TUSS Supplementary Health
A TUSS code does not say what a procedure costs or whether a health plan covers it; it only standardizes how a provider and a health plan name the same procedure. This tool searches Brazil's Unified Supplementary Health Terminology right in the browser, over a snapshot of nearly 6,000 terms.
It is the most common code in the medical-consultation group, used for standard elective care in a private office or clinic.
The same kind of medical care gets a different code when it happens at the patient's home instead of an office, because TUSS separates by care setting, not just by specialty.
Urgent care gets its own code even though it is, at its core, still a medical consultation: TUSS distinguishes the setting because plans and providers apply different billing and authorization rules depending on context.
Yes, and that is the main use. The search covers the standardized description, so typing a word from the procedure (such as consulta, hemograma or ressonância) filters the list as you type. You can also search by number: a code with four digits or more filters by prefix.
It identifies, in a standardized way, which procedure, exam or material was used during care, so the health plan and the provider speak through the same code instead of free-text descriptions. It is not a price code and not a coverage code, only an identification of what was done.
No. The code identifies the procedure; coverage depends on the beneficiary's contract and on ANS's current mandatory coverage list. To confirm whether a specific procedure is covered, you need to check with the health plan or its current policy materials, not just the TUSS code.
ANS (Agência Nacional de Saúde Suplementar), Brazil's supplementary health regulator, maintains and publishes updates to the terminology; health plans and providers are required to use the current codes on every claim.
No. TUSS identifies procedures and health events (what was done); ICD (the International Classification of Diseases, maintained by WHO) identifies diagnoses and causes of illness (why it was done). A claim form usually carries both codes together, but they answer different questions.
The standardized terminology of Brazilian supplementary healthcare, from procedure to material to exam. Search by the description you know (e.g. consulta) or by the TUSS code printed on the claim form.
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Informative content. A TUSS code identifies the item, but it does not determine coverage, price or reimbursement rules. For authorization, billing, claim denials or reimbursement, confirm the current version against the official ANS source.