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HESI Medical Office Administration (CMAS,CMAA) Exit Sample Test

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Which of the following coding systems is used to code a medical diagnosis or disease condition?





Correct Answer:
icd-10-cm.


the correct coding system used to code a medical diagnosis or disease condition is icd-10-cm. icd-10-cm stands for the international classification of diseases, 10th revision, clinical modification. this coding system is widely adopted in the healthcare industry for the classification and coding of diagnoses and symptoms of diseases. it plays a crucial role in medical billing and epidemiological research by standardizing the codes used across healthcare facilities globally.

icd-10-cm consists of multiple volumes which organize diseases and medical conditions systematically. the first volume lists diseases using a numerical arrangement, which helps in easy identification and retrieval. the second volume organizes diseases and conditions in alphabetical order, providing an alternative method for locating specific codes. although icd-10-cm also references medical procedures, the primary focus remains on diagnosis coding unlike other coding systems which may focus exclusively on procedures.

other coding systems such as cpt (current procedural terminology) and hcpcs (health care common procedural coding system) are primarily used for coding medical procedures and services, rather than diagnoses. cpt is extensively used by physicians and other healthcare providers to code various medical, surgical, and diagnostic services. it is maintained by the american medical association and is key in the billing process. hcpcs is used in the billing of medicare and other insurance programs for services and goods, including durable medical equipment.

the drg system, or diagnosis related groups, is another classification system, but it differs from icd-10-cm in its application. drgs are used primarily for hospital billing to classify hospital cases into groups expected to have similar hospital resource use, thereby influencing the payment structure for inpatient stays.

in summary, each of these coding systems has a specific utility and application within the healthcare industry. however, for the specific task of coding medical diagnoses and disease conditions, icd-10-cm is the appropriate system. it provides a comprehensive framework that aligns with international health data standards and supports the efficient management of healthcare information.


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