Types of Service Codes in Medical Billing
In medical billing, a patient's medical record is submitted and followed up on insurance claims. This medical record contains information on any treatments, or procedures done during the visit to a hospital or clinic. A percentage of the visit to the doctor is paid for by the insurance company with the help of medical billing. Medical billing consists of service codes that represent the type of service rendered from a healthcare specialist. Here is a list of common codes.
ICD-9-CM
The ICD-9-CM code is a form used to retrieve codes for a verbal diagnosis from a healthcare provider.
CPT
CPT is a code that translates into Current Procedural Terminology. The level of service converts into a five-digit code that is drawn from the CPT.
ANSI 837
As soon as codes are assigned to a diagnosis, the medical staff submits the claim to the patient's insurance provider. The claim file is formatted electronically as the code ANSI 837.
CMS-1500
The CMS-1500 is another among the types of service codes in medical billing. CMS-1500 code is a form that translates into Centers for Medicare and Medicaid Services. This code is used if Medicare or Medicaid is paying for the medical consultation, and any evaluations or procedures done during the visit.
X12-270
The code X12-270 translates into Health Care Eligibility and Benefit Inquiry. This code is used when determining if a person is eligible to receive healthcare benefits. The medical billing staff verifies that the insurance company a patient has named will pay for the services.
X12-835
X12-835 code is used when an insurance company or the payer responds with a list of the medical services that the patient has received from a healthcare provider. The list states which services are going to be paid including the amount. The list also includes the services that are going to be denied and the amount.
X12-271
The X12-271 is another among the many types of service codes in medical billing. This code represents Healthcare Eligibility and Benefit Response. This code is used when an insurance company has responded to a benefit eligibility inquiry made from the healthcare facility that is member has visited.
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