Medical Coding Chapter 1| Unit Question
and Answers| Approved 2025
What is the primary purpose of medical coding?
Documentation of services
Translating healthcare diagnoses, procedures, and services into standardized codes
Creating medical records for patient history
Ensuring patient confidentiality
Which coding system is primarily used for diagnosis coding in the United States?
CPT
ICD-10-CM
HCPCS
DRG
What does the acronym ICD-10-CM stand for?
International Code Description for Clinical Management
Integrated Codes for Disease and Care Management
International Classification of Diseases, 10th Revision, Clinical Modification
Internal Coding and Diagnosis
Who developed the ICD-10-CM coding system?
The American Medical Association
1
,The Centers for Disease Control and Prevention
The World Health Organization
The Centers for Medicare and Medicaid Services
In the United States, CPT codes are used primarily to report which type of data?
Demographic data
Medical procedures and services
Diagnosis of diseases
Insurance eligibility
Which organization is responsible for maintaining CPT codes?
Centers for Medicare and Medicaid Services
American Health Information Management Association
World Health Organization
American Medical Association
The HCPCS Level II codes are primarily used to code for what types of items?
Diagnosis
Office visits
Lab tests
Medical supplies, equipment, and some procedures
What does the modifier code in CPT coding signify?
2
, A change in patient's diagnosis
A specific demographic detail
Additional information about a procedure
A patient's insurance provider
What is the purpose of a medical coding audit?
To streamline patient intake
To reduce healthcare costs
To ensure coding accuracy and compliance
To increase reimbursement rates
What is the primary difference between ICD-10-CM and CPT coding systems?
ICD-10-CM codes are used for billing, CPT codes for recording
CPT codes are used only in inpatient settings
ICD-10-CM codes are used for diagnoses, while CPT codes are used for procedures
CPT codes are mandatory for all medical records
Why is it important for a medical coder to understand medical terminology?
To interpret patient treatment options
To enhance their communication with patients
To accurately interpret diagnoses, procedures, and treatments for coding
To improve interpersonal skills with healthcare teams
3
and Answers| Approved 2025
What is the primary purpose of medical coding?
Documentation of services
Translating healthcare diagnoses, procedures, and services into standardized codes
Creating medical records for patient history
Ensuring patient confidentiality
Which coding system is primarily used for diagnosis coding in the United States?
CPT
ICD-10-CM
HCPCS
DRG
What does the acronym ICD-10-CM stand for?
International Code Description for Clinical Management
Integrated Codes for Disease and Care Management
International Classification of Diseases, 10th Revision, Clinical Modification
Internal Coding and Diagnosis
Who developed the ICD-10-CM coding system?
The American Medical Association
1
,The Centers for Disease Control and Prevention
The World Health Organization
The Centers for Medicare and Medicaid Services
In the United States, CPT codes are used primarily to report which type of data?
Demographic data
Medical procedures and services
Diagnosis of diseases
Insurance eligibility
Which organization is responsible for maintaining CPT codes?
Centers for Medicare and Medicaid Services
American Health Information Management Association
World Health Organization
American Medical Association
The HCPCS Level II codes are primarily used to code for what types of items?
Diagnosis
Office visits
Lab tests
Medical supplies, equipment, and some procedures
What does the modifier code in CPT coding signify?
2
, A change in patient's diagnosis
A specific demographic detail
Additional information about a procedure
A patient's insurance provider
What is the purpose of a medical coding audit?
To streamline patient intake
To reduce healthcare costs
To ensure coding accuracy and compliance
To increase reimbursement rates
What is the primary difference between ICD-10-CM and CPT coding systems?
ICD-10-CM codes are used for billing, CPT codes for recording
CPT codes are used only in inpatient settings
ICD-10-CM codes are used for diagnoses, while CPT codes are used for procedures
CPT codes are mandatory for all medical records
Why is it important for a medical coder to understand medical terminology?
To interpret patient treatment options
To enhance their communication with patients
To accurately interpret diagnoses, procedures, and treatments for coding
To improve interpersonal skills with healthcare teams
3
