Coding Architecture

How Diagnosis, Procedure, Equipment, and Payment Codes Work Together

A clean claim is a connected story: the diagnosis explains the patient condition, the service or item is coded accurately, modifiers report supported facts, documentation proves the clinical and operational requirements, and payer policy determines adjudication.

Diagnoses and reasons for care

ICD-10-CM

Use the code set effective for the date of service and code to the supported level of specificity.

Open ICD-10-CM center

Professional and outpatient services

CPT

Use a current AMA-licensed code source for complete descriptors, instructions, and updates.

Open CPT center

Equipment, supplies, drugs, and other items

HCPCS Level II

Connect the exact product or service to current coding, policy, documentation, and payment rules.

Open HCPCS Level II center

The reimbursement chain

  1. 1. Clinical facts

    Document the condition, function, tests, treatment, and reason for the item or service.

  2. 2. Code selection

    Select codes from current official or licensed sources based on what the record supports.

  3. 3. Policy and documentation

    Apply benefit, coverage, authorization, order, delivery, frequency, and modifier rules.

  4. 4. Claim and adjudication

    Submit internally consistent claim data, then read the remittance and payer decision.