Medical Coding and Classification Flashcards
7 cards from real AHIMA 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 and Classification flashcards as text
What is the purpose of an Encoder in health information management?
Answer: To electronically assign and validate diagnosis and procedure codes
An encoder is software that assists coders in selecting and validating ICD, CPT, and HCPCS codes.
In ICD-10-PCS, how many characters does every procedure code contain?
Answer: 7
Every ICD-10-PCS code is exactly 7 alphanumeric characters, with each character representing a specific axis of classification.
Which root operation in ICD-10-PCS describes cutting out or off, without replacement, a portion of a body part?
Answer: Excision
Excision (value B) involves cutting out or off a portion of a body part without replacement.
Which of the following best describes a 'complication or comorbidity' (CC) in MS-DRG assignment?
Answer: A secondary condition that increases the complexity of care and resource use
A CC is a secondary diagnosis that increases the severity of illness and expected resource consumption, affecting MS-DRG assignment.
What is the ICD-10-CM code category for Type 2 diabetes mellitus?
Answer: E11
E11 is the ICD-10-CM category for Type 2 diabetes mellitus, including all its manifestations and complications.
Which CPT modifier indicates a service was performed by a resident under the supervision of a teaching physician?
Answer: -GE
Modifier -GE indicates that a service was rendered by a resident without the presence of a teaching physician under the primary care exception.
In outpatient facility coding, when should POA (Present on Admission) indicators be reported?
Answer: For all diagnosis codes on inpatient acute care claims
POA indicators are required for all diagnosis codes on inpatient acute care hospital claims submitted to Medicare.