4. Once you define the term Medical Necessity. In 2-3 sentences explain how it applies to...

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4. Once you define the term Medical Necessity. In 2-3 sentences explain how it applies to procedural and diagnostic coding. I

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Ans) The ICD-10 code is the reason for the procedure and the CPT code is the procedure. You can not bill and be reimbursed for the CPT without the ICD-10 and vise versa.

- CPT codes are of primary importance for a few different reasons: They are used by insurers to determine the amount of reimbursement a practitioner will receive under your health insurance coverage (and ultimately how much of the bill you will be left responsible for).

- ICD-10-PCS is intended for use by health care professionals, health care organizations, and insurance programs. ICD-10-PCS codes are used in a variety of clinical and health care applications for reporting, morbidity statistics, and billing.

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