#1
What is the main purpose of medical coding in healthcare?
To communicate diagnoses and procedures
ExplanationMedical coding facilitates communication of diagnoses and procedures for proper billing and record-keeping.
#2
Which system is commonly used for medical coding and classification?
ICD-10-CM
ExplanationICD-10-CM is widely used for coding and classifying diseases and health-related problems in healthcare.
#3
What is the purpose of the E/M codes in medical coding?
To identify evaluation and management services
ExplanationE/M codes are used to identify and report evaluation and management services provided to patients.
#4
Which of the following is NOT a level of evaluation and management (E/M) service?
Level 4: Laboratory test
ExplanationLevel 4: Laboratory test is not a category of evaluation and management services, but rather a specific type of diagnostic service.
#5
Which organization is responsible for maintaining the Current Procedural Terminology (CPT) code set?
American Medical Association (AMA)
ExplanationThe American Medical Association (AMA) maintains and updates the Current Procedural Terminology (CPT) code set.
#6
What does CPT stand for in medical coding?
Current Procedural Terminology
ExplanationCPT stands for Current Procedural Terminology, a standard coding system used for reporting medical services and procedures.
#7
Which organization is responsible for maintaining and updating the ICD-10-CM and ICD-10-PCS code sets?
Centers for Medicare & Medicaid Services (CMS)
ExplanationThe Centers for Medicare & Medicaid Services (CMS) oversee the maintenance and updates of the ICD-10-CM and ICD-10-PCS code sets.
#8
What does DRG stand for in healthcare?
Diagnostic Related Group
ExplanationDRG, or Diagnostic Related Group, is a system used to categorize hospital cases into groups for reimbursement purposes.
#9
What is the purpose of the Healthcare Common Procedure Coding System (HCPCS)?
To classify drugs and biologics
ExplanationHCPCS is designed to classify drugs, supplies, and services not covered by CPT codes, including drugs and biologics.
#10
Which of the following is NOT a section of the ICD-10-CM code set?
Medical procedures
ExplanationMedical procedures are not a section within the ICD-10-CM code set, which primarily focuses on diagnosis coding.
#11
What is the purpose of adding modifiers to medical codes?
To specify certain circumstances that alter the way a service or procedure is performed
ExplanationModifiers provide additional information to medical codes, specifying unique circumstances related to services or procedures.
#12
In medical coding, what does the term 'bundled code' refer to?
A single code that represents multiple related services
ExplanationA bundled code represents multiple related services or procedures under a single code for billing and reporting purposes.
#13
Which of the following statements about the CPT code set is true?
It includes codes for both diagnosis and procedures
ExplanationCPT codes encompass a wide range of codes covering both diagnostic and procedural services provided by healthcare professionals.
#14
Which of the following is NOT a type of CPT code?
Category IV
ExplanationCategory IV is not a type of CPT code; CPT codes are divided into Category I, II, and III.
#15
What is the purpose of the CPT Appendix?
To provide guidelines for using modifiers
ExplanationThe CPT Appendix offers guidelines and additional information on using modifiers effectively in medical coding.