Delaware medical billing codes are used to identify and classify various medical services, treatments, and diagnoses. These codes are essential for the billing process, ensuring that healthcare providers and insurance companies can accurately coordinate and reimburse for medical services. Here is a detailed guide to Delaware medical billing codes:ICD CodesThe International Classification of Diseases (ICD) is used to identify diagnoses and is maintained by the World Health Organization (WHO). ICD codes are used by medical personnel and coders to classify medical diagnoses.

CPT Codes

The Current Procedural Terminology (CPT) code set is used to describe medical procedures, treatments, and services. CPT codes are maintained by the American Medical Association (AMA). They are divided into six main sections based on the field of healthcare they relate to:

1. Evaluation and Management (E&M): These codes are used for routine office visits and are listed in the front of the CPT codebook for ease of access. Examples include:
   • 99201: New patient; problem-focused history, exam, straightforward medical decision-making (10 minutes face-to-face)
   • 99214: Established patient; detailed history, exam, moderately complex decision-making; 25 minutes
2. Anesthesia: These codes are used for anesthesia services and are listed in the CPT codebook. Examples include:
   • 00100: Anesthesia for surgical procedures on the head and neck
   • 99100: Anesthesia for surgical procedures on the eye
3. Surgery: These codes are used for surgical procedures and are listed in the CPT codebook. Examples include:
   • 10021: Fine needle aspiration biopsy including CT guidance, each additional lesion
   • 10010: Fine needle aspiration biopsy including CT guidance
4. Radiology: These codes are used for radiology services and are listed in the CPT codebook. Examples include:
   • 70010: Mammography, screening and diagnostic, including computer-aided detection (CAD)
   • 70011: Mammography, screening and diagnostic, including CAD, with contrast material
5. Pathology and Laboratory: These codes are used for pathology and laboratory services and are listed in the CPT codebook. Examples include:
   • 80047: Complete blood count (CBC) with differential count
   • 88305: Surgical pathology, gross and microscopic examination
6. Medicine: These codes are used for medical services and are listed in the CPT codebook. Examples include:
   • 90281: Office visit for established patient, 5-10 minutes
   • 99211: Established patient; evaluation and management, may not require presence of physician, presenting problems are minimal (5 minutes face-to-face)

Commonly Used Medical Codes

Some commonly used medical billing codes in Delaware include:

1. 36415: Collection of blood samples from a patient's veins using a needle in the upper or lower extremities.
2. 81003: Urinalysis, including dipsticks, tablet reagent, or automated without microscopy.
3. 88305: Surgical pathology, including gross and microscopic examinations.
4. 90471: Immunization administration—vaccines classified as percutaneous, intra-dermal, subcutaneous, intramuscular, or intravenous.
5. 99396: Preventive medicine reevaluation and management of a patient between the ages of 40 and 64.

Services Offered by Medical Billing Companies

Medical billing companies like NYBillPro provide various services that benefit healthcare facilities and insurance companies. These services include:

1. Comprehensive Medical Billing: Ensuring all claims and bills are error-free and managing each phase of the billing and coding process.
2. Billing System Enrolment for Patients: Registering patients and enrolling them in the system, making it easy for insurers to access patient data.
3. Insurance Verification: Verifying each patient's eligibility for specific claims and benefits by reviewing their medical coverage and insurance policies.
4. Authorization: Contacting insurance companies to schedule proper payments for medical services.
5. Coding: Coding medical procedures and treatments for healthcare facilities, managing coding audits, and other related procedures.
6. Billing: Collecting bills, handling the transfer of funds, and calculating total payments.
7. Collections: Tracking and monitoring payment and collection from insurance companies, patients, and other accounts receivables.
8. Audit: Auditing all charges and evaluating the accuracy of all bills, verifying all claims and reimbursements.

How to Become Certified in Medical Billing and Coding

To become certified in medical billing and coding, there are several options available. These certifications have different requirements and educational levels. Those interested should consider their career goals, experience, and budget. The American Medical Association (AMA) is a key organization in the field of medical coding and billing