Types of charges that can be added to an appointment

Charges to a patient's appointment via custom code, CPT, or HCPCS.

  • Custom Code - codes used for over-the-counter products, or services that do not have an established CPT or HCPCS code.
    • These could include vitamins, medicinal herbs, or equipment such as pillows.
    • Custom Codes are client-specific.
    • Custom Codes cannot be billed to insurance by system design.

  • CPT - Current Procedural Terminology - codes used to describe medical services and procedures.
    • Developed and maintained by the American Medical Association (AMA)
    • Uniform language used by providers and insurance payers
    • Codes are updated each year (includes additions and deletions)
    • Codes are 5 digits. Some are all numeric; some are alpha-numeric

  • HCPCS - Healthcare Common Procedure Coding System - codes used primarily to identify things such as ambulance services, durable medical equipment (DME), and supplies used outside of a provider's office.
    • Codes are divided into 2 levels; Level 1 and Level 2
    • Level 1 codes are maintained by the American Medical Association (AMA)
    • Level 2 codes are maintained by the Centers for Medicare and Medicaid Services (CMS)
    • Uniform language used by providers and insurance payers
    • Codes are updated each year (includes additions and deletions)

All 3 types of codes can be entered into the account's fee schedule so prices will automatically populate when the code is added to an appointment.