Which code set is used for reporting diagnoses and procedures?

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The correct answer is the combination of ICD-9-CM and CPT as they are specifically designed for reporting diagnoses and procedures in the healthcare industry.

ICD-9-CM (International Classification of Diseases, Ninth Revision, Clinical Modification) is used primarily for coding diagnoses. This coding system provides a standardized method for classifying diseases and health conditions. It is essential for the accurate documentation of patient diagnoses in medical records, which is critical for billing and insurance claims.

CPT (Current Procedural Terminology) is used for reporting medical, surgical, and diagnostic procedures and services. Developed by the American Medical Association, the CPT code set provides a uniform language that enables healthcare providers to communicate effectively about the services rendered to patients, ensuring that each procedure is accurately billed and reimbursed.

Together, these two code sets encompass the full spectrum of patient care documentation by allowing healthcare providers to accurately report both what diagnoses a patient has and what procedures they have undergone, making them essential components of healthcare compliance and billing practices.

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