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How do you look up medical codes for billing?

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Quick Answer

Look up a medical code to determine its billing impact through sites such as FairHealthConsumer.org, PGMBilling.com, FindACode.com or AMA-Assn.org, as of 2015. Each site includes a tool for locating the appropriate billing code for various procedures within a given state. Alternately, some insurance companies may issue a booklet of codes during initial enrollment.

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Full Answer

The medical industry within each state uses a coding system to classify the different types of medical procedures that a patient receives to allow for clear and concise billing. FairHealthConsumer.org offers a comprehensive search tool that allows users to look up the codes for a service by choosing from a list of common procedures, such as an ambulance ride or a laboratory test. FindACode.com offers a simple search box that supports keywords for procedure names or descriptions, as well as medical codes for finding the matching procedure. However, certain features are only available through a subscription.

PGMBilling.com also offers a search tool that supports partial keywords as well as CPT codes, which stands for Current Procedural Terminology and represents a collection of terms from the American Medical Association. AMA-Assn.org has a similar tool, with both sites requiring users to choose a single state to conduct a search. Many health insurance providers also offer customers member handbooks, which often contain codes and descriptions for common procedures within the state of issuance. This information may also be available through the insurance company's support staff.

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