Healthcare Economist May 3, 2022
Jason Shafrin

In order for health care providers to be reimbursed for the services they provide, they need to input a variety of information into health insurance claims systems including what type of services were performed. The codes used to define the services provided are Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes. These codes are also very helpful to researchers because they help us understand patient health care resource utilization.

A key question is, how do you map these CPT/HCPCS codes to meaningful procedure categories? There are over 14,000 HCPCS codes so unless you are a coding expert, this is a very difficult task.

Fortunately, CMS has a mapping of HCPCS codes to procedures categories known as...

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Topics: HIM (Health Inf Mgmt), Provider, RCM (Revenue Cycle Mgmt), Technology
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