What are ABC Codes? ABC Codes are five-digit Health Insurance Portability and Accountability Act (HIPAA) compliant alpha codes (e.g., AAAAA) used by licensed and non-licensed healthcare practitioners on standard healthcare claim forms (e.g., CMS 1500 Form) to describe services, remedies and/or supply items provided and/or used during patient visits. Developed by a private New Mexico company called “Alternative Link” and FIHC (The Foundation for Integrative Healthcare) the ABC codes support and fill gaps in the CPT (Current Procedural Terminology) codes. The ABC codes contain both a short description and an expanded definition of the service, remedy and/or supply item. Here is the homepage of the site http://www.alternativelink.com
Our medical coding system had been mainly for the allopathic stream and today there are many alternative healthcare professionals who are not able to make claim from insurance companies. ABC codes fill gaps in healthcare coding and the National Health Information Network (NHIN) that older medical code sets do not cover by describing care provided by all healthcare practitioners. Thus, ABC codes can help bring non-physicians into the insurance-industry mainstream.
ABC Coding Solutions has announced ZipClaims.com, a new online claim filing system, designed to empower over 2 million healthcare practitioners to transmit standard medical billing. This includes other alternative medicines also besides the regular allopathic system of medicine. Here is the full news article, http://biz.yahoo.com/bw/080206/20080206005121.html?.v=1
ABC codes can also be used in conjunction with two-digit, alpha-numeric practitioner identifiers that identifier the specialty of the service. ABC codes are also supported by state legislative references regarding scope of practice and training requirements on a code, state and practitioner-specific basis.
ABC codes consist of five-character, alphabetic strings that identify services, remedies, and/or supplies. Codes are followed by two-character code modifiers which identify the practitioner type who delivered the care. Here is a detailed explanation of the code, http://www.abccodes.com/