Health Care Code Sets: ICD-10 (MLN900943) - CMS

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

diagnosis codes on claims, MACs determine benefits and coverage using them, not in determining the amount we pay for services delivered. Inpatient acute care providers report ICD-10-CM diagnosis and ICD-10-PCS procedure codes on claims to assign the appropriate Medicare Severity-Diagnosis Related Group (MS-DRG) codes used to calculate payment.

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  Medicare, Related, Diagnosis, Severity, Diagnosis related, Medicare severity

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