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Health Care Code Sets: ICD-10 (MLN900943)

ICN MLN900943 July 2019 Page 1 of 5 FACT SHEETPRINT-FRIENDLY VERSIONICD-10-CM, ICD-10 -PCS, CPT, AND HCPCS CODE SETSMLN Fact SheetICD-10-CM, ICD10-PCS, CPT, and HCPCS Code SetsICN MLN900943 July 2019 Page 2 of 5 Learn about definitions and payment information on these code sets: International Classification of Diseases, Tenth Revision, Clinical Modification ( ICD-10 -CM) International Classification of Diseases, Tenth Revision, Procedure Coding System ( ICD-10 -PCS) Current Procedural Terminology (CPT) Healthcare Common Procedure Coding System (HCPCS)DEFINITIONS AND PAYMENT INFORMATIONThis chart provides definitions and payment information for the ICD-10 -CM, ICD-10 -PCS, CPT, and HCPCS code SETDEFINITIONPAYMENT INFORMATIONICD-10-CM ( diagnoses ) All providers, including physicians, use the code set in Health care settings Providers select codes based on documentation in the patient s medical record Centers for Disease Control and Prevention (CDC)

Providers document diagnoses in medical records and coders assign codes based on that documentation. CDC developed and maintains code set. Use ICD-10-CM diagnosis codes on all inpatient and outpatient health care claims. Generally, when physicians report diagnosis codes on claims, MACs determine benefits and coverage

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