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Medical Procedure Coding and Evaluation for Healthcare Services Quiz

#1

What is the CPT code for a routine office visit with an established patient?

99203
Explanation

CPT code for a routine office visit with an established patient.

#2

Which of the following best describes Current Procedural Terminology (CPT) codes?

Codes used for reporting medical procedures and services
Explanation

Description of Current Procedural Terminology (CPT) codes.

#3

What is the purpose of ICD-10 codes in medical coding?

To report diagnosis and conditions
Explanation

Purpose of ICD-10 codes in medical coding.

#4

Which of the following is NOT a key component in Evaluation and Management (E/M) coding?

Procedure
Explanation

Non-key component in Evaluation and Management (E/M) coding.

#5

Which organization is responsible for maintaining and updating the Current Procedural Terminology (CPT) codes?

American Medical Association (AMA)
Explanation

Organization responsible for CPT codes maintenance.

#6

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

Healthcare Common Procedure Coding System
Explanation

Acronym meaning in medical coding context.

#7

What is the purpose of the E/M documentation guidelines?

To provide standards for documenting evaluation and management services
Explanation

Purpose of E/M documentation guidelines.

#8

What does DRG stand for in the context of healthcare reimbursement?

Diagnosis Related Groups
Explanation

Acronym meaning in healthcare reimbursement context.

#9

Which of the following is NOT considered a component of medical necessity?

Efficiency
Explanation

Non-component of medical necessity.

#10

What is the main purpose of using modifiers in medical coding?

To indicate that a service or procedure was altered in some way
Explanation

Main purpose of using modifiers in medical coding.

#11

Which of the following code sets is used to report diagnoses and inpatient procedures?

ICD-10-PCS
Explanation

Code set for reporting diagnoses and inpatient procedures.

#12

In medical coding, what does 'NOS' stand for when used as a modifier?

Not Otherwise Specified
Explanation

Meaning of 'NOS' modifier in medical coding.

#13

In E/M coding, which level of service typically requires the highest level of medical decision making?

Level 5
Explanation

Highest level of medical decision making in E/M coding.

#14

What is the primary purpose of medical coding audits?

To identify incorrect coding practices
Explanation

Primary purpose of medical coding audits.

#15

Which of the following is a type of modifier used to indicate a service or procedure that was provided more extensively or over a longer period than usual?

Modifier 52
Explanation

Modifier indicating extended or prolonged service or procedure.

#16

What is the purpose of an add-on code in medical coding?

To identify additional procedures performed during the same visit
Explanation

Purpose of an add-on code in medical coding.

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