Integrating clinical and financial information system aimed towards an efficient patient care

Medical Billing Codes

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
  • Diagnosis
  • Symptoms
  • Complaint
  • Condition or reason for performing the service

This information is essential for accurate, timely and optimized third-party reimbursement.

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