Which coding manual is used for documenting physician procedures during visits?

• A. CPT (Current Procedural Terminology)
• B. SNOMED
• C. DSM-5
• D. LOINC

Answer: (A)

CPT codes are used to document physician procedures during visits. This coding set, the Current Procedural Terminology, is the standard for describing medical, surgical, radiology, and laboratory services provided by physicians, including office visits and any procedures performed. It enables consistent billing and communication with insurance companies.

SNOMED is a broad clinical terminology used inside electronic health records to encode a wide range of clinical concepts, not specifically focused on procedure billing. DSM-5 is the diagnostic manual for mental disorders, used to classify diagnoses rather than document procedures. LOINC codes cover lab tests and measurements, not the procedures or services physicians perform during visits.