#1
Which organization oversees pathology and laboratory coding regulations in the United States?
Centers for Medicare & Medicaid Services (CMS)
ExplanationCMS oversees coding regulations in the US.
#2
What does the abbreviation HCPCS stand for in medical coding?
Healthcare Common Procedure Coding System
ExplanationHCPCS stands for Healthcare Common Procedure Coding System.
#3
What does DRG stand for in the context of hospital reimbursement?
Diagnostic Related Group
ExplanationDRG stands for Diagnostic Related Group in hospital reimbursement.
#4
Which organization is responsible for developing and maintaining the CPT code set?
American Medical Association (AMA)
ExplanationAMA develops and maintains the CPT code set.
#5
What is the primary purpose of using modifiers in medical coding?
To provide additional information or clarify circumstances
ExplanationModifiers provide additional information or clarify circumstances in coding.
#6
What is the correct CPT code for a comprehensive metabolic panel (CMP)?
80053
ExplanationCPT code 80053 is for a CMP.
#7
Which of the following is NOT a component of the CPT code?
Pharmacology
ExplanationPharmacology is not a component of CPT codes.
#8
What does ICD-10-CM stand for in the context of medical coding?
International Classification of Diseases, 10th Edition, Clinical Modification
ExplanationICD-10-CM stands for the International Classification of Diseases, 10th Edition, Clinical Modification.
#9
Which organization publishes the ICD-10-CM coding manual?
Centers for Medicare & Medicaid Services (CMS)
ExplanationCMS publishes the ICD-10-CM coding manual.
#10
What is the correct modifier for a service provided in the evening?
Modifier -52
ExplanationModifier -52 is for an evening service.
#11
Which of the following modifiers indicates a service performed by a physician who is not the patient's primary care provider?
Modifier -25
ExplanationModifier -25 indicates a service by a non-primary care provider.
#12
What is the correct HCPCS Level II code for a wheelchair?
E0113
ExplanationHCPCS Level II code E0113 is for a wheelchair.
#13
What is the correct modifier for a service provided on an emergency basis?
Modifier -27
ExplanationModifier -27 is for an emergency service.
#14
What is the correct HCPCS Level II code for a routine electrocardiogram (EKG)?
93000
ExplanationHCPCS Level II code 93000 is for a routine electrocardiogram (EKG).