Matching ICD-10-CM diagnosis codes to CPT and HCPCS level II procedure and service codes on a claim submitted for a patient encounter ensures that services and procedures are reasonable and necessary for the diagnosis or treatment of an illness or injury. This concept is called __________.
A) advance beneficiary notice of nonpayment
B) medical necessity
C) quality assurance
D) utilization management

Question

Quizplus · Accepted Answer

Medical necessity is the concept that ensures services and procedures are reasonable and necessary for the diagnosis or treatment of an illness or injury.

Matching ICD-10-CM Diagnosis Codes to CPT and HCPCS Level II