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Procedural Coding and Medical Billing Quiz

#1

What does CPT stand for in medical coding?

Current Procedural Technology
Explanation

CPT stands for Current Procedural Technology, used for assigning procedure codes.

#2

Which organization maintains the CPT code set?

American Medical Association (AMA)
Explanation

The CPT code set is maintained by the American Medical Association (AMA).

#3

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

Diagnosis-Related Group
Explanation

DRG stands for Diagnosis-Related Group, relevant in medical billing.

#4

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

To assign procedure codes for medical services and procedures
Explanation

The CPT manual is used to assign procedure codes for medical services and procedures.

#5

What is the purpose of a modifier in medical coding?

To provide additional information to a procedure or service code
Explanation

Modifiers in medical coding provide additional information to a procedure or service code.

#6

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

To identify diagnoses and medical procedures
Explanation

ICD-10 codes are used to identify diagnoses and medical procedures in medical billing.

#7

What does HCPCS stand for in medical coding?

Healthcare Common Procedure Coding System
Explanation

HCPCS stands for Healthcare Common Procedure Coding System, utilized in medical coding.

#8

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

To identify evaluation and management services
Explanation

E/M codes are used to identify evaluation and management services in medical billing.

#9

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

Medical Imaging
Explanation

Medical Imaging is not a key component of E/M coding.

#10

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

ICD-10-CM
Explanation

ICD-10-CM is used for reporting diagnoses on outpatient services.

#11

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

Modifiers change the meaning of a procedure code
Explanation

Modifiers in medical coding alter the meaning of a procedure code.

#12

What is a modifier 25 used for in medical coding?

To indicate a separate and distinct procedure
Explanation

Modifier 25 is used in medical coding to indicate a separate and distinct procedure.

#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
Explanation

A bundling edit in medical coding is a rule preventing separate payment for codes considered components of a single service.

#14

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

It is a fraudulent practice of billing separate codes for services that should be billed together
Explanation

Unbundling in medical coding refers to the fraudulent practice of billing separate codes for services that should be billed together.

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