What happens if an ICD-10-CM code does not match a CPT code in a medical claim?
Spring Final Principles 2025

Flashcard
•
Health Sciences
•
10th Grade
•
Hard
Selene Salazar
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50 questions
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1.
FLASHCARD QUESTION
Front
Back
The claim may be denied.
2.
FLASHCARD QUESTION
Front
How do CPT codes and ICD-10-CM codes work together in reimbursement?
Back
CPT codes describe the procedure, and ICD-10-CM codes justify why it was performed.
3.
FLASHCARD QUESTION
Front
HCPCS
Back
Healthcare Common Procedure Coding System
4.
FLASHCARD QUESTION
Front
When was ICD-10-CM/PCS implemented in the United States?
Back
October 1, 2015
5.
FLASHCARD QUESTION
Front
Grace is a medical coder who needs to use ICD-10-CM to report diagnoses for her patients. This is required to establish __________.
Back
medical necessity
6.
FLASHCARD QUESTION
Front
Which manual is used for diagnostic coding?
Back
ICD-10-CM
7.
FLASHCARD QUESTION
Front
What is the purpose of modifiers in coding?
Back
To further specify the code
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