Medical codes are assigned to diagnoses and procedures which help in financial settlement from insurance companies.
Types of Medical Procedure Codes
- Diagnosis Codes (ICD-9: International Classification of Diseases)
- Procedure Codes (CPT-4: Current Procedural Terminology)
- Coding for Inpatient Services (ICD-9)
- Dental Procedure Codes (CDT: Current Dental Terminology)
- Other Procedure Codes (HCPCS: Healthcare Procedure Coding System)
Superbill / Patient Encounter Form
Procedural and diagnostic codes, and any modifier codes that may be needed to better describe the medical problem and its treatment, are placed on a patient encounter form or superbill. The patient's chart is then re-filed and the encounter form/superbill is given to a medical billing team.
Use of ICD and CPT Codes
For billing purposes, the use of the ICD codes, when placed with CPT codes, tells the payer the following:
- Type of service provided
- Condition or reason for performing the service
This information is essential for accurate, timely and optimized third-party reimbursement.