CurrentbProceduralbTerminologyb(CPT)
abcodingbsystembdesignedbtobnumericallybdescribebmedicalbproceduresbandbservices.
ThebInternationalbClassificationbofbDiseases,bClinicalbModification
(ICD-10-CM)
absystembusedbtobdescribebandbreportbthebillnesses,bconditions,bandbinjuriesbofbpatientsbwhobrequirebmedi
calbservices.
ThebInternationalbClassificationbofbDiseases,bProcedurebCodingbSystemb(ICD-10-PCS)
absystembforbcodingbmedicalbproceduresbperformedbinbthebinpatientbdepartmentsbforbhospitals.
HealthcarebCommonbProcedurebCodingbSystemb(HCPCS)
abstandardizedbcodingbsystembdevelopedbbybthebfederalbgovernmentbthatbisbusedbprimarilybtobidentifybpro
ducts,bsuppliesbanbservicesbnotbincludedbinbCPT
AmericanbMedicalbAssociation
WhatborganizationbisbresponsiblebforbdevelopmentbandbmaintenancebofbLevelbIbCPTbcodes?
CMS
WhatborganizationbisbresponsiblebforbthebdevelopmentbandbmaintenancebofbLevelbIIbHCPCSbcodes?
CategorybIbCPTbCodes
,ConsistbofbsixbmainbsectionsbknownbasbEvaluationbandbManagement,bAnesthesia,bSurgery,bRadiology,bPath
ologybandbLaboratory,bandbMedicine.
Ex:b76641
CategorybIIbCodes
Providesbsupplementarybtrackingbcodesbthatbarebdesignedbforbusebinbperformancebassessmentbandbquality
bimprovementbactivities.
Ex:b1000F
CategorybIIIbCodes
Includesbtemporarybcodesbthatbrepresentbemergingbmedicalbtechnologies,bservices,bandbproceduresbthatb
havebnotbyetbbeenbapprovedbforbgeneralbusebbybthebFDAbandbarebnotbotherwisebcoveredbbybCPTbcodes.
Ex:b0085T
HealthcarebCommonbProcedurebCodingbSystemb(HCPCS)
Whatbisbthebtwo-
partbsystembdevelopedbbybCMSbtobstandardizebthebcodingbsystembusedbtobprocessbMedicarebclaimsbusebfo
rballbservices?
(HCPCSbLevelbI,bHCPCSbLevelbIb(CPT))
codesbwerebdevelopedbbybCMSbforbusebinbreportingbmedicalbservicesbnotbcoveredbinbCPTbsuchbasbinjectabl
ebdrugs,bambulancebservices,bprostheticbdevices,bandbproviderbservice
, Electronicbformatb837Ib(CMS-1450borbUB-04)
Whichbformbisbusedbprimarilybbybhospitalsbforbbothboutpatientbandbinpatientbservices?
cms-1500bClaimbform
Whatbisbthebstandardbpaperbbillingbdocumentbusedbforbphysicianbclaims
ICD-10-PCS
Whatbisbthebproceduralbsystembdevelopedbforbusebtobreportbinpatientbproceduresbaccordingbtobthebprincip
lesbofbabclassification?
ICD-10-CM
WhatbisbthebclassificationbsystembthatbconsistbofbdiagnosisbcodesbthatbarebrequiredbforbMedicarebandbpriva
tebthird-partybpayersbtobsupportbmedicalbnecessitybofbproceduresbandbservices?
CD-10-CMbdiagnosticbandbICD-10-PCSbproceduralbcodesbforbinpatientbhospitalbservices
ICD-10-
CMbdiagnosticbcodesbandbCPT/HCPCSbproceduralbcodesbforbhospitalboutpatientbservices,bincludingblaborat
orybandbradiologybprocedures
ICD-10-
CMbdiagnosticbcodesbandbCPT/HCPCSbproceduralbcodesbforbmedicalbservicesbprovidedbbybphysiciansbandba
lliedbhealthbprofessionals
WhatbtypesbofbcodedbinformationbdoesbMedicarebrequirebforbreimbursementbclaimsbforbservicesbprovided
btobMedicarebBeneficiaries?
why
what
abcodingbsystembdesignedbtobnumericallybdescribebmedicalbproceduresbandbservices.
ThebInternationalbClassificationbofbDiseases,bClinicalbModification
(ICD-10-CM)
absystembusedbtobdescribebandbreportbthebillnesses,bconditions,bandbinjuriesbofbpatientsbwhobrequirebmedi
calbservices.
ThebInternationalbClassificationbofbDiseases,bProcedurebCodingbSystemb(ICD-10-PCS)
absystembforbcodingbmedicalbproceduresbperformedbinbthebinpatientbdepartmentsbforbhospitals.
HealthcarebCommonbProcedurebCodingbSystemb(HCPCS)
abstandardizedbcodingbsystembdevelopedbbybthebfederalbgovernmentbthatbisbusedbprimarilybtobidentifybpro
ducts,bsuppliesbanbservicesbnotbincludedbinbCPT
AmericanbMedicalbAssociation
WhatborganizationbisbresponsiblebforbdevelopmentbandbmaintenancebofbLevelbIbCPTbcodes?
CMS
WhatborganizationbisbresponsiblebforbthebdevelopmentbandbmaintenancebofbLevelbIIbHCPCSbcodes?
CategorybIbCPTbCodes
,ConsistbofbsixbmainbsectionsbknownbasbEvaluationbandbManagement,bAnesthesia,bSurgery,bRadiology,bPath
ologybandbLaboratory,bandbMedicine.
Ex:b76641
CategorybIIbCodes
Providesbsupplementarybtrackingbcodesbthatbarebdesignedbforbusebinbperformancebassessmentbandbquality
bimprovementbactivities.
Ex:b1000F
CategorybIIIbCodes
Includesbtemporarybcodesbthatbrepresentbemergingbmedicalbtechnologies,bservices,bandbproceduresbthatb
havebnotbyetbbeenbapprovedbforbgeneralbusebbybthebFDAbandbarebnotbotherwisebcoveredbbybCPTbcodes.
Ex:b0085T
HealthcarebCommonbProcedurebCodingbSystemb(HCPCS)
Whatbisbthebtwo-
partbsystembdevelopedbbybCMSbtobstandardizebthebcodingbsystembusedbtobprocessbMedicarebclaimsbusebfo
rballbservices?
(HCPCSbLevelbI,bHCPCSbLevelbIb(CPT))
codesbwerebdevelopedbbybCMSbforbusebinbreportingbmedicalbservicesbnotbcoveredbinbCPTbsuchbasbinjectabl
ebdrugs,bambulancebservices,bprostheticbdevices,bandbproviderbservice
, Electronicbformatb837Ib(CMS-1450borbUB-04)
Whichbformbisbusedbprimarilybbybhospitalsbforbbothboutpatientbandbinpatientbservices?
cms-1500bClaimbform
Whatbisbthebstandardbpaperbbillingbdocumentbusedbforbphysicianbclaims
ICD-10-PCS
Whatbisbthebproceduralbsystembdevelopedbforbusebtobreportbinpatientbproceduresbaccordingbtobthebprincip
lesbofbabclassification?
ICD-10-CM
WhatbisbthebclassificationbsystembthatbconsistbofbdiagnosisbcodesbthatbarebrequiredbforbMedicarebandbpriva
tebthird-partybpayersbtobsupportbmedicalbnecessitybofbproceduresbandbservices?
CD-10-CMbdiagnosticbandbICD-10-PCSbproceduralbcodesbforbinpatientbhospitalbservices
ICD-10-
CMbdiagnosticbcodesbandbCPT/HCPCSbproceduralbcodesbforbhospitalboutpatientbservices,bincludingblaborat
orybandbradiologybprocedures
ICD-10-
CMbdiagnosticbcodesbandbCPT/HCPCSbproceduralbcodesbforbmedicalbservicesbprovidedbbybphysiciansbandba
lliedbhealthbprofessionals
WhatbtypesbofbcodedbinformationbdoesbMedicarebrequirebforbreimbursementbclaimsbforbservicesbprovided
btobMedicarebBeneficiaries?
why
what
