2019 HCPCS Procedure Codes - Effective January 1, 2019
  Coming Soon!



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.

 

2019 ICD-9 and ICD-10 Codes - Effective October 1, 2018
  Available Now!



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.


2019 CDT Procedure Codes - Effective January 1, 2019
  Coming Soon!


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.

 

2019 CPT® Codes - Effective January 1, 2019
  Coming Soon!

(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.


Enroll in the 2019 HIPAA Bundle Subscription Service!