#1
In medical coding, what does CPT stand for?
Current Procedural Terminology
ExplanationStandardized codes for medical services and procedures.
#2
What is ICD-10 used for in medical coding?
Describing medical diagnoses and inpatient procedures
ExplanationInternational classification system for diseases and medical procedures.
#3
What does E/M stand for in the context of CPT coding?
Evaluation and Management
ExplanationCodes for services provided by healthcare professionals.
#4
What is the role of a medical coder in the healthcare industry?
To analyze medical records
ExplanationTranslate medical procedures and diagnoses into codes for billing.
#5
Which organization publishes the CPT code set?
American Medical Association (AMA)
ExplanationCreates and maintains codes for medical services and procedures.
#6
What does EHR stand for in the context of healthcare?
Electronic Health Record
ExplanationDigital records of patient health information.
#7
Which of the following is a common type of outpatient coding system?
CPT
ExplanationUsed for coding outpatient services and procedures.
#8
Which of the following is an example of a Level II HCPCS code?
J2505
ExplanationCodes used for durable medical equipment, prosthetics, orthotics, and supplies.
#9
What does DRG stand for in the context of medical coding?
Diagnosis-Related Group
ExplanationA system used to categorize hospital cases into groups.
#10
What does CCI stand for in medical coding?
Clinical Coding Initiative
ExplanationIdentifies code pair edits to prevent improper payment.
#11
Which of the following is not a valid code set used in medical coding?
ICD-9-CM
ExplanationAn outdated code set, replaced by ICD-10-CM.
#12
Which of the following is true regarding ICD-10-CM coding?
It replaced ICD-9-CM for inpatient procedure coding
ExplanationModernized coding system for diseases and medical conditions.
#13
What is the purpose of using CPT modifiers?
To provide additional information about the procedure
ExplanationFurther specify procedures or services performed.
#14
Which of the following is NOT included in the E/M documentation guidelines?
Medication Administration
ExplanationAn aspect typically included in E/M documentation.
#15
Which of the following is true regarding modifier -25 in CPT coding?
It indicates a separately identifiable E/M service by the same physician on the same day of the procedure or other service
ExplanationAllows additional reimbursement for significant, separately identifiable evaluation and management service.
#16
What is the purpose of the modifier -59 in CPT coding?
To indicate a distinct procedural service
ExplanationIdentifies procedures or services that are separate from other services.
#17
What is the primary purpose of ICD-10-PCS?
To code procedures performed in inpatient hospital settings
ExplanationFocuses on procedures performed in hospitals.
#18
Which of the following is an example of a Level III HCPCS code?
A4221
ExplanationCodes used for temporary healthcare providers and ambulance services.
#19
What is the purpose of the CCI (Correct Coding Initiative) edits?
To prevent improper payment
ExplanationDetects improper coding combinations to prevent overpayment.