Institute: ONC | Component: 1 | Unit: 5 | Lecture: a | Slide: 19
Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Financing Health Care - Part 2
Lecture:The Revenue Cycle of Various Health Care Enterprises
Slide content:Code Sets by Provider Physician: Inpatient and outpatient Diagnosis: ICD-10-CM Procedure: CPT Hospital Facility: inpatient Diagnosis: ICD-10-CM Procedure: ICD-10-PCS Hospital Facility: Outpatient Diagnosis: ICD-10-CM Procedure: HCPCS (CPT Level I and HCPCS Level II) 19
Slide notes:HIPAA standards require the use of specific code sets for submitting claims, depending on the provider and the location where the service was delivered. The code sets for physicians and hospital facilities are listed here. The ICD-10-CM is used to report all inpatient and outpatient diagnoses. The CPT is used to report physician inpatient and outpatient procedures; the ICD-10-PCS is used to report inpatient facility procedures; and the Healthcare Common Procedure Coding System, or HCPCS , is used to report outpatient facility procedures. 19