Ophthalmic Coding Specialist Practice Test

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Which code set is primarily used for reporting vision care services?

The International Classification of Diseases (ICD)

The Current Procedural Terminology (CPT)

The Current Procedural Terminology (CPT) code set is primarily used for reporting vision care services because it includes a comprehensive list of codes specifically designed to represent various medical, surgical, and diagnostic procedures and services provided by healthcare professionals. In the context of ophthalmology, CPT codes allow for the accurate documentation and billing of services such as eye examinations, surgeries, and treatments.

These codes are essential for ensuring that vision care services are appropriately coded and billed to insurance companies or other payers, facilitating reimbursement for the providers of these services. The specificity and detailed descriptions found in the CPT code set make it the preferred choice for ophthalmologists and optometrists when submitting claims related to vision care.

Other options serve different purposes in the healthcare coding environment, such as diagnosis coding (ICD), equipment and supplies (HCPCS), and inpatient services payment categorization (DRG), but they do not focus on the specific reporting of vision care services like CPT does.

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The Healthcare Common Procedure Coding System (HCPCS)

The Diagnostic Related Group (DRG)

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