What Are Some Common Payable Diagnosis Codes?


Quick Answer

Nearly all health care claims are paid based in part on a common set of diagnosis codes known as the International Classification of Diseases, Tenth Revision, explains the American Medical Association. Each medical specialty generally shares some common diagnosis codes, though whether these codes are payable vary by procedure, payer and practice, as well as by geographical location and patient population, notes the Centers for Medicare and Medicaid Services.

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Health care claims include both a diagnosis code and a procedure or medical supply code, explains The Wall Street Journal. Providers are reimbursed for the procedure performed, service provided or medical equipment supplied, as long as an appropriate corresponding diagnosis code is included on the claim.

Some of the most common ICD-10 diagnosis codes for family practices include I10 for essential primary hypertension, J20.0 through J20.9 for various types of bronchitis, R07.1 for chest pain on breathing, Z00.00 for a general adult medical exam without abnormal findings, and Z00.01 for a general adult medical exam with abnormal findings, according to the Centers for Medicare and Medicaid Services.

Common diagnosis codes among behavioral health practitioners include ICD-10 code F41.1 for generalized anxiety disorder, F43.10 for unspecified post-traumatic stress disorder, and F33.1 for recurrent major depressive disorder of a moderate degree, notes SimplePractice.

The ICD-10 clinical modification code set contains about 69,000 codes for diagnoses, according to the American Academy of Professional Coders. All codes are alphanumeric and range between three and seven digits.

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