ICD 9 codes

ICD 9 codes describe medical or psychiatric procedures performed by physicians and other health providers. The ICD 9 codes were developed by the Health Care Financing Administration (now CMS) to assist in the assignment of reimbursement amounts to providers by Medicare carriers. A growing number of managed care and other insurance companies, however, base their reimbursements on the values established by CMS.

Since the early 1970s, CMS (formerly HCFA) has asked the American Medical Association (AMA) to work with physicians of every specialty to determine appropriate definitions for the ICD 9 codes and to try to determine accurate reimbursement amounts for each code. Two committees within the AMA work on ICD 9 codes issues: the CPT Committee, which updates the definitions of the codes, and the RUC (Relative Value Update Committee), which recommends reimbursement values to CMS. The definitions and values are based on data collected by medical societies on the going rate of services described in the ICD 9 codes.

The timely, accurate reference provided by ReimbursementCodes.com allows MCOs and providers to accurately price claims. This results in:

More rapid claims processing.
Faster reimbursement for services rendered.
Fewer rejected claims.
Fewer calls to provider relations.
Improved provider relations.
More accurate revenue forecasts.

The ReimbursementCodes.com database is a component of the R.J. Health Systems Reimbursement Codes Pricing Guide, a comprehensive, accurate, single source reference for the current pricing of the CMS established J-codes for medications administered in the provider's office, clinic or home health agency.

Each J-code is priced in the billable unit to correspond to the CMS established definition for each medication and does not include the charges that may be associated with administration.

ReimbursementCodes.com Database Features

AWP Pricing - criteria specified by CMS (formerly HCFA).
AWP*-5%, in billable units corresponding to each Reimbursement Code description.
Ability to query by:
- Reimbursement Code (HCPCS or CPT code list)
- Drug name (brand or generic)
- NDC Code

Disclaimer:

*AWP- The average wholesale price, for each J-code, is determined from prices published by First Data Bank, Red Book or the specific drug manufacturer utilizing calculation criteria as specified by CMS (formerly HCFA).

The J-code Pricing Guide is to be used for informational purpose only. No liability is assumed with respect to accuracy of codes, prices or data herein, due to either clerical or typographical error. All prices shown, descriptions of J-codes, and all other matters herein are subject to revision. Users of the J-code Pricing Guide should consult their legal advisor or health care consultant about claims to be filed for these products. No responsibility is assumed.

ICD 9 codes updated monthly
The Reimbursement-Codes.com database is updated monthly. Prices for Reimbursement Codes and ICD 9 codes are updated at the close of business on the last day of the month reflecting price changes through the 15th of the month.

medical coding | medical billing | icd 9 codes | hcpcs codes