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Medical Coding and Diagnostic Code Selection Quiz

#1

What is the primary purpose of medical coding?

To classify medical data
Explanation

Organizing medical information for analysis and billing.

#2

What is the purpose of the CPT code set?

To report medical procedures and services
Explanation

Detailing medical actions for billing and statistical analysis.

#3

Which organization is responsible for maintaining the ICD-10-CM code set?

Centers for Medicare & Medicaid Services (CMS)
Explanation

CMS ensures consistency in medical coding standards.

#4

What does HCPCS Level II codes primarily represent?

Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS)
Explanation

Identifying items and supplies for medical billing purposes.

#5

What is the purpose of modifier codes in medical coding?

To provide additional information or clarify services rendered
Explanation

Enhancing specificity or clarifying circumstances.

#6

Which of the following is NOT a part of the Evaluation and Management (E/M) code set?

Anesthesia administration
Explanation

Anesthesia falls under a different code set.

#7

Which code set is used for reporting procedures and services performed by chiropractors?

CPT
Explanation

Chiropractic actions are documented using CPT codes.

#8

Which of the following is true about the ICD-10-CM coding system?

It allows for greater specificity in coding than ICD-9-CM
Explanation

Enabling more detailed diagnosis coding.

#9

What is the purpose of the NCCI (National Correct Coding Initiative) edits?

To ensure accurate payment for Medicare claims
Explanation

Preventing inappropriate reimbursement.

#10

Which of the following is an example of a Z code in ICD-10-CM?

Z12.1 Encounter for screening for malignant neoplasm of colon
Explanation

Used for documenting encounters and health status.

#11

Which of the following statements about ICD-10-PCS codes is true?

They include codes for surgical and medical procedures
Explanation

Classifying procedures for billing and statistical purposes.

#12

What is the purpose of a placeholder 'X' in ICD-10-CM coding?

To reserve space for future codes
Explanation

Facilitating future expansions in the code set.

#13

Which of the following is an example of an E code in ICD-10-CM?

E849.5 Accidental poisoning by heroin
Explanation

Recording external causes of injury or illness.

#14

What is the purpose of the ICD-10-PCS 'X' placeholder character?

To reserve space for future codes
Explanation

Facilitating future expansion of the code set.

#15

What is the purpose of the 'X' placeholder character in ICD-10-PCS coding?

To reserve space for future codes
Explanation

Allowing for future expansion in the code set.

#16

Which of the following is an example of a CPT Category II code?

99024 Postoperative follow-up visit
Explanation

Recording performance measures and quality reporting.

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