1. What is the main purpose of a CPT code in medical billing?
A. To report procedures and services performed
B. To classify diseases
C. To track medical expenses
D. To document patient history
Answer: a) To report procedures and services performed
Rationale: CPT codes are used to describe the medical, surgical,
and diagnostic services and procedures provided to patients.
2. What is the purpose of a "key component" in evaluating an
office visit for E/M coding?
A. To determine the level of service based on the severity of the
condition
B. To determine whether the patient needs surgery
C. To assess the level of involvement required from the patient
D. To determine the complexity of the procedure
Answer: a) To determine the level of service based on the severity
of the condition
Rationale: Key components like history, examination, and medical
decision-making are used to determine the level of service for
E/M coding.
,3. Which ICD-10 code would be appropriate for a diagnosis of
Type 2 diabetes mellitus with diabetic retinopathy?
A. E11.9
B. E11.40
C. E11.65
D. E11.21
Answer: c) E11.65
Rationale: E11.65 is the correct ICD-10 code for Type 2 diabetes
mellitus with diabetic retinopathy.
4. Which CPT code would be used to report a colonoscopy with
the removal of polyps?
A. 45378
B. 45380
C. 45385
D. 45392
Answer: b) 45380
Rationale: CPT code 45380 is used for a colonoscopy with the
removal of polyps.
5. When would you use an ICD-10-PCS code?
, A. For coding outpatient diagnostic procedures
B. For coding inpatient procedures performed in a hospital setting
C. For coding physician office visits
D. For coding laboratory tests in an outpatient clinic
Answer: b) For coding inpatient procedures performed in a
hospital setting
Rationale: ICD-10-PCS codes are used specifically for inpatient
hospital procedures, distinguishing them from ICD-10-CM codes
used for diagnoses.
6. What does CPT code 99232 represent?
A. A new patient office visit
B. A follow-up inpatient visit, low complexity
C. A routine examination in a clinical setting
D. A consult for a second opinion
Answer: b) A follow-up inpatient visit, low complexity
Rationale: CPT code 99232 is used for a follow-up inpatient visit
with low complexity, involving an evaluation and management
service.
7. What is the appropriate CPT code for a mammogram?
A. 77067
B. 99385
A. To report procedures and services performed
B. To classify diseases
C. To track medical expenses
D. To document patient history
Answer: a) To report procedures and services performed
Rationale: CPT codes are used to describe the medical, surgical,
and diagnostic services and procedures provided to patients.
2. What is the purpose of a "key component" in evaluating an
office visit for E/M coding?
A. To determine the level of service based on the severity of the
condition
B. To determine whether the patient needs surgery
C. To assess the level of involvement required from the patient
D. To determine the complexity of the procedure
Answer: a) To determine the level of service based on the severity
of the condition
Rationale: Key components like history, examination, and medical
decision-making are used to determine the level of service for
E/M coding.
,3. Which ICD-10 code would be appropriate for a diagnosis of
Type 2 diabetes mellitus with diabetic retinopathy?
A. E11.9
B. E11.40
C. E11.65
D. E11.21
Answer: c) E11.65
Rationale: E11.65 is the correct ICD-10 code for Type 2 diabetes
mellitus with diabetic retinopathy.
4. Which CPT code would be used to report a colonoscopy with
the removal of polyps?
A. 45378
B. 45380
C. 45385
D. 45392
Answer: b) 45380
Rationale: CPT code 45380 is used for a colonoscopy with the
removal of polyps.
5. When would you use an ICD-10-PCS code?
, A. For coding outpatient diagnostic procedures
B. For coding inpatient procedures performed in a hospital setting
C. For coding physician office visits
D. For coding laboratory tests in an outpatient clinic
Answer: b) For coding inpatient procedures performed in a
hospital setting
Rationale: ICD-10-PCS codes are used specifically for inpatient
hospital procedures, distinguishing them from ICD-10-CM codes
used for diagnoses.
6. What does CPT code 99232 represent?
A. A new patient office visit
B. A follow-up inpatient visit, low complexity
C. A routine examination in a clinical setting
D. A consult for a second opinion
Answer: b) A follow-up inpatient visit, low complexity
Rationale: CPT code 99232 is used for a follow-up inpatient visit
with low complexity, involving an evaluation and management
service.
7. What is the appropriate CPT code for a mammogram?
A. 77067
B. 99385
