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Coding and Billing Principles in Medical Practice Quiz

#1

What is the main function of CPT codes?

To report medical services and procedures performed by healthcare providers.
Explanation

CPT codes report healthcare services and procedures.

#2

Which of the following is NOT a purpose of medical coding and billing?

To provide medical advice
Explanation

Not a purpose: Providing medical advice.

#3

What is the main purpose of the ICD-10-CM coding system?

To report diagnoses for insurance purposes
Explanation

ICD-10-CM: Reports diagnoses for insurance purposes.

#4

What is a DRG in medical coding?

A standardized system of classifying patient types for billing purposes
Explanation

DRG: Standardized classification for billing purposes.

#5

What is the difference between ICD-10-CM and ICD-10-PCS coding systems?

ICD-10-CM is used for reporting diagnoses, while ICD-10-PCS is used for reporting procedures.
Explanation

ICD-10-CM for diagnoses, ICD-10-PCS for procedures.

#6

What does CMS stand for in the context of medical coding?

Centers for Medicare & Medicaid Services
Explanation

CMS: Centers for Medicare & Medicaid Services.

#7

What is a modifier in medical billing and coding?

An additional code used to provide more specific information about the service or procedure.
Explanation

Modifier: Additional code for specific details.

#8

What is the difference between E/M coding and surgical coding?

E/M coding is used for reporting evaluation and management services, while surgical coding is used for reporting surgical procedures.
Explanation

E/M coding: Evaluation and Management, Surgical coding: Surgical procedures.

#9

What is the significance of the CPT code 99214?

It represents an established patient visit.
Explanation

CPT 99214: Represents an established patient visit.

#10

What is the significance of the HCPCS Level II code A0428?

It represents an ambulance service, basic life support, non-emergency transport.
Explanation

HCPCS A0428: Ambulance service, basic life support, non-emergency transport.

#11

What is the significance of the ICD-10-CM code C50.912?

It represents a breast carcinoma.
Explanation

ICD-10-CM C50.912: Represents a breast carcinoma.

#12

What is the significance of the CPT code 99215?

It represents a high-level office visit.
Explanation

CPT 99215: Represents a high-level office visit.

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