There Is a Question Concerning a Claim for a Procedure

question 12

Multiple Choice

There is a question concerning a claim for a procedure submitted last year. Where will you look to double-check the codes in question?

• A) The current CPT
• B) Last year's CPT
• C) ICD-9-CM for last year
• D) ICD-9-CM for this year
• E) ICD-10-CM

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Definitions:

Reliable

The consistency of a measure or instrument, indicating the same results are achieved under consistent conditions.

Standardized

Made consistent in form, procedure, or conditions, often for the purpose of comparison or assessment.

Valid

Well-founded on evidence and corresponds accurately to the real world.

Cognitive Capacities

The various abilities related to the process of knowing, including reasoning, memory, attention, and language.