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
Which section of CPT contains codes for pathology and laboratory services?
Answer: 80000-89999
CPT codes in the 80000-89999 range are designated for pathology and laboratory services.
Under the outpatient coding guidelines, which condition is sequenced as the principal diagnosis?
Answer: The condition chiefly responsible for the visit after study
For outpatient settings, the condition established after study to be chiefly responsible for the visit is sequenced as the first-listed diagnosis.
Modifier -25 is used to indicate:
Answer: A significant, separately identifiable E/M service on the same day as a procedure
Modifier -25 is appended to an E/M code when a significant, separately identifiable E/M service is performed the same day as a procedure.
Which ICD-10-CM guideline applies when coding signs and symptoms that are associated routinely with a confirmed diagnosis?
Answer: Do not code signs/symptoms that are integral to the confirmed diagnosis
Signs and symptoms that are integral to and routinely associated with a disease process should not be assigned as additional codes.
What does the abbreviation NEC stand for in ICD-10-CM?
Answer: Not Elsewhere Classified
NEC stands for 'Not Elsewhere Classified,' indicating the coder has a specific condition but no specific code exists for it.
A patient undergoes an open reduction and internal fixation (ORIF) of a right femoral shaft fracture. Which body system CPT section is used?
Answer: Musculoskeletal
ORIF procedures on bones and fractures are found in the Musculoskeletal System section of CPT (20000-29999).
Which federal law primarily governs the privacy and security of individually identifiable health information?
Answer: HIPAA
HIPAA (Health Insurance Portability and Accountability Act) is the primary federal law governing PHI privacy and security.