Medical Coding Flashcards
7 cards from real CCDM 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 flashcards as text
Which of the following correctly describes the MedDRA Preferred Term (PT)?
Answer: A distinct descriptor for a symptom, sign, disease, or other medical concept
A PT is a medically precise descriptor representing a single medical concept used as the primary analysis unit in MedDRA coding.
When coding a concomitant medication in a clinical trial, the coder should use which drug dictionary?
Answer: WHO Drug Dictionary (WHO-DD)
The WHO Drug Dictionary (WHO-DD) is the international standard used to code concomitant and study medications in clinical trials.
In ICD-10-CM, the placeholder character 'X' is used to:
Answer: Allow for future expansion and maintain the required code length
The placeholder 'X' fills character positions in a code to maintain the required structure when a specific character is not applicable.
A clinical trial protocol requires coding all adverse events using MedDRA version 25.0. Midway through the trial, MedDRA version 26.0 is released. What is the appropriate action?
Answer: Continue with v25.0 until the study ends unless a version upgrade is formally approved
Unless a formal version upgrade plan is approved and implemented across the entire dataset, the study should continue with the version specified in the protocol.
Which CPT modifier indicates that a procedure was performed by two surgeons due to the complexity of the case?
Answer: -62
CPT modifier -62 indicates that two surgeons worked together as co-surgeons during a single procedure, each reporting the same code with -62 appended.
In clinical data management, 'coding consistency' is best maintained by:
Answer: Using a sponsor-specific coding guide with decision trees and examples
A well-defined coding guide with decision trees, examples, and escalation procedures ensures consistent coding decisions across coders and studies.
What is the primary purpose of the HCPCS Level II coding system?
Answer: To code products, supplies, and services not covered by CPT, including DME and ambulance services
HCPCS Level II codes cover non-physician services such as durable medical equipment, prosthetics, orthotics, and ambulance services not described by CPT codes.