ICD-10-PCS codes are primarily submitted by which type of entity?

Prepare for the AAPC Certified Physician Practice Manager Exam with comprehensive quizzes, multiple-choice questions, and detailed explanations. Ace your exam with confidence!

ICD-10-PCS codes are specifically designed for use in the inpatient hospital setting. They are used to classify procedures performed during hospital stays and are part of the ICD-10 system which aims to standardize medical coding practices across the healthcare industry. Facilities, particularly hospitals, are responsible for submitting these codes because they reflect the services rendered within their walls, such as surgeries or advanced diagnostic procedures.

Private practices typically use ICD-10-CM codes for outpatient settings, which are focused on diagnoses rather than procedures. Insurance companies may utilize these codes for claim processing and reimbursement, but they do not directly submit them. Independent contractors, while they may be involved in various billing or coding activities, do not generally submit ICD-10-PCS codes themselves, as such coding is integral to the operations of healthcare facilities. Therefore, the primary entity that submits ICD-10-PCS codes is indeed facilities, confirming that choice is indeed the most accurate.

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