CODA

Acronym for cash or deferred arrangement. See Section 401 (k) plan.

Code creep

See: upcoding.

Code edit

Computer software function that performs online checking of CPT codes on an insurance claim to detect unbundling, splitting of codes, and other types of improper code submissions. Sometimes referred to as code screening .

Code first

Phrase used to identify the need for two ICD-9-CM diagnostic codes.

Code first (the) underlying condition

Phrase used in ICD-9-CM diagnostic coding that indicates the medical illness is the result of another underlying disease.

Code modifier

See: modifier.

Code of Federal Regulations (CFR)

Official compilation of federal rules and requirements.

Code ranges

Assortment of procedure code numbers that belong to the same general category that appear in the “Index,” which is the last section of the annually published Current Procedural Terminology code book. Whenever more than one code applies to a given index entry, a code range is listed. If several nonsequential codes apply, they are separated by a comma:EsophagusReconstruction… … . 43300, 43310, 43313If two or more sequential codes apply, they are separated by a hyphen:DebridementBurns… … . . 01951-01953, 16010-16030

Code screening

See: code edit.

Code set

Under the Health Insurance Portability and Accountability Act (HIPAA), this is any set of codes used to encode data elements such as tables of terms, medical concepts, medical diagnostic codes, or medical procedure codes. This includes both the codes and their descriptions.