Question

When filing an insurance claim for an appendectomy, which of the following is the most appropriate reference source for locating the surgical code?

A. International Classification of Diseases, Clinical Modification (ICD-CM)
B. Current Procedural Terminology (CPT)
C. Health Care Financing Administration Common Procedural Coding System (HCPCS)
D. Relative Value Scale (RVS)
E. Resource-Based Relative Value Scale (RBRVS)

Answer 1

The most appropriate reference source for locating the surgical code when filing an insurance claim for an appendectomy is the Current Procedural Terminology (CPT). The CPT is a standardized coding system specifically designed for reporting medical procedures and services performed by healthcare professionals.

Step-by-step explanation:

When filing an insurance claim for an appendectomy, the most appropriate reference source for locating the surgical code is the Current Procedural Terminology (CPT). The CPT is a coding system developed by the American Medical Association (AMA) and is widely used for reporting medical procedures and services performed by healthcare professionals. It provides a standardized system of codes that accurately represents the services provided during a surgical procedure, including the appendectomy.

The International Classification of Diseases, Clinical Modification (ICD-CM) is used to classify diagnoses and medical conditions, not specific procedures like surgery. The Health Care Financing Administration Common Procedural Coding System (HCPCS) is mainly used for coding supplies, drugs, and equipment used in healthcare. The Relative Value Scale (RVS) and Resource-Based Relative Value Scale (RBRVS) are systems that help determine the reimbursement rates for medical services based on the complexity and resources required.