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Medical Coding and Evaluation and Management (E&M) Services Quiz

#1

In medical coding, what does CPT stand for?

Current Procedural Technology
Explanation

CPT stands for Current Procedural Technology and is used in medical coding to describe medical, surgical, and diagnostic services.

#2

Which of the following is not a key component of Evaluation and Management (E&M) services?

Diagnosis
Explanation

Diagnosis is not a key component of E&M services; instead, it is a separate aspect of medical coding used to identify medical conditions.

#3

What is the purpose of the ICD-10-CM code set?

To identify diagnosis and medical conditions
Explanation

The ICD-10-CM code set is used in medical coding to identify and classify diagnosis and medical conditions.

#4

Which E&M code level represents an established patient visit with straightforward medical decision making?

99212
Explanation

E&M code 99212 represents an established patient visit with straightforward medical decision making.

#5

What is the purpose of the medical billing process?

To generate claims for reimbursement
Explanation

The purpose of the medical billing process is to generate claims for reimbursement from insurance companies or other payers.

#6

What is the purpose of the SOAP note in medical documentation?

To structure progress notes in a patient's chart
Explanation

The purpose of the SOAP note in medical documentation is to structure progress notes in a patient's chart, organizing information about subjective, objective, assessment, and plan.

#7

What is the primary purpose of medical coding?

To bill insurance companies
Explanation

The primary purpose of medical coding is to accurately represent healthcare services for billing and reimbursement from insurance companies.

#8

Which E&M code level represents a new patient visit with a detailed history, examination, and medical decision making of high complexity?

99205
Explanation

E&M code 99205 represents a new patient visit with a detailed history, examination, and high-complexity medical decision making.

#9

Which organization publishes the Current Procedural Terminology (CPT) code set?

American Medical Association (AMA)
Explanation

The American Medical Association (AMA) publishes the Current Procedural Terminology (CPT) code set.

#10

Which of the following E&M components is NOT used to determine the level of service for an established patient visit?

Counseling
Explanation

Counseling is not used to determine the level of service for an established patient visit in Evaluation and Management (E&M) coding.

#11

What does the acronym HCPCS stand for in medical coding?

Healthcare Common Procedure Coding System
Explanation

HCPCS stands for Healthcare Common Procedure Coding System and is used in medical coding to describe healthcare services and supplies.

#12

Which of the following is NOT a component of the ROS (Review of Systems) in an Evaluation and Management (E&M) service?

CPT (Current Procedural Terminology)
Explanation

CPT (Current Procedural Terminology) is not a component of the Review of Systems (ROS) in E&M services.

#13

What is the purpose of modifier 25 in medical coding?

To indicate a significant, separately identifiable E&M service
Explanation

Modifier 25 is used in medical coding to indicate a significant, separately identifiable Evaluation and Management (E&M) service provided on the same day as another service.

#14

Which of the following best describes modifier 59 in medical coding?

To indicate a distinct procedural service
Explanation

Modifier 59 is used in medical coding to indicate a distinct procedural service performed separately from other services on the same day.

#15

Which of the following best describes modifier 33 in medical coding?

To indicate preventive services
Explanation

Modifier 33 in medical coding is used to indicate services that are preventive in nature.

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