Procedural Coding and Medical Billing Quiz

Test your knowledge of procedural coding with questions on CPT, ICD-10, HCPCS, modifiers, E/M codes, and more in this quiz.

#1

What does CPT stand for in medical coding?

Current Procedural Technology
Coding Procedure Tool
Clinical Procedure Terminology
Certified Physician Technician
#2

Which organization maintains the CPT code set?

American Medical Association (AMA)
Centers for Medicare & Medicaid Services (CMS)
World Health Organization (WHO)
American Hospital Association (AHA)
#3

What does DRG stand for in the context of medical billing?

Diagnosis-Related Group
Diagnosis Reporting Guidelines
Durable Medical Goods
Diagnostic Radiology Group
#4

What is the purpose of the CPT manual in medical coding?

To assign procedure codes for medical services and procedures
To provide guidelines for patient diagnosis
To determine patient eligibility for insurance coverage
To schedule patient appointments
#5

What is the purpose of a modifier in medical coding?

To provide additional information to a procedure or service code
To determine the primary diagnosis
To specify the patient's gender
To indicate the patient's age
#6

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

To identify diagnoses and medical procedures
To categorize laboratory tests
To determine patient eligibility for insurance coverage
To schedule patient appointments
#7

What does HCPCS stand for in medical coding?

Healthcare Procedure Coding System
Hospital Clinical Procedure Coding System
Healthcare Common Procedure Coding System
Hospital Certification Procedure Coding System
#8

What is the purpose of the E/M codes in medical billing?

To identify evaluation and management services
To categorize surgical procedures
To specify radiology tests
To indicate patient's insurance coverage
#9

Which of the following is not a key component of E/M coding?

History
Physical Examination
Medical Imaging
Medical Decision Making
#10

Which of the following code sets is used for reporting diagnoses on outpatient services?

ICD-9-CM
ICD-10-PCS
ICD-10-CM
ICD-9-PCS
1 answered
#11

Which of the following is true regarding modifiers in medical coding?

Modifiers change the meaning of a procedure code
Modifiers are not used in medical coding
Modifiers are only used for surgical procedures
Modifiers are used to identify the patient's age
#12

What is a modifier 25 used for in medical coding?

To indicate a separate and distinct procedure
To identify a preventive service
To specify an emergency service
To indicate a routine service
#13

What is a bundling edit in medical coding?

A rule that prevents separate payment for multiple codes that are considered components of a single service
A coding guideline that encourages using multiple codes for one service
A software tool for organizing medical records
A modifier used to indicate a related procedure
#14

Which of the following is true regarding unbundling in medical coding?

It involves combining multiple procedure codes into one
It is a common practice encouraged by healthcare payers
It is a fraudulent practice of billing separate codes for services that should be billed together
It is a method used for scheduling patient appointments

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