Medical Billing and Coding Lesson 15
Full Questions & Answers – Passed
with A+
Comprehensive Study Guide for Certification and Professional Development
Date: June 29, 2025
Prepared by: Medical Coding Education Team
,Contents
1 Introduction to Medical Billing and Coding – Lesson 15 . . . . . . . . . . . . . 2
1.1 Key Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 Medical Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.1 Components of Medical Terms . . . . . . . . . . . . . . . . . . . . . . . . 2
2.2 Importance in Coding . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Anatomy Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
3.1 Key Body Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
3.2 Application in Coding . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Introduction to Coding Systems . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4.1 ICD-10-CM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4.2 CPT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4.3 HCPCS Level II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Basics of the Revenue Cycle . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5.1 Key Stages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5.2 Reimbursement Models . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
6 Compliance and Ethics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
6.1 Key Regulations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
6.2 Ethical Coding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
7 Practical Scenarios . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
7.1 Scenario 1: Office Visit for Hypertension . . . . . . . . . . . . . . . . . . 5
7.2 Scenario 2: Ankle X-ray . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
7.3 Scenario 3: Diabetic Supplies . . . . . . . . . . . . . . . . . . . . . . . . 5
8 Questions and Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
9 Study Tips and Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
10 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
1
, 1 Introduction to Medical Billing and Coding – Lesson 15
Lesson 15 introduces foundational concepts in medical billing and coding, emphasiz-
ing medical terminology, anatomy, introductory coding systems (ICD-10-CM, CPT,
HCPCS), and the basics of the healthcare revenue cycle. This study guide provides
100 detailed questions and answers, verified against industry standards and Quizlet re-
sources, to ensure a deep understanding of key topics. The content is designed to prepare
learners for certification exams (e.g., CPC, CCS) and professional practice.
1.1 Key Objectives
• Understand medical terminology and basic anatomy for accurate coding.
• Learn the structure and application of ICD-10-CM, CPT, and HCPCS codes.
• Explore the basics of claim submission and reimbursement processes.
• Recognize the importance of compliance and ethical coding practices.
2 Medical Terminology
Medical terminology is the foundation of accurate coding, enabling coders to interpret
clinical documentation and assign precise codes.
2.1 Components of Medical Terms
• Prefix: Modifies meaning (e.g., ”hyper-” means excessive, as in hypertension).
• Root: Core of the term (e.g., ”gastr” refers to the stomach).
• Suffix: Indicates condition or procedure (e.g., ”-itis” means inflammation, as in
gastritis).
• Examples:
– Appendicitis: Inflammation of the appendix (append + ic + itis).
– Myocardium: Heart muscle (myo + card + ium).
2.2 Importance in Coding
Coders must recognize terms in patient records to select appropriate codes. For exam-
ple, understanding ”laterality” (right, left, bilateral) is critical for ICD-10-CM coding
accuracy.
2
Full Questions & Answers – Passed
with A+
Comprehensive Study Guide for Certification and Professional Development
Date: June 29, 2025
Prepared by: Medical Coding Education Team
,Contents
1 Introduction to Medical Billing and Coding – Lesson 15 . . . . . . . . . . . . . 2
1.1 Key Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 Medical Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.1 Components of Medical Terms . . . . . . . . . . . . . . . . . . . . . . . . 2
2.2 Importance in Coding . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Anatomy Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
3.1 Key Body Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
3.2 Application in Coding . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Introduction to Coding Systems . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4.1 ICD-10-CM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4.2 CPT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4.3 HCPCS Level II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Basics of the Revenue Cycle . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5.1 Key Stages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5.2 Reimbursement Models . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
6 Compliance and Ethics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
6.1 Key Regulations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
6.2 Ethical Coding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
7 Practical Scenarios . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
7.1 Scenario 1: Office Visit for Hypertension . . . . . . . . . . . . . . . . . . 5
7.2 Scenario 2: Ankle X-ray . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
7.3 Scenario 3: Diabetic Supplies . . . . . . . . . . . . . . . . . . . . . . . . 5
8 Questions and Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
9 Study Tips and Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
10 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
1
, 1 Introduction to Medical Billing and Coding – Lesson 15
Lesson 15 introduces foundational concepts in medical billing and coding, emphasiz-
ing medical terminology, anatomy, introductory coding systems (ICD-10-CM, CPT,
HCPCS), and the basics of the healthcare revenue cycle. This study guide provides
100 detailed questions and answers, verified against industry standards and Quizlet re-
sources, to ensure a deep understanding of key topics. The content is designed to prepare
learners for certification exams (e.g., CPC, CCS) and professional practice.
1.1 Key Objectives
• Understand medical terminology and basic anatomy for accurate coding.
• Learn the structure and application of ICD-10-CM, CPT, and HCPCS codes.
• Explore the basics of claim submission and reimbursement processes.
• Recognize the importance of compliance and ethical coding practices.
2 Medical Terminology
Medical terminology is the foundation of accurate coding, enabling coders to interpret
clinical documentation and assign precise codes.
2.1 Components of Medical Terms
• Prefix: Modifies meaning (e.g., ”hyper-” means excessive, as in hypertension).
• Root: Core of the term (e.g., ”gastr” refers to the stomach).
• Suffix: Indicates condition or procedure (e.g., ”-itis” means inflammation, as in
gastritis).
• Examples:
– Appendicitis: Inflammation of the appendix (append + ic + itis).
– Myocardium: Heart muscle (myo + card + ium).
2.2 Importance in Coding
Coders must recognize terms in patient records to select appropriate codes. For exam-
ple, understanding ”laterality” (right, left, bilateral) is critical for ICD-10-CM coding
accuracy.
2
