Billable Code

Código facturable

In 9 languages

LanguageTerm
EnglishBillable Code
Spanish (Español) Código facturable
Chinese (中文) 可计费代码
Korean (한국어) 청구 가능 코드
Vietnamese (Tiếng Việt) Mã có thể thanh toán
Filipino (Tagalog) Billable code
Portuguese (Português) Código faturável
Thai (ภาษาไทย) รหัสที่เรียกเก็บเงินได้
Japanese (日本語) 請求可能コード

What it means

A billable code is a diagnosis or procedure code that is sufficiently specific to be submitted on a medical insurance claim. In ICD-10-CM, a billable code is a leaf node in the code hierarchy — it cannot be subdivided further. For example, J06.9 (Acute upper respiratory infection, unspecified) is billable, while J06 (Acute upper respiratory infections of multiple and unspecified sites) is a non-billable header. Using a non-billable code on a claim will result in claim rejection.

How to say it

Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:

The claim was rejected because I used a non-billable header code instead of a specific one.

El reclamo fue rechazado porque usé un código de encabezado no facturable en lugar de uno específico.

I need the most specific billable ICD-10-CM code to ensure my claim is processed correctly.

Necesito el código ICD-10-CM facturable más específico para asegurarme de que mi reclamo se procese correctamente.

A billable code cannot be further subdivided and must appear on every insurance claim I submit.

Un código facturable no puede subdividirse más y debe aparecer en cada reclamo de seguro que presento.

Where you'll see it

Insurance claim form (CMS-1500)Electronic health record (EHR)Medical billing softwareExplanation of Benefits (EOB)

Related terms

Sources

US Glossary Español A–Z US Codes United States

Last reviewed: September 2026