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What are the two main coding classification systems used in healthcare billing?

ICD-9 and CPT

ICD-10-CM and CPT

The two main coding classification systems used in healthcare billing are indeed ICD-10-CM and CPT.

ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) is crucial for billing and provides a standardized system for coding diagnoses and conditions. It is used primarily by healthcare providers to report diseases, injuries, and various health conditions in a manner that can be easily understood and processed by insurance companies.

CPT (Current Procedural Terminology) is essential for coding medical procedures and services performed by healthcare providers. It covers a wide range of services, including surgical procedures, diagnostic tests, and evaluations, allowing for the accurate representation of healthcare services provided to patients.

The combination of ICD-10-CM for diagnoses and CPT for procedures reflects the comprehensive nature of healthcare billing, ensuring that both the medical conditions and the services performed are captured efficiently for reimbursement purposes.

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ICD-10-PCS and DRG

HCPCS and CPT

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