AHIMA Medical Coding and Classification

Question 1

What is ICD-10-CM?

Accepted Answer

The International Classification of Diseases, 10th Revision, Clinical Modification — used for diagnostic coding

Answer

ICD-10-CM provides standardized codes for diagnoses and conditions, used for billing, research, and health statistics in the United States.

Question 2

What is CPT coding?

Accepted Answer

Current Procedural Terminology — standardized codes for medical procedures and services

Answer

CPT codes, maintained by the AMA, describe medical, surgical, and diagnostic procedures for billing and reporting purposes.

Question 3

What is the purpose of medical coding?

Accepted Answer

To translate diagnoses, procedures, and services into universal alphanumeric codes for billing and data analysis

Answer

Medical coding converts clinical documentation into standardized codes that support billing, research, public health monitoring, and quality measurement.

Question 4

What is a DRG (Diagnosis-Related Group)?

Accepted Answer

A patient classification system that groups similar clinical conditions for hospital payment purposes

Answer

DRGs classify hospital inpatients into groups based on diagnosis, procedures, age, and complications, determining the hospital's Medicare payment for each case.

Question 5

What is HCPCS?

Accepted Answer

Healthcare Common Procedure Coding System — codes for services, equipment, and supplies not in CPT

Answer

HCPCS codes cover items and services not included in CPT, such as durable medical equipment, prosthetics, ambulance services, and certain drugs.

(AHIMA) American Health Information Management Association Practice Test

(AHIMA) American Health Information Management Association Practice Test

AHIMA Medical Coding and Classification