Certified Coding Associate (CCA) Practice Exam 2025 - Free Coding Associate Practice Questions and Study Guide

Question: 1 / 400

What does CPT/HCPCS code primarily govern in healthcare billing?

Billing for inpatient stays

Billing for outpatient procedures and services

The correct answer focuses on the role of CPT (Current Procedural Terminology) and HCPCS (Healthcare Common Procedure Coding System) codes in the context of healthcare billing. These codes are specifically designed to standardize the reporting of outpatient procedures and services, which encompasses a wide range of medical activities including surgery, diagnostic imaging, and other clinical services provided to patients who are not admitted to a hospital.

CPT codes primarily cover a broad array of services, detailing everything from simple office visits to complex surgical procedures. They facilitate the billing process by providing a common language that ensures accurate reporting, which is essential for reimbursement from insurance providers. HCPCS supplements this by accommodating services not covered by CPT codes, such as some medical equipment and supplies.

While other billing aspects like inpatient stays, preventive care services, and telehealth services have their own coding considerations, they are not predominantly managed through CPT/HCPCS codes. Inpatient billing relies more heavily on ICD-10-CM codes to reflect diagnoses and the DRG (Diagnosis-Related Group) system to determine payments. Preventive care services are often coded differently due to specific guidelines relating to insurance and coverage. Telehealth services, while increasingly important in modern healthcare, also have unique guidelines and codes that might differ from

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Billing for preventive care services

Billing for telehealth services

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