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D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

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Page 1: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

D. A and B

C. Diagnosis codes

B. Procedure codes

A. Service codes

ICD Codes are

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Page 2: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

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Page 3: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

ICD Stands for International Classification of Diseases. ICD codes are diagnosis codes. CPT codes are service codes. Both diagnosis and service codes must be identified for billing purposes.

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Page 4: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

D. All the above

C. Procedures

B. Anesthesia

A. Evaluation and management

CPT codes include codes for

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Page 5: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

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Page 6: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

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CPT codes include 6 main sections:00100 - 01999 Anesthesia 10040 - 69999 Surgery 70010 - 79999 Radiology 80002 - 89399 Pathology and Laboratory 90700 - 99199 Medicines99201 - 99499 Evaluation and Management

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Page 7: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

D. ICD codes

C. CPT codes

B. Level 2 HCPCS codes, relating to non-physician healthcare services

A. Level 1 HCPCS codes, relating to physician services

In common usage, the term "HCPCS" codes (pronounced "hic-pics") really refers to

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Page 8: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

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Page 9: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

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The federal HCPCS system comprises both level 1 codes (physician service CPT codes) and Level 2 codes (DMEPOS and ambulance codes).

Level 1 codes are simply called CPT codes.Level 2 codes are simply called HCPCS codes.

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Page 10: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

D. All of the above

C. The rationale for linking ICD and CPT codes

B. A major determination for appropriate payment

A. Determined based on the diagnosis submitted

"Medical Necessity" is

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Page 11: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

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Page 12: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

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Recall the CMS description of medical necessity:

"Medical necessity is determined based on the diagnosis submitted for that service or supply. Specificity and accuracy of diagnosis code and appropriate linkage on the claim form determine payment.”

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Page 13: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

D. 7 alphanumeric characters

C. 5 alphanumeric characters

B. 6-7 digits

A. 3-5 digits

ICD-10 CM codes will contain

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Page 14: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

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Page 15: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

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The ICD-10 CM coding set will expand from a maximum of 5 characters to 7, resulting in greatly increased numbers of codes and options for specificity.

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Page 16: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

D. HCPCS level 2 codes

C. Preventive diagnosis codes

B. Preventive service codes

A. CPT modifier codes

In ICD-9-CM, V Codes are

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Page 17: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

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Page 18: D. A and B C. Diagnosis codes B. Procedure codes A. Service codes ICD Codes are Click the Correct Choice

V codes are part of the ICD diagnosis code set. CPT codes are service codes, and HCPCS level 2 codes are the DMEPOS and ambulance codes.

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You’ve completed Quick Quiz #1