Medical Coding (CMCS) Sample Flashcards
7 cards from real Certified Medical Coding Specialist practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medical Coding (CMCS) Sample flashcards as text
A patient is seen for a sprained left ankle. The ICD-10-CM code for the initial encounter would include which 7th character?
Answer: A
The 7th character 'A' designates an initial encounter in ICD-10-CM injury coding.
Which CPT code range covers Evaluation and Management (E/M) services for hospital inpatient care?
Answer: 99221-99223
CPT codes 99221-99223 are used for initial hospital inpatient care services.
When a patient has both Medicare Part A and a secondary payer, which is billed first?
Answer: Medicare Part A
Medicare Part A is the primary payer and must be billed before any secondary insurance.
Which modifier indicates a bilateral procedure was performed?
Answer: -50
Modifier -50 is appended to a procedure code to indicate it was performed bilaterally.
In CPT coding, what does the term 'separate procedure' mean when listed in a code description?
Answer: The procedure is only reported when not part of a larger service
A 'separate procedure' designation means the code should only be reported when the procedure is not integral to a larger, more comprehensive service.
Which HCPCS Level II code letter prefix is used for durable medical equipment (DME)?
Answer: E
HCPCS Level II codes beginning with 'E' are designated for durable medical equipment.
A coder is assigning an ICD-10-CM code for a patient with type 2 diabetes mellitus with diabetic chronic kidney disease, stage 3. Which code set applies?
Answer: E11.65 and N18.3
E11.65 captures type 2 diabetes with hyperglycemia and a combination note directs adding N18.3 for the CKD stage.