What is “diagnosis code” in medical billing?

Diagnosis Code in Medical Billing

A diagnosis code is a code that describes a patient’s medical condition or the reason for their visit.

Diagnosis Code in Medical Billing Explained

In medical billing, diagnosis codes are used to categorize and describe the patient’s condition for insurance claims. These codes are typically from the ICD (International Classification of Diseases) system. Accurate coding is essential for determining the medical necessity of the services provided and for proper reimbursement.

For example, a physician uses the ICD-10 diagnosis code J02.9 to bill for a patient diagnosed with acute pharyngitis.

Find common acronyms and abbreviations in Medical billing glossary.

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