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Division of Public Health, Women’s and Children’s Health Section
Women's Health Branch
Billing and Coding

Billing

Most Women's Health Branch programs report some or all of their data to the State through the Health Service Information System (HSIS). This system was developed in the early 80s as a billing system for local health departments. The HSIS manual (PDF, 77 MB) (link opens in new window) is the description of all the files and features of the HSIS data reporting system. Billing for most programs within Women's Health is done in this system.

The Health Information System (link opens in new window) is currently in development.

The North Carolina Division of Medical Assistance (link opens in new window) is the agency that oversees Medicaid payments in the state.

Coding

Coding in the HSIS uses one of two schemes - CPT codes and ICD codes. These codes are commonly used by Medicare and Medicaid (link opens in new window), as well as hospitals and vital statistics. International Classification of Disease (ICD) (link opens in new window) codes are generally used to describe medical conditions, such as diabetes or prolapsed cord. The ICD coding was developed by the World Health Organization. Current Procedural Terminology (CPT) (link opens in new window) codes were developed by the American Medical Association. The CPT is a listing of descriptive terms and identifying codes for reporting medical services and procedures.