Definition of downcode in English:



  • 1Designate (a medical procedure or insurance claim) with a lower value.

    ‘an insurer who systematically downcodes professional charge submissions for critical care services’
    [no object] ‘we cannot turn to Medicaid to pay if Medicare downcodes’
    • ‘Several lawsuits by providers charge Aetna and other insurers with programming their systems to ‘downcode’ claims, resulting in reduced reimbursement.’
    • ‘So, some of physicians’ charges for critical care services are automatically downcoded and some are not.’
  • 2Computing
    Rewrite or convert (programs or software) into a lower level language.

    ‘some of the libraries written into C were downcoded into assembly’
    • ‘They've downcoded the MP3 from 40kbps to like 24kbps.’