Using the Code Search Tool in Service Center

The Code Search tool is designed to help you quickly and accurately locate medical billing codes, including diagnosis codes (ICD-10), procedure modifiers, and Place of Service (POS) codes. Using this tool supports cleaner claims, better coding, and faster reimbursement.

How to Search for Codes

1. Login to Service Center

2. Select Resources from the left-hand navigation panel

3. Click Code Search

4. Choose from one of the following code lists:
   • ICD-10-CM DX Reference – for diagnosis codes
   • Modifier – for CPT or HCPCS modifiers
   • Place of Service – for POS codes used in claim submissions

5. Search by Keyword or Code
   
   • Start typing in the search field. Results update in real-time as you enter characters.

Example Searches

• In the ICD-10-CM DX Reference, typing “Benign” will return all codes or descriptions containing the word “Benign.”

• In the Modifier tool, typing “Hand” will display any modifiers or descriptions that include “Hand.”

• In the Place of Service tool, entering “Office” will return all codes or descriptions containing the word “Office.”

Quick Definitions

• ICD-10: The International Classification of Diseases, 10th Revision. This system is used to code diagnoses and medical conditions for billing and public health tracking.

• ICD-10-CM DX Tool: Allows you to look up diagnosis codes based on clinical documentation. It may also show associated HCC (Hierarchical Condition Category) impact.

• HCC (Hierarchical Condition Category): A risk-adjustment model used to predict future healthcare costs based on diagnoses. Accurate ICD-10 coding aligned with HCCs can impact provider reimbursement.

• Modifier Tool: Provides descriptions and usage guidance for modifiers that are appended to CPT or HCPCS codes to indicate service variations.

• Place of Service (POS): A two-digit code that identifies the setting where the service was provided (e.g., office, hospital, skilled nursing facility). POS codes are required for many payers and influence reimbursement.

• CPT Codes: Used to report medical, surgical, and diagnostic procedures and services. These codes ensure consistency in billing and documentation.

• HCPCS Codes: A standardized system used to report services, supplies, and equipment to Medicare, Medicaid, and other payers.

• Billable Status: Indicates whether a code is reimbursable by payers. Some codes are for informational use only and not eligible for payment.

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