CBCS Outpatient and Inpatient Coding 2

Question 1

Under UHDDS guidelines, how many diagnoses may be reported as 'other diagnoses' (additional diagnoses) on an inpatient claim?

Accepted Answer

As many as meet the reporting criteria

Answer

UHDDS guidelines allow reporting of all additional diagnoses that meet specified criteria — there is no fixed maximum number.

Question 2

What does ICD-10-PCS stand for, and where is it used?

Accepted Answer

ICD-10 Procedure Coding System, used for inpatient hospital procedures

Answer

ICD-10-PCS is the ICD-10 Procedure Coding System used exclusively for inpatient hospital procedure coding.

Question 3

Which of the following is the claim form used for inpatient hospital billing?

Accepted Answer

UB-04 (CMS-1450)

Answer

The UB-04 (also called CMS-1450) is the standard institutional claim form used by hospitals for inpatient billing.

Question 4

What is a 'complication of care' in ICD-10-CM coding?

Accepted Answer

A condition arising as a result of medical or surgical management, coded from the T80-T88 category

Answer

Complications of care are specific conditions arising from medical or surgical treatment, coded from categories T80-T88 in ICD-10-CM.

Question 5

In ICD-10-CM, which POA indicator is assigned when the condition could not be determined as present on admission or not?

Accepted Answer

U (Unknown)

Answer

POA indicator 'U' is used when documentation is insufficient to determine if a condition was present at the time of admission.

(CBCS) Certified Billing and Coding Specialist Practice Test