Medical Coding Quiz Questions and Answers: we will discuss questions and answers on the topic.
medical coding quiz
Question 1: Which organization publishes the Current Procedural Terminology (CPT) codes used for outpatient services in the United States?
a) American Medical Association (AMA)
b) Centers for Medicare and Medicaid Services (CMS)
c) World Health Organization (WHO)
d) International Classification of Diseases (ICD)
Answer: a) American Medical Association (AMA)
Question 2: Which code set is used to report diagnoses and inpatient procedures in the United States?
a) HCPCS Level II codes
b) ICD-10-PCS codes
c) CPT codes
d) ICD-10-CM codes
Answer: d) ICD-10-CM codes
Question 3: What does the acronym “DRG” stand for in the context of medical coding?
a) Diagnostic Related Group
b) Diagnosis Reimbursement Guide
c) Disease Registration Group
d) Documentation Review Group
Answer: a) Diagnostic Related Group
Question 4: Which of the following code sets is used for reporting procedures and services in the hospital outpatient setting?
a) ICD-10-PCS codes
b) HCPCS Level II codes
c) CPT codes
d) ICD-10-CM codes
Answer: c) CPT codes
Question 5: Which of the following code sets is used for reporting durable medical equipment, prosthetics, orthotics, and supplies?
a) ICD-10-PCS codes
b) HCPCS Level II codes
c) CPT codes
d) ICD-10-CM codes
Answer: b) HCPCS Level II codes
Question 6: What is the purpose of the Evaluation and Management (E&M) codes in medical coding?
a) To report surgical procedures
b) To report laboratory tests
c) To report office visits and other non-procedural services
d) To report radiology services
Answer: c) To report office visits and other non-procedural services
Question 7: Which of the following is an example of a modifier used in medical coding?
a) ICD-10-PCS
b) HCPCS Level II
c) CPT
d) -59
Answer: d) -59
Question 8: Which of the following is a coding system used for reporting procedures performed during surgical interventions?
a) ICD-10-CM
b) CPT
c) ICD-9-CM
d) HCPCS Level II
Answer: b) CPT
Question 9: What is the purpose of the International Classification of Diseases for Oncology (ICD-O) coding system?
a) To report laboratory tests
b) To report outpatient procedures
c) To report cancer diagnoses and treatments
d) To report durable medical equipment
Answer: c) To report cancer diagnoses and treatments
Question 10: Which of the following code sets is used for reporting services provided by healthcare professionals in the United States?
a) ICD-10-PCS codes
b) HCPCS Level II codes
c) CPT codes
d) ICD-10-CM codes
Answer: c) CPT codes
medical coding quiz questions and answers
Question 11: In medical coding, what does the acronym “EHR” stand for?
a) Electronic Health Record
b) External Hospital Report
c) Essential Healthcare Registry
d) Emergency Healthcare Response
Answer: a) Electronic Health Record
Question 12: Which of the following is a type of code used to report diagnoses or reasons for healthcare encounters?
a) Modifier
b) E/M code
c) Procedure code
d) Diagnosis code
Answer: d) Diagnosis code
Question 13: Which organization is responsible for maintaining the ICD-10-CM coding system in the United States?
a) American Medical Association (AMA)
b) Centers for Medicare and Medicaid Services (CMS)
c) World Health Organization (WHO)
d) American Health Information Management Association (AHIMA)
Answer: b) Centers for Medicare and Medicaid Services (CMS)
Question 14: What is the purpose of the HCPCS Level II coding system?
a) To report inpatient procedures
b) To report durable medical equipment and supplies
c) To report outpatient surgeries
d) To report laboratory tests
Answer: b) To report durable medical equipment and supplies
Question 15: Which of the following is an example of a Category II CPT code?
a) 99213
b) 88141
c) 99024
d) 99202
Answer: c) 99024
Question 16: What does the acronym “ICD” stand for in the context of medical coding?
a) International Coding Directory
b) International Classification of Diseases
c) Interim Clinical Documentation
d) Insurance Claim Determination
Answer: b) International Classification of Diseases
Question 17: What is the purpose of using modifiers in medical coding?
a) To indicate the severity of a condition
b) To specify the location of a procedure
c) To indicate that a service or procedure has been altered
d) To identify the patient’s primary insurance carrier
Answer: c) To indicate that a service or procedure has been altered
Question 18: Which of the following code sets is used to report diagnoses in the inpatient hospital setting in the United States?
a) ICD-10-CM codes
b) CPT codes
c) HCPCS Level II codes
d) ICD-10-PCS codes
Answer: a) ICD-10-CM codes
Question 19: Which organization is responsible for maintaining the Healthcare Common Procedure Coding System (HCPCS) Level II codes?
a) American Medical Association (AMA)
b) Centers for Medicare and Medicaid Services (CMS)
c) World Health Organization (WHO)
d) American Health Information Management Association (AHIMA)
Answer: b) Centers for Medicare and Medicaid Services (CMS)
Question 20: What is the purpose of the National Drug Code (NDC) system in medical coding?
a) To report medical supply costs
b) To report patient demographics
c) To report pharmaceutical product information
d) To report laboratory results
Answer: c) To report pharmaceutical product information
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Question 21: Which of the following code sets is used for reporting dental procedures in the United States?
a) ICD-10-CM codes
b) CPT codes
c) HCPCS Level II codes
d) Current Dental Terminology (CDT) codes
Answer: d) Current Dental Terminology (CDT) codes
Question 22: What does the acronym “E&M” stand for in medical coding?
a) Evaluation and Monitoring
b) Evaluation and Management
c) Emergency and Medicine
d) Efficiency and Measurement
Answer: b) Evaluation and Management
Question 23: Which of the following is an example of an E&M code?
a) 99283
b) 36415
c) J7301
d) 29826
Answer: a) 99283
Question 24: Which of the following is used to report laboratory tests and services?
a) ICD-10-PCS codes
b) HCPCS Level II codes
c) CPT codes
d) ICD-10-CM codes
Answer: c) CPT codes
Question 25: Which of the following code sets is used for reporting mental health and behavioral disorders?
a) ICD-10-PCS codes
b) HCPCS Level II codes
c) CPT codes
d) ICD-10-CM codes
Answer: d) ICD-10-CM codes
Question 26: What is the purpose of the “unbundling” concept in medical coding?
a) To combine multiple codes into a single code
b) To separate a single code into multiple codes
c) To assign a code for an unrelated condition
d) To assign a code for a pre-existing condition
Answer: b) To separate a single code into multiple codes
Question 27: Which of the following is an example of a Level I HCPCS code?
a) A0080
b) Q4100
c) E1390
d) J7321
Answer: d) J7321
Question 28: Which of the following is an example of an external cause code used in medical coding?
a) V76.51
b) E849.4
c) 36415
d) 99213
Answer: b) E849.4
Question 29: What is the purpose of the National Correct Coding Initiative (NCCI) edits in medical coding?
a) To prevent fraud and abuse by identifying inappropriate code combinations
b) To provide guidance on medical necessity for procedures and services
c) To ensure accurate payment for healthcare claims
d) To standardize coding practices across different healthcare settings
Answer: a) To prevent fraud and abuse by identifying inappropriate code combinations
Question 30: Which organization is responsible for maintaining the ICD-10-PCS coding system in the United States?
a) American Medical Association (AMA)
b) Centers for Medicare and Medicaid Services (CMS)
c) World Health Organization (WHO)
d) American Health Information Management Association (AHIMA)
Answer: b) Centers for Medicare and Medicaid Services (CMS)
Question 31: What is the purpose of the “principal diagnosis” in medical coding?
a) To identify the patient’s primary insurance carrier
b) To indicate the severity of a condition
c) To specify the primary reason for the patient’s encounter
d) To determine the appropriate level of reimbursement for a procedure
Answer: c) To specify the primary reason for the patient’s encounter
Question 32: Which of the following is an example of an add-on code in medical coding?
a) 99214
b) 36415
c) 99070
d) 29826
Answer: c) 99070
Question 33: What does the acronym “HCC” stand for in the context of medical coding?
a) Hierarchical Condition Category
b) Healthcare Code Category
c) Hospital Coding Classification
d) Health Condition Code
Answer: a) Hierarchical Condition Category
Question 34: Which of the following code sets is used for reporting radiology procedures and services?
a) ICD-10-PCS codes
b) HCPCS Level II codes
c) CPT codes
d) ICD-10-CM codes
Answer: c) CPT codes
Question 35: What is the purpose of the “bilateral” modifier in medical coding?
a) To indicate that a service or procedure has been performed on both sides of the body
b) To specify the location of a procedure
c) To indicate that a service or procedure has been altered
d) To identify a repeat procedure
Answer: a) To indicate that a service or procedure has been performed on both sides of the body
Question 36: Which of the following is an example of an E/M code for a new patient office visit?
a) 81002
b) 99201
c) 96372
d) 20610
Answer: b) 99201
Question 37: What is the purpose of the “global period” in medical coding?
a) To indicate the duration of a surgical procedure
b) To specify the anatomical location of a condition
c) To determine the appropriate level of reimbursement for a procedure
d) To indicate the period of time during which follow-up care is included in the procedure’s reimbursement
Answer: d) To indicate the period of time during
Question 38: Which of the following code sets is used for reporting long-term care services in the United States?
a) ICD-10-PCS codes
b) HCPCS Level II codes
c) CPT codes
d) ICD-10-CM codes
Answer: b) HCPCS Level II codes
Question 39: What does the acronym “NCCI” stand for in medical coding?
a) National Correct Coding Initiative
b) National Clinical Coding Institute
c) Non-Compliant Coding Indicator
d) National Claim Coding Index
Answer: a) National Correct Coding Initiative
Question 40: Which organization is responsible for maintaining the ICD-11 coding system?
a) American Medical Association (AMA)
b) Centers for Medicare and Medicaid Services (CMS)
c) World Health Organization (WHO)
d) American Health Information Management Association (AHIMA)
Answer: c) World Health Organization (WHO)
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Question 41: Which of the following code sets is used for reporting dental diagnoses in the United States?
a) ICD-10-PCS codes
b) HCPCS Level II codes
c) CPT codes
d) ICD-10-CM codes
Answer: d) ICD-10-CM codes
Question 42: What does the acronym “POA” stand for in the context of medical coding?
a) Present on Admission
b) Principal of Administration
c) Procedure of Authorization
d) Primary Office Assessment
Answer: a) Present on Admission
Question 43: Which of the following is an example of a Level II HCPCS code?
a) 99214
b) Q4100
c) E1390
d) J7321
Answer: b) Q4100
Question 44: What is the purpose of the “excludes1” note in the ICD-10-CM coding system?
a) To indicate that codes excluded under this note may never be used together
b) To provide additional instructional notes for code assignment
c) To specify the anatomical location of a condition
d) To indicate that codes excluded under this note may be used together in certain circumstances
Answer: a) To indicate that codes excluded under this note may never be used together
Question 45: Which of the following is an example of a Level III HCPCS code?
a) 99214
b) Q4100
c) E1390
d) J7321
Answer: c) E1390
Question 46: What is the purpose of the “place of service” code in medical coding?
a) To indicate the type of healthcare facility where a service was rendered
b) To identify the patient’s primary insurance carrier
c) To specify the location of a procedure
d) To indicate the severity of a condition
Answer: a) To indicate the type of healthcare facility where a service was rendered
Question 47: Which of the following is an example of an add-on CPT code?
a) 99214
b) 36415
c) 99070
d) +99354
Answer: d) +99354
Question 48: What is the purpose of the “global surgery” concept in medical coding?
a) To determine the appropriate level of reimbursement for a surgical procedure
b) To indicate the duration of a surgical procedure
c) To specify the anatomical location of a surgical procedure
d) To indicate the period of time during which follow-up care is included in the surgical procedure’s reimbursement
Answer: d) To indicate the period of time during which follow-up care is included in the surgical procedure’s reimbursement
Question 49: Which of the following is an example of a Level I CPT code?
a) 99214
b) 36415
c) J7301
d) 20610
Answer: a) 99214
Question 50: What does the acronym “NCCI” stand for in the context of medical coding?
a) National Correct Coding Initiative
b) National Clinical Coding Index
c) Non-Compliant Coding Indicator
d) National Claim Coding Institute
Answer: a) National Correct Coding Initiative
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Question 51: Which organization is responsible for maintaining the Current Procedural Terminology (CPT) coding system?
a) American Medical Association (AMA)
b) Centers for Medicare and Medicaid Services (CMS)
c) World Health Organization (WHO)
d) American Health Information Management Association (AHIMA)
Answer: a) American Medical Association (AMA)
Question 52: Which of the following is an example of an “unspecified” code in the ICD-10-CM coding system?
a) Z12.31
b) F32.9
c) M17.12
d) K59.00
Answer: b) F32.9
Question 53: What is the purpose of the “modifier” in medical coding?
a) To indicate the duration of a procedure
b) To specify the anatomical location of a condition
c) To provide additional information or clarification about a service or procedure
d) To indicate the severity of a condition
Answer: c) To provide additional information or clarification about a service or procedure
Question 54: Which of the following is an example of a Level II HCPCS code?
a) 99214
b) Q4100
c) E1390
d) J7321
Answer: b) Q4100
Question 55: What is the purpose of the “laterality” modifier in medical coding?
a) To specify the location of a condition
b) To indicate the duration of a procedure
c) To indicate that a service or procedure has been altered
d) To indicate whether a procedure was performed on the left or right side of the body
Answer: d) To indicate whether a procedure was performed on the left or right side of the body
Question 56: Which of the following is an example of a “bundled” service in medical coding?
a) 99214
b) 36415
c) 99070
d) 29826
Answer: b) 36415
Question 57: What is the purpose of the “primary diagnosis” in medical coding?
a) To indicate the severity of a condition
b) To specify the primary reason for the patient’s encounter
c) To identify the patient’s primary insurance carrier
d) To determine the appropriate level of reimbursement for a procedure
Answer: b
Question 58: Which of the following is an example of a Level I HCPCS code?
a) A0080
b) Q4100
c) E1390
d) J7321
Answer: d) J7321
Question 59: What does the acronym “HCC” stand for in medical coding?
a) Hierarchical Condition Category
b) Healthcare Code Category
c) Hospital Coding Classification
d) Health Condition Code
Answer: a) Hierarchical Condition Category
Question 60: Which organization is responsible for maintaining the ICD-10-PCS coding system?
a) American Medical Association (AMA)
b) Centers for Medicare and Medicaid Services (CMS)
c) World Health Organization (WHO)
d) American Health Information Management Association (AHIMA)
Answer: b) Centers for Medicare and Medicaid Services (CMS)
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Question 61: What is the purpose of the “unspecified” code in medical coding?
a) To indicate a more specific diagnosis or condition
b) To indicate a nonspecific or generalized diagnosis or condition
c) To specify the anatomical location of a condition
d) To provide additional information or clarification about a service or procedure
Answer: b) To indicate a nonspecific or generalized diagnosis or condition
Question 62: Which of the following is an example of a Level III HCPCS code?
a) 99214
b) Q4100
c) E1390
d) J7321
Answer: c) E1390
Question 63: What is the purpose of the “external cause” codes in medical coding?
a) To indicate the presence of an external injury or condition
b) To specify the cause of a disease or condition
c) To identify the patient’s primary insurance carrier
d) To determine the appropriate level of reimbursement for a procedure
Answer: a) To indicate the presence of an external injury or condition
Question 64: Which of the following is an example of a “component” code in medical coding?
a) 99214
b) 36415
c) 99070
d) 29826
Answer: d) 29826
Question 65: What is the purpose of the “E/M” codes in medical coding?
a) To identify laboratory tests and services
b) To report mental health and behavioral disorders
c) To report evaluation and management services
d) To indicate the duration of a procedure
Answer: c) To report evaluation and management services
Question 66: Which of the following is an example of an “excludes1” note in the ICD-10-CM coding system?
a) Z12.31
b) F32.9
c) M17.12
d) K59.00
Answer: b) F32.9
Question 67: What is the purpose of the “bilateral” modifier in medical coding?
a) To indicate the presence of a bilateral condition
b) To specify the location of a condition
c) To indicate that a service or procedure has been altered
d) To indicate that a service or procedure has been performed on both sides of the body
Answer: d) To indicate that a service or procedure has been performed on both sides of the body
Question 68: Which of the following is an example of a Level I CPT code?
a) 99214
b) Q4100
c) E1390
d) J7321
Answer: a) 99214
Question 69: What does the acronym “NCCI” stand for in the context of medical coding?
a) National Correct Coding Initiative
b) National Clinical Coding Index
c) Non-Compliant Coding Indicator
d) National Claim Coding Institute
Answer: a) National Correct Coding Initiative
Question 70: Which organization is responsible for maintaining the Current Procedural Terminology (CPT) coding system?
a) American Medical Association (AMA)
b) Centers for Medicare and Medicaid Services (CMS)
c) World Health Organization (WHO)
d) American Health Information Management Association (AHIMA)
Answer: a) American Medical Association (AMA)
Question 71: What is the purpose of the “laterality” modifier in medical coding?
a) To indicate the location of a condition
b) To specify the anatomical site of a procedure
c) To indicate the severity of a condition
d) To indicate whether a procedure was performed on the left or right side of the body
Answer: d) To indicate whether a procedure was performed on the left or right side of the body
Question 72: Which of the following is an example of an E/M code?
a) 81002
b) 36415
c) 96372
d) 20610
Answer: c) 96372
Question 73: What is the purpose of the “modifier” in medical coding?
a) To indicate the duration of a procedure
b) To specify the anatomical site of a procedure
c) To provide additional information or clarification about a service or procedure
d) To indicate the severity of a condition
Answer: c) To provide additional information or clarification about a service or procedure
Question 74: Which of the following code sets is used for reporting diagnoses in the United States?
a) ICD-10-PCS codes
b) HCPCS Level II codes
c) CPT codes
d) ICD-10-CM codes
Answer: d) ICD-10-CM codes
Question 75: What is the purpose of the “bundled” code in medical coding?
a) To indicate that a service or procedure has been altered
b) To specify the anatomical site of a procedure
c) To indicate the duration of a procedure
d) To group related services or procedures into a single code
Answer: d) To group related services or procedures into a single code
Question 76: Which of the following is an example of an ICD-10-PCS code?
a) 99214
b) Q4100
c) E1390
d) 0JH63ZZ
Answer: d) 0JH63ZZ
Question 77: What is the purpose of the “principal procedure” in medical coding?
a) To indicate the severity of a condition
b) To specify the primary reason for the patient’s encounter
c) To identify the patient’s primary insurance carrier
d) To determine the appropriate level of reimbursement for a procedure
Answer: b) To specify the primary reason for the patient’s encounter