don’t attach an acceptable diagnosis code. Fortunately, this isn’t a secret. They publish documents that outline what the procedure(s) are and what the needed or ‘covered’ diagnoses are.
Most of the links are self evident. Broken arm diagnosis - fix broken arm CPT code. Other pairings are also as easy.
It has gotten more difficult with ICD-10 because the available number of diagnoses has expanded tremendously. For some insurance companies it was an opportunity to narrow down the covered diagnoses for some of the more expensive procedures.
Modifiers have special use in coding. They can be informative; there are modifiers for each of your fingers and each of your toes. They can affect your reimbursement for the procedure performed: there are modifiers for services that were not completed. There are modifiers that will allow you to bill some things you wouldn’t be able to normally; modifiers for the same surgery done at different sites. Modifiers go on the CPT codes, not the diagnosis codes. Some modifiers are only for physician visits, some only for surgery. There are many, and using them is an art form.
Explanation:
Although the rest of the question is not included, we can still describe what this quote means in the novel. This quote comes from the book <em>The Pearl</em> by John Steinbeck.
In this quote, Kino is describing his wife Juana. Kino has always been obsessed with manhood, and what it means to be a man. Similarly, he wants his wife to be a typical woman. Juana is indeed patient, fragile and submissive. She obeys her husband and fulfills ideals of traditional womanhood. However, she is also very strong. She is resilient, practical and brave. This semi-contradiction shocks Kino, but also allows him to rely on her for support throughout their troubles.
