Which coding system is primarily used to classify diagnoses in healthcare settings?

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The ICD-10-CM, or the International Classification of Diseases, Tenth Revision, Clinical Modification, is the coding system primarily used to classify diagnoses in healthcare settings. This system provides a standardized way to code and classify a wide range of diseases and health conditions, which is critical for billing, treatment planning, and health statistics.

ICD-10-CM codes are essential for healthcare providers to communicate specific diagnoses to insurers, ensuring proper reimbursement for services provided. They allow for the classification of a multitude of health issues, from common ailments to rare diseases, which helps in tracking epidemiological data and healthcare trends. The system consists of alphanumeric codes that can represent detailed medical concepts, making it a powerful tool for both clinical practice and research.

In contrast, other coding systems serve different functions. HCPCS Level II codes are primarily used for billing items and services not covered by the standard CPT codes, often related to medical equipment and supplies. CCSR (Clinical Classifications Software Refined) is a tool for grouping diagnoses but is not the primary coding system used for official billing purposes. CPT codes, while essential in the healthcare landscape, specifically designate procedures, services, and some supplies rather than diagnoses.

Thus, ICD-10-CM stands out as

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