Coding guidelines

Claim coding and inquiry process guidelines

Humana guidelines and best practices

For detailed information about Humana’s claim payment inquiry process, review the Claim payment inquiry process guide – English (129 Kb)(pdf opens in new window)

The following links are intended to facilitate documentation and coding diagnoses and services that are provided to patients with Humana coverage.*:

Best Documentation Practices for Diagnosis Coding (173 KB) (pdf opens in new window)

Atrial fibrillation 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

Major depression/major depressive disorder coding guidelines

Myocardial infarction coding guidelines

Neoplasms (breast cancer addendum) coding guidelines

Neoplasms (prostate cancer addendum) coding guidelines

Obesity/body mass index (adult) coding guidelines

Peripheral vascular disease (PVD) coding guidelines

Rheumatoid arthritis (adult) coding guidelines

Seizures/seizure disorder/epilepsy coding guidelines

Sick sinus syndrome (SSS) coding guidelines

Vertebral fractures coding guidelines