How do healthcare providers find the right "Type of Service" code(s) for Coverage inquiries/Claims?

From what I gather, in order to get an accurate answer for Coverage inquiries and Claim submission one needs to come up with the right Type of Service code(s).

I am interested in this in the context of EDI/X12.

  • can you specify more about the context.
    – userJT
    May 29, 2019 at 15:00
  • CPT codes are copyrighted by AMA and it can be hard to get details about each code. CMS is using them and includes them in HCPCS code set. CPT codes are part of UMLS and can be retrieved from there.
    – userJT
    May 29, 2019 at 15:00
  • How can I reverse conversion of my answer to comment?
    – userJT
    May 30, 2019 at 14:56
  • please post one CPT code (as a use case and example) for which you want to find type of service.
    – userJT
    May 30, 2019 at 14:57


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