Coding guidelines

Claim coding and inquiry process guidelines

Humana guidelines and best practices

For detailed information about Humana’s claim payment inquiry process, review these guidelines:

Find out more about the ICD-10 transition and locate additional resources

Humana provides the following documents to assist providers and coders in accurately documenting and coding diagnoses and services provided to Humana members*:

Best Documentation Practices for Diagnosis Coding (173 KB)

Atrial fibrillation coding guidelines

Cardiomyopathy coding guidelines

Cerebrovascular accident (CVA) coding guidelines

Chronic kidney disease (CKD) coding guidelines

Chronic obstructive pulmonary disease (COPD) coding guidelines

Deep vein thrombosis (DVT) coding guidelines

Diabetes mellitus coding guidelines

Heart failure coding guidelines

Major depression/Major depressive disorder coding guidelines

Myocardial infarction coding guidelines

Neoplasms coding guidelines

Obesity/Morbid obesity/Body mass index (adult) coding guidelines

Peripheral vascular disease (PVD) coding guidelines

Pressure ulcers coding guidelines

Rheumatoid arthritis (adult) coding guidelines

Seizure disorder/Epilepsy coding guidelines

Sick sinus syndrome (SSS) coding guidelines

Vertebral compression fractures coding guidelines