CPT, the five digit alphanumeric codes, published by the AMA is used to describe medical, surgical and diagnostic services accurately. This most widely accepted coding system in both the private and public health insurance is structured into three primary categories:
Each procedure code must have a related diagnosis code that describes the patient’s condition. Providers must use the most accurate code for services reported on an insurance claim. The International Classification of Diseases is a system of medical diagnostic or medical insurance codes that were developed by the World Health Organization (WHO); this is a system of medical diagnostic or medical insurance alphanumeric codes applied to any diagnosis, symptom, or cause of death.
The current version 9, used in the U.S. is in the process of being replaced by ICD-10.
With the goal for improving coding accuracy and richness of data for analysis, the US Department of Health and Human Services (HHS) has mandated the replacement of the ICD-9-CM code sets used by medical coders and billers to report healthcare diagnoses and procedures with ICD-10 codes, effective October 1, 2015.
The implementation will radically change the way coding is currently done and require a significant effort to implement. Our coders are well-versed on these changes and we can help you implement the new version of codes into your current medical billing.