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In addition to being supported by information found in the patient's chart, a CMS 1500 claim must be coded using what?

User Oner Ksor
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Final answer:

ICD codes are used to classify and code information in healthcare, including on insurance claims. They can be found in medical records and insurance claims.

Step-by-step explanation:

In addition to being supported by information found in the patient's chart, a CMS 1500 claim must be coded using medical codes such as the International Classification of Diseases (ICD) codes. These codes are used to identify the patient's diagnosis, procedures performed, and treatments provided. They are essential for proper reimbursement and record-keeping in the healthcare industry.

ICD codes can be found in two locations:

  1. Medical records: ICD codes are recorded in the patient's medical records to provide a standardized classification of the patient's condition. This information helps healthcare professionals accurately document and track the patient's health status.
  2. Insurance claims: ICD codes are also used in insurance claims, including the CMS 1500 claim form. Medical coders assign the appropriate ICD codes to describe the patient's condition and the services provided. These codes play a crucial role in ensuring accurate billing and reimbursement from insurance companies.
User Makia
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