Procedure Codes

The integrated Outpatient Code Editor (I/OCE) program processes claims for all outpatient institutional providers including hospitals that are subject to the Outpatient Prospective Payment System (OPPS) as well as hospitals that are NOT (Non-OPPS).

CMS developed the Correct Coding Initiative (CCI) to promote national correct coding methodologies and to control improper coding leading to inappropriate payment in Part B claims.

This section provides information related to ICD-9-CM, including: Process for requesting a new/revised code, ICD-9-CM Coordination and Maintenance Committee meeting agendas and summary reports, Official coding guidelines and more.

This file contains the Level II alphanumeric HCPCS procedure and modifier codes, their long and short descriptions, and applicable Medicare administrative, coverage, and pricing data.

The HCPCS Level II Code Set is one of the standard code sets used for Medicare and other health insurance programs to ensure that claims are processed in an orderly and consistent manner.

CPT® (Current Procedural Terminology) is a registered trademark of the American Medical Association. This page contains CPT related topics.

New Information Regarding Medicare Payment and Coding for Drugs and Biologics.