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Medical fee codes (more precisely Procedure Code) are a form of standarization for medical billing. Each procedure has a unique code used to determine everything from pricing to eligiblity. If you went to 10 different doctors for a flu shot, generally every one of them would use the same Procedure Code to determine the appropriate fees. The fees may vary greatly but the code number should be the same. In a hospital the code is checked against what is called a Charge Master. This is a dB that says for any given Procedure Code what do they charge based on what the negotiated price is with your insurance carrier.

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17y ago

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