What is the difference between cpt and icd codes

Category II codes are made by combining 4 numeric digits and one alphabet in the end. It consists of 11 codes. This category of codes is used for clinical components used for medical services and evaluation and management of medical procedures. These codes are copyrighted material of the American Medical Association, but still, it is mandatory for almost all health insurance payment and information systems.

The users of this code have to pay the license fee to access these codes. International Classification of Disease is a book of codes to determine the disease and diagnosis of the same. The codes describe the particular disease and its diagnosis, which help insurers, patients, and doctors to understand the medical condition. These codes are understandable and accepted internationally. Summary: 1. Author Recent Posts. Emelda M. Latest posts by Emelda M see all.

Help us improve. Rate this post! Cancel Reply. Follow Us. Because larger payers receive millions of claims each year, this key information is usually provided in codes for efficiency. CPT codes refer to the treatment being given, while ICD codes refer to the problem that the treatment is aiming to resolve. The two work hand-in-hand to quickly provide payors specific information about what service was performed the CPT code and why the ICD code.

CPT codes—formally, Current Procedural Terminology codes— are the codes used to describe clinical procedures and activities in health care. In other words, they refer to what the health care provider did during an interaction with or on behalf of a client or patient. CPT codes are developed by the American Medical Association, and used among federal government programs like Medicare and Medicaid, and private payers like insurance companies.

New CPT codes are released several times each year, to keep up with new developments in health care services. These are the codes most often used for billing purposes, as they identify specific, well-established procedures. Category II codes are used to gather information about quality of care, while Category III codes are used for newer procedures and technologies. In addition to being used in the process of health care billing, ICD codes are also used to identify health and disease trends across countries.

The ICD-9 assigns a specific code to the diagnosis of the condition or disease being treated. This is a uniform method so that the third party, doctor and patients can understand what is being treated in the patient encounter. The ICD-9 comes in three volumes. Volumes one and two are the same, except volume one is organized alphabetically, while volume two is organized by systems. Volume three deals with surgical codes and is not relevant to doctors of Oriental medicine.