CPB (Certified Professional Biller) Certification Practice Exam

Which coding system is currently in use to report diagnoses and reasons for encounter?

1. Black Box Edits

2. BlueCard Program

3. ICD-9-CM

4. Blue Cross (BC)

The correct answer is: ICD-9-CM

The correct answer is that the ICD-9-CM coding system is historically used to report diagnoses and reasons for encounters. However, as of October 1, 2015, ICD-10-CM has replaced ICD-9-CM as the standard coding system for reporting diagnoses. Therefore, while ICD-9-CM was indeed used in the past for this purpose, the current standard in use is ICD-10-CM. The other options listed are not coding systems specifically used to report diagnoses and reasons for encounter. Black Box Edits refers to a set of coding guidelines used to ensure compliance and accurate billing rather than a coding system itself. The BlueCard Program is a national program facilitating health insurance coverage across state lines and is not related to coding. Blue Cross represents a group of independent health insurance organizations rather than a coding system. Given this context, it’s important to recognize that while ICD-9-CM was once correct, the most up-to-date coding system in practice is ICD-10-CM.