What are the types of medical coding systems?

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Medical coding systems are standardized classification systems used to translate healthcare diagnoses, procedures, and services into universal alphanumeric codes. These codes are essential for billing, insurance claims, clinical documentation, and data analysis.

🏥 1. ICD (International Classification of Diseases)

• Developed by the World Health Organization (WHO).

• ICD-10-CM: Clinical modification used for diagnoses in the U.S.

• ICD-10-PCS: Procedure coding system for inpatient hospital procedures (U.S.).

• Used for tracking diseases, billing, and public health statistics.

🩺 2. CPT (Current Procedural Terminology)

• Developed by the American Medical Association (AMA).

• Codes for medical, surgical, and diagnostic procedures.

• Commonly used in outpatient settings and insurance claims.

💊 3. HCPCS (Healthcare Common Procedure Coding System)

• Developed by CMS (Centers for Medicare & Medicaid Services).

• Level I: CPT codes.

• Level II: Supplies, equipment, and non-physician services (e.g., ambulance, prosthetics).

🧬 4. SNOMED CT (Systematized Nomenclature of Medicine – Clinical Terms)

• Comprehensive clinical terminology used for electronic health records (EHRs).

• Focuses on clinical detail rather than billing.

📋 5. DRG (Diagnosis-Related Groups)

• Used for hospital inpatient billing.

• Groups patients with similar diagnoses and treatment into categories for reimbursement.

✅ Summary

Each system serves a different purpose—ICD for diagnoses, CPT/HCPCS for procedures, SNOMED CT for clinical detail, and DRG for billing—and is often used together in healthcare workflows.

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