The medical coding universe

Find your way through diagnoses, procedures, supplies, and payment classifications. Pick any category to see how its codes are built and how they connect.

Click any row to see how its codes branch out.

Procedure / service

CPT

Procedures & services · Professional services, procedures, and specialized reporting.

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Category I

Additional code sets

HCPCS Level II

Supplies & additional services · Products, equipment, drugs, and additional services.

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Code families

Diagnosis / medical necessity

ICD-10-CM

Diagnoses & conditions · The conditions and circumstances associated with care.

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Diagnosis chapters

Inpatient procedure

ICD-10-PCS

Inpatient procedures · Procedure sections for inpatient hospital coding.

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Procedure sections

Inpatient payment grouping

MS-DRG

Inpatient payment groups · Groups acute inpatient stays for hospital payment.

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Ranges by major diagnostic category

Outpatient facility payment grouping

APC

Outpatient facility payment groups · Groups hospital outpatient and ASC services for payment.

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Outpatient groupings

Claim attributes

Modifiers & claim fields

Claim-level attributes · Details attached to a claim line. They are not procedures or diagnoses.

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Claim-level fields