Procedure Codes CPT-4

medical billing process flow chart

Procedure Codes

Procedure codes are also known as CPT-4 (Current Procedural Terminology, 4th Edition ), and occasionally HCPCS (Healthcare Common Procedure Coding System, Level II ). They are used to tell insurance companies what kind of procedure or service was performed on you. They also sometimes denote pharmacy and supply items, as well as capture physician visit times.

Procedure codes are 5-character numbers. True CPT-4 codes are 5 numbers, whereas HCPCS codes are a letter and 4 numbers. Procedure codes must match up with diagnosis codes in order to get claims paid. Keeping up on procedure codes attached to charges is one of the most important areas for hospitals and physicians, yet it's probably the one that's overlooked the most.

Like diagnosis codes, there may be multiple procedure codes on a hospital claim. Every single medical claim that is sent to... http://go-travel.ucoz.com/news/medical_billing_process_flow_chart/2013-06-19-3758