Question

If a procedure is performed for a hospital inpatient, the hospital uses _____________________ to report the service:

A) CPT codes
B) HCPCS Level II codes
C) ICD-10-PCS codes
D) ICD-10-CM codes

Answer 1

For a hospital inpatient procedure, the hospital uses ICD-10-PCS codes to report the service. ICD-10-PCS codes are part of the coding system that hospitals use to detail inpatient procedures for billing and statistical purposes, differentiating from CPT, ICD-10-CM, and HCPCS Level II codes.

Step-by-step explanation:

If a procedure is performed for a hospital inpatient, the hospital uses ICD-10-PCS codes to report the service. The ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System) is a system used by hospitals to code various medical services and procedures for inpatient procedures. These medical codes are different from CPT codes (Current Procedural Terminology), which are used for outpatient services, or ICD-10-CM codes (International Classification of Diseases, 10th Revision, Clinical Modification), which are used for diagnosis coding, and from HCPCS Level II codes (Healthcare Common Procedure Coding System), which are used for services, supplies, and products not covered by CPT codes.

ICD codes are also used widely across the health-care industry. For example, clinicians routinely use ICD codes to order laboratory tests and prescribe treatments; medical laboratories utilize these codes to identify necessary tests; and health-care management systems verify appropriate treatments. Furthermore, medical coders and billers use ICD codes for assigning procedure codes and processing claims for reimbursement. Outside of direct patient care, vital-records keepers and epidemiologists use ICD codes for documenting causes of death and for analyzing morbidity and mortality statistics respectively.

To check your understanding: You would likely find an ICD code in medical laboratories, as well as in medical records documenting the treatments and services a patient has received. ICD codes are key to ensuring seamless communication and billing in the healthcare system.

Answer 2

Hospitals use ICD-10-PCS codes to report inpatient procedures, while CPT and HCPCS Level II codes are used for outpatient services and supplies. ICD-10-CM codes are for diagnoses. ICD codes can be found on medical laboratory reports and death certificates.

Step-by-step explanation:

If a procedure is performed for a hospital inpatient, the hospital uses C) ICD-10-PCS codes to report the service. Each code used in the hospital setting provides a uniform language for reporting and monitoring procedures and is essential for research, epidemiological studies, and direct care. In comparison, CPT codes are generally used for outpatient services, HCPCS Level II codes cover supplies and products that are not directly tied to a specific procedure, and ICD-10-CM codes are used to report diagnoses, not procedures.

To check your understanding, you would likely find an ICD code on medical laboratory reports and death certificates. Medical coders assign these codes based on the procedures performed, which are then used by medical billers to process insurance claims. Epidemiologists also use ICD codes for calculating morbidity and mortality statistics.