Certified Inpatient Coding (CIC) Practice Exam

Question: 1 / 400

Which coding system is primarily used for documenting outpatient procedures?

ICD-10-CM

CPT®

The coding system that is primarily used for documenting outpatient procedures is the CPT® (Current Procedural Terminology). CPT® codes are specifically designed to report medical, surgical, and diagnostic services and procedures performed by healthcare professionals during outpatient visits. They provide a uniform language that conveys specific information about the procedures and services rendered, ensuring clarity and consistency in billing and medical documentation.

While ICD-10-CM is used for coding diagnoses, and HCPCS includes codes for various healthcare services, supplies, and equipment, it is the CPT® system that is most relevant for outpatient procedures, as these codes detail specific actions taken during patient visits. SNOMED-CT is a comprehensive clinical terminology but not focused specifically on billing or documentation of outpatient procedures. Therefore, CPT® is the most appropriate choice for this context.

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HCPCS

SNOMED-CT

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