Question

physician office __________ codes are submitted for reimbursement purposes.
icd - 10 - cm, cpt, and hcpcs level ii
icd - 10 - pcs, cpt, and hcpcs level ii
icd - 10 - cm and icd - 10 - pcs
icd - 10 - cm, icd - 10 - pcs, cpt, and hcpcs level ii
question 16 (2.5 points)
hospital inpatient __________ codes are submitted for reimbursement purposes.
cpt and hcpcs level ii
icd - 10 - cm, cpt, and hcpcs level ii
icd - 10 - cm and icd - 10 - pcs
icd - 10 - cm, icd - 10 - pcs, cpt, and hcpcs level ii

Explanation:

• For Physician Office Codes:
• ICD - 10 - CM (International Classification of Diseases, 10th Revision, Clinical Modification) is used for diagnosis coding.
• CPT (Current Procedural Terminology) codes are for reporting medical, surgical, and diagnostic procedures and services.
• HCPCS level II (Healthcare Common Procedure Coding System level II) is used for non - physician services like durable medical equipment, supplies, etc. in physician office settings. ICD - 10 - PCS (Procedure Coding System) is mainly for inpatient hospital procedures, so it is not used in physician office for reimbursement in general.
• For Hospital Inpatient Codes:
• ICD - 10 - CM is for diagnosis.
• ICD - 10 - PCS is for inpatient procedures. CPT is more relevant in outpatient and physician office settings for procedures (though there are some limited uses in inpatient, but ICD - 10 - PCS is the primary inpatient procedure code). HCPCS level II is also used for certain supplies and non - physician services in inpatient, but the key inpatient codes are ICD - 10 - CM (diagnosis) and ICD - 10 - PCS (procedure).

Answer:

• Physician office: ICD - 10 - CM, CPT, and HCPCS level II.
• Hospital inpatient: ICD - 10 - CM and ICD - 10 - PCS.