What is “code C” in medical billing?

Code C in Medical Billing

Code C in medical billing refers to a specific category of HCPCS (Healthcare Common Procedure Coding System) codes used for hospital outpatient prospective payment.

Code C in Medical Billing Explained

In medical billing, Code C HCPCS codes are used to bill for items and services provided in hospital outpatient settings, such as procedures, supplies, or durable medical equipment. These codes are used by Medicare to determine reimbursement rates under the outpatient prospective payment system (OPPS).

For example, a hospital uses a Code C HCPCS code to bill Medicare for a surgical procedure performed in its outpatient surgery department.

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