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ICD-10 codes demonstrate medical necessity in claims.
Select one:
a) True
b) False

User Andi Jay
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1 Answer

4 votes

Final answer:

ICD-10 codes are indeed used to demonstrate the medical necessity of treatments in insurance claims, which makes the statement True. These codes are used by healthcare professionals across various fields, from clinical documentation to billing and epidemiology. They can commonly be found in medical laboratories and on death certificates.

Step-by-step explanation:

The International Classification of Diseases, Tenth Revision (ICD-10), provides a comprehensive coding system that healthcare providers use to classify and code all diagnoses, symptoms, and procedures. These codes serve multiple purposes, including validating the medical necessity for treatments. For instance, when a patient is treated for a viral infection, the relevant ICD code assists clinicians in prescribing the appropriate treatments and ordering necessary laboratory tests. Medical laboratories use the ICD code to identify required tests, confirming the diagnosis. The health-care management system uses ICD codes to ensure that treatments and laboratory work match the diagnosis. Additionally, medical coders and billers rely on these codes to process claims and secure reimbursement from insurance companies. Moreover, vital-records keepers record causes of death using ICD codes, and epidemiologists utilize them for compiling statistics on diseases.

Two likely locations where one would find ICD codes include medical laboratories (for test identification) and death certificates (to record cause of death).

User Lucius
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