For a claim from September 2013 that needs rebilling, which coding system should be used?

Prepare for the NWCA Medical Billing and Coding Exam with flashcards and multiple choice questions. Each question is provided with hints and explanations to optimize your learning experience. Start practicing now and boost your confidence!

Multiple Choice

For a claim from September 2013 that needs rebilling, which coding system should be used?

Explanation:
The key idea is that the rebilled claim must use the coding system that was in effect at the time of service. In September 2013, ICD-9-CM was the standard for diagnostic codes (with CPT/HCPCS used for procedures). ICD-10-CM/ICD-10-PCS were not yet adopted in the U.S. until later, so they wouldn’t be used for a 2013 claim. Therefore, rebill the claim with ICD-9-CM codes for diagnoses (and CPT/HCPCS for procedures if applicable).

The key idea is that the rebilled claim must use the coding system that was in effect at the time of service. In September 2013, ICD-9-CM was the standard for diagnostic codes (with CPT/HCPCS used for procedures). ICD-10-CM/ICD-10-PCS were not yet adopted in the U.S. until later, so they wouldn’t be used for a 2013 claim. Therefore, rebill the claim with ICD-9-CM codes for diagnoses (and CPT/HCPCS for procedures if applicable).

More practice questions
Subscribe

Get the latest from Passetra

You can unsubscribe at any time. Read our privacy policy