What is the purpose of ICD-10-CM codes?
ICD-10-CM codes are used to report diagnoses and are essential for clinical and billing purposes in all healthcare settings.
Which coding system is primarily used for inpatient hospital procedures?
ICD-10-PCS is designed for coding inpatient procedures and is used specifically in hospital settings.
What is the main use of CPT codes?
CPT codes describe medical, surgical, and diagnostic services and are used for outpatient and professional billing.
Which organization maintains the CPT code set?
The American Medical Association (AMA) is responsible for maintaining and updating CPT codes annually.
What is the function of HCPCS Level II codes?
HCPCS Level II codes report non-physician services such as ambulance rides, durable medical equipment, and supplies.
What does a placeholder 'X' in an ICD-10-CM code indicate?
The placeholder 'X' maintains code structure when a 7th character is required and earlier positions are not filled.
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Which code set uses a seven-character alphanumeric structure?
ICD-10-PCS codes use a seven-character alphanumeric structure to describe inpatient procedures in detail.
Which modifier would you apply to a CPT code for a bilateral procedure?
Modifier -50 is used to indicate that a procedure was performed on both sides of the body.
Why is it important to verify code updates each year?
Medical codes are updated annually to reflect changes in technology, services, and clinical practices.