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Coding
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The page below is a sample from the LabCE course
Medicare Compliance for Clinical Laboratories (retired)
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Learn more about Medicare Compliance for Clinical Laboratories (retired) (online CE course)
Coding
CPT
(Current Procedural Terminology)
codes are used to describe specific tests or services.
The amount of payment for a test is dependent on the CPT code.
It is against the law to use the wrong CPT code for a test for the purpose of causing or increasing payment for a test.
ICD-9CM
(International Classification of Disease, 9th Edition, Clinical Modification)
codes are used to classify diseases and conditions, and describe signs, symptoms and medical circumstances.
ICD-9CM codes are used to indicate the medical necessity of a particular test.
It is against the law to use the wrong ICD-9CM code for the purpose of causing or increasing payment for a test.
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