HCP 103 CLO 3 Mastery Assessment

The purpose of medical coding includes _____. (Select all that apply).

• providing comparable data for research

• tracking treatments

• classifying diseases

• prediction of healthcare trends

Answer explanation

Medical coding is the transformation of healthcare diagnosis, procedures, medical and services into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician's notes, laboratory and radiologic results and the like. Diagnosis codes are used to track diseases and other health conditions whereas procedure codes are a sub-type of medical classification, used to identify specific surgical, medical, or diagnostic interventions.

All of the following coding systems are associated with medical procedures except _____.

• HCPCS

• ICD-10-CM

• CPT

• None of the Answers

Answer explanation

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) is a system used by physicians and other healthcare providers to classify and code all diagnoses. Conversely, the remaining coding systems are associated with medical procedures.

The ICD of ICD-10-CM stands for _____.

• Internal Coding of Disorders

• International College of Diagnosticians

• International Classification of Diseases

• International College of Diagnosticians

Answer explanation

The Current Procedural Terminology (CPT) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services.

CPT codes consist of _____.

• 4 digits

• 3 digits

• 6 digits

• 5 digits

Answer explanation

Category I CPT codes are numeric, and are five digits long. They are divided into six sections: Evaluation and Management, Anesthesia, Surgery, Radiology, Pathology and Laboratory, and Medicine.

HCPCS are Level _____.

• II codes

• IV codes

• III codes

• I codes

Answer explanation

Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office.

Upcoding and/or incorrect coding can result in:

• Serious fines and penalties

• None of the choices

• Capturing all related procedures and diagnoses for the patient visit

• Increased revenue for the practice

Who publishes Current Procedural Terminology (CPT)?

• World Health Organization

• American Public Health Association

• Department of Health and Human Services

• American Medical Association

When coding for an abrasion of the scalp, S00.01, the MA would utilized the book_______

• ICD-10

• CPT

• HCPCS

• ICD-9