Procedure codes are a very important part of medical billing. They are used to describe the level of service provided to the patient. The level of service must agree with the diagnostic code that was discussed in the prior videos.

Payers link the two together to determine if they are in agreement before proceeding with payment decisions. A lack of connection between the diagnostic cod and the procedure code will result in a denial of payment or a slow down in payment. Both are bad for a practices cashflow.

Procedure codes are found in the “Current Procedural Terminology” [CPT] manual publish annually by the American Medical Association.

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