Intro Medical Coding Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

Intro Medical Coding Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the first step in the medical coding process? Review the clinical documentation carefully. What type of information is found in ICD-10-CM codes? Diagnosis information describing the patient’s condition. What does an E/M code represent? Evaluation and Management services. What type of codes are used to describe laboratory tests? CPT codes. What are external cause codes used for? To explain the cause or circumstances of an injury or accident. 2 Why is coding accuracy important for healthcare providers? It ensures correct reimbursement and prevents claim denials. What does the abbreviation PCS in ICD-10-PCS mean? Procedure Coding System. What is the purpose of medical coding audits? To verify that coding is accurate and compliant with regulations. What is upcoding in medical coding? Reporting a higher-level code than what was performed to increase payment. What is downcoding in medical coding? Assigning a lower-level code than appropriate, often resulting in lost revenue. What does ICD in ICD-10-CM stand for? International Classification of Diseases. 3 Which organization maintains the CPT code set? The American Medical Association (AMA). Why are ICD-10-CM codes important in healthcare? They identify patient diagnoses for billing and statistical purposes. What does CPT coding focus on? Medical procedures and services performed by healthcare providers. What does the abbreviation HCPCS stand for? Healthcare Common Procedure Coding System. Which code set is used to report medical supplies and durable equipment? HCPCS Level II. What is the purpose of modifiers in CPT coding? To provide additional details about a service or procedure performed. 4 What code set is used to report inpatient hospital procedures? ICD-10-PCS.