| 2024 HCPCS Procedure Codes - | Effective January 1, 2024 |
| Now Available! |
General Information
These files contain the Level II alpha-numeric HCPCS procedure and modifier
codes, their long and short descriptions, and applicable Medicare administrative,
coverage, and pricing data. These codes, which are established by CMS’s
Alpha-Numeric Editorial Panel, primarily represent items and supplies
and nonphysician services not covered by the American Medical Association’s
CPT® codes. The files do not contain the American Medical Association’s
CPT codes.
Information for Eldorado's HEALTHpac Clients
If you are one of Eldorado's ASP customers, we will send Eldorado's Technical Support team an authorization to load the code set for you. Otherwise, you will download the data file, and then run a HEALTHpac update program
to make the appropriate changes to existing HEALTHpac files. This process
will preserve any unique procedure codes you may have already added. Please note that not all of the information contained in
this file is utilized by the HEALTHpac system. At the present time, HEALTHpac
only uses the procedure code and the description fields.
| 2024 ICD-9 and ICD-10 Codes - | Effective October 1, 2023 |
| Now Available! |
General Information
The International Classification of Diseases, 9th Revision,
Clinical Modification (ICD9-CM) is published annually by the United States
Federal Government and serves as a key reference within the health care
and related professions. It provides numeric codes for describing the
"clinical picture" of any patient. The codes facilitate matters
such as reimbursement for health services, evaluation of utilization patterns
and epidemiologic research.
Within ICD9-CM, three volumes are identified: (Vol 1) Tabular List of Diseases, (Vol 2) Alphabetic Index to Diseases and (Vol 3) Tabular List and Alphabetic Index to Procedures. The Tabular List of Diseases and the Alphabetic Index to Diseases are used by physicians and hospitals to report patients' conditions. The Tabular List and Alphabetic Index to Procedures is used almost exclusively by hospital medical records departments to describe procedures performed on patients.
The Tabular List of Diseases is the definitive resource for diagnostic
coding in the United States. It provides a comprehensive classification
scheme, wherein diseases are organized into various categories and subcategories
and wherein they are accompanied by unique numeric or alphanumeric codes.
Furthermore it provides, throughout the classification scheme, instructions
for properly matching diseases and codes to clinical circumstances.
Information for Eldorado's HEALTHpac Clients
These two files are distributed as complete updated HEALTHpac data files
and indexes which will replace your existing ICD9 data files. Please note
that any custom "Header" limitations you have placed on specific
diagnosis codes will not be transferred to the new data file. (Header
limits is a flag setting within HEALTHpac which prevents a specific diagnosis
code from being selected during claims processing.) If you are one of Eldorado's ASP customers, we will send Eldorado's Technical Support team an authorization to load the code set for you. Otherwise, we will provide you with a download link and instructions.
| 2023 CDT Procedure Codes - | Effective January 1, 2023 |
| Now Available! |
General Information
The CDT contains the American Dental Association's codes for dental procedures
and nomenclature and is the nationally accepted set of numeric codes and
descriptive terms for reporting dental treatments. Over 400 distinct dental
procedures have been divided into 12 categories of service: Diagnostic,
Preventive, Restorative, Endodontics, Periodontics, Prosthodontics; removable,
Maxillofacial Prosthetics, Implant Services, Prosthodontics;fixed, Oral
Surgery, Orthodontics, and Adjunctive General Services.
Information for Eldorado's HEALTHpac Clients
Please note that not all of the information contained in this file is
utilized by the HEALTHpac system. At the present time, HEALTHpac only
uses the procedure code and the description fields. If you are one of Eldorado's ASP customers, we will send Eldorado's Technical Support team an authorization to load the code set for you. Otherwise, you will download
the data file, and then run a HEALTHpac update program to make the appropriate
changes to existing HEALTHpac files. This process will preserve any unique
procedure codes you may have already added.
| 2024 CPT® Codes - | Effective January 1, 2024 |
| Now Available! |
(CPT® is a trademark of the American Medical Association.)
General Information
CPT® codes were developed by the American
Medical Association in 1966. Each year, an annual publication is prepared,
that makes changes corresponding with significant updates in medical technology
and practice. The most recent version of the CPT coding book contains over
8,000 codes and descriptors.
Category I CPT codes describe a procedure or service identified with a
five-digit CPT code and descriptor nomenclature. The inclusion of a descriptor
and its associated specific five-digit identifying code number in this
category of CPT codes is generally based upon the procedure being consistent
with contemporary medical practice and being performed by many physicians
in clinical practice in multiple locations.
Category II CPT codes are intended to facilitate data collection by coding
certain services and/or test results that are agreed upon as contributing
to positive health outcomes and quality patient care. This category of
CPT codes is a set of optional tracking codes for performance measurement.
These codes may be services that are typically included in an Evaluation
and Management (E/M) service or other component part of a service and
are not appropriate for Category I CPT codes. The use of tracking codes
for performance measures will decrease the need for record abstraction
and chart review, thus minimizing administrative burdens on physicians
and survey costs for health plans. CPT Performance Measurement codes will
be assigned an alphanumeric identifier with a letter in the last field
(eg, 1234A).
Category III CPT codes represent a new section of CPT containing a set
of temporary codes for emerging technology, services, and procedures.
Category III CPT codes will allow data collection for these services/procedures.
These codes are intended to be used for data collection purposes to substantiate
widespread usage or in the FDA approval process. These codes will be assigned
an alphanumeric identifier with a letter in the last field (eg, 1234T).
Information for Eldorado's HEALTHpac Clients
At the present time, HEALTHpac only uses the procedure code and the short
description fields. If you are one of Eldorado's ASP customers, we will send Eldorado's Technical Support team an authorization to load the code set for you. Otherwise, you will download the data file, and then run a HEALTHpac
update program to make the appropriate changes to existing HEALTHpac files.
This process will preserve any unique procedure codes you may have already
added.