How Physician Services are Paid – Infographic

CPT^® Codes for Medical Reimbursement

CPT^® codes, HCPCS, modifiers, global surgical packages, CMS formulas, diagnosis codes, location, and more…how do all these pieces come together for medical reimbursement? This helpful infographic from CodingIntel summarizes how services done in medical practices are paid: the code sets, facility versus non-facility, the RVU calculation and what’s included in global surgery. Flip the page and see how diagnosis codes are used in practices and by payers.

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Relevant Search Terms: claims, Medicare, physician coding

Last revised July 1, 2024 - Betsy Nicoletti
Tags: Code sets and reimbursement

Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions.

CPT® Codes for Medical Reimbursement

Stay current. Code confidently.

CPT^® Codes for Medical Reimbursement