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Which coding system is used to report diagnoses and conditions on claims?

1) CPT
2) HCPCS level II
3) ICD-10-CM
4) ICD-10-PCS

User Fmassica
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1 Answer

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Final answer:

The ICD-10-CM is the coding system used to report diagnoses and conditions on claims, essential for healthcare reporting and billing. It is widely used by clinicians, medical coders, and billers, as well as by vital-records keepers and epidemiologists for tracking health data and compiling statistics.

Step-by-step explanation:

The coding system used to report diagnoses and conditions on claims is the ICD-10-CM. The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) is a system used worldwide for coding and classifying morbidity data, which includes various diagnoses and health conditions. These codes help clinicians, medical coders, and billers in the healthcare industry to record, report, and track health conditions for both clinical and billing purposes. For instance, when a patient is treated for a viral infection, the clinician will use ICD codes to specify the diagnosis, which guides the medical laboratory on the required tests to confirm the infection. These same codes enable the healthcare management system to ensure that treatments and tests match the diagnosis. Additionally, these codes are crucial for medical coders and billers to assign correct procedures and process insurance claims, respectively. They are also used by vital-records keepers and epidemiologists for compiling vital statistics. Two locations where you would likely find an ICD code include on a medical bill or claim form submitted for insurance reimbursement and on a death certificate to record the cause of death.

User DAIvd
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