Certified Inpatient Coding (CIC) Practice Exam

Computer-Assisted Coding (CAC) can work with which of the following data sets?

1. CPT®, ICD-10-CM, and SNOMED-CT

2. ICD-9, SNOMED-CT, and RxNorm

3. CPT®, ICD-10-CM, and LOINC

4. CPT®, ICD-10-CM, SNOMED-CT, LOINC, and RxNorm

The correct answer is: CPT®, ICD-10-CM, SNOMED-CT, LOINC, and RxNorm

Computer-Assisted Coding (CAC) is a technology that uses various coding datasets to assist in the coding process by analyzing clinical documentation and suggesting appropriate codes. The correct choice encompasses a comprehensive range of datasets that include CPT® (Current Procedural Terminology), ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification), SNOMED-CT (Systematized Nomenclature of Medicine Clinical Terms), LOINC (Logical Observation Identifiers Names and Codes), and RxNorm (a standardized nomenclature for clinical drugs). Each of these datasets serves a distinct purpose in the coding process. CPT® codes are utilized for documenting medical, surgical, and diagnostic services. ICD-10-CM codes are essential for indicating diagnoses and conditions. SNOMED-CT provides a comprehensive clinical terminology for electronic health records. LOINC codes are used for laboratory tests and clinical observations, while RxNorm supports the standardization of drug names and classifications. Incorporating all these datasets allows CAC systems to provide higher accuracy and efficiency by leveraging their combined strengths in clinical data interpretation and coding. Hence, the inclusion of all five data sets in the selection is crucial for the holistic function of CAC systems in improving coding processes in healthcare.