Before you dive deep into Medical billing codes – which is the purpose of this article – let us first understand what Medical billing is. Let us consider a scenario wherein a patient has a medical exam. The medical office will then work closely with the concerned patient as well as the patient’s insurance company for claims. The biller will then submit and move on to follow up any claims, so as to receive payment for services rendered by the doctor, medical practitioner or healthcare provider.
Medical billing and coding personnel or workers are responsible for processing patient’s insurance related information, as well as treatment records. They are health care professionals who are in charge of coding a patient’s diagnosis, along with requests for payment from the patient’s insurance company. These people are specially trained for the job. If you are a medical practitioner, streamlining your medical insurance claims process is vital to keeping your practice running profitably without problems. These billing and coding professionals are really helpful in that matter.
Since Medical insurance billers and coders have to code various aspects of the patient’s treatment and payment information, they require accessing medical billing codes. So, this is precisely why medical billing code books are absolutely necessary when it comes to medical insurance billing. These professionals frequently look up medical billing codes and for that purpose they need the code books up to date.
The thing with billing codes is that they change every year whenever they are outdated. When they are, insurance companies will no longer accept them and because of that the patients’ claims will be denied.
The billing code books available are CPT4, ICD9, HCPCS, and RBRVS. CPT means Current Procedural Terminology. These code books contain codes of various services and procedures done by medical practitioners.
ICD means International Classification of Diseases. ICD 9 is the ninth edition of the classification system. ICD9 groups related disease entities and procedures in order to report statistical information. Both alphabetic and numerical arrangements are available. These codes are updated on a yearly basis.
HCPCS Code Books: Healthcare Common Procedure Coding System is actually a standardized coding system that is especially used for identification of products, supplies, and services that are not included in the CPT codes.These codes are also updated annually.
There are some specialized code books that can be purchased. For chiropractic coding, allergy coding, and anesthesia coding, specialized books are available.