Prerequisite Code in Medical Billing
A prerequisite code refers to a code that indicates the need for pre-authorization or pre-certification before a service can be performed and billed.
Prerequisite Code in Medical Billing Explained
In medical billing, prerequisite codes are used to ensure that certain medical services meet the insurance company’s criteria for coverage. This helps prevent claim denials by ensuring all necessary approvals are in place beforehand.
For example, a provider includes a prerequisite code to indicate that a surgery has been pre-authorized.
See common acronyms and abbreviations in Medical billing glossary.
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