ICD-10 & CPT
PathHub software incorporates both ICD-10 and CPT codes
ICD-10 codes are alphanumeric codes used by doctors, health insurance companies, and public health agencies across the world to represent diagnoses. Every disease, disorder, injury, infection, and symptom has its own ICD-10 code. ICD-10 codes are used for everything from processing health insurance claims to tracking disease epidemics and compiling worldwide mortality statistics.
Use of codes facilitates higher-quality information for measuring healthcare service quality, safety, and efficacy. This in turn provides better data for managing care and disease processes, quality measurement and medical error reduction, as well as clinical, financial and administrative performance measurement.
PathHub ICD-10 feature greatly enhances the depth, quality and accuracy of reporting and enables more effective business performance management as well as streamlined billing.
CPT codes are an important code set published and maintained by the American Medical Association (AMA), and it is, with ICD, one of the most important code sets in healthcare. CPT codes are used to describe tests, surgeries, evaluations, and any other medical procedure performed by a healthcare provider on a patient. As you might imagine, this code set is extremely large, and includes the codes for thousands upon thousands of medical procedures.
CPT codes are an integral part of the billing process. CPT codes tell the insurance payer what procedures the healthcare provider would like to be reimbursed for. As such, CPT codes work in tandem with ICD codes to create a full picture of the medical process for the payer. “This patient arrived with these symptoms (as represented by the ICD code) and we performed these procedures (represented by the CPT code).