CCDM Medical Coding 2

Question 1

Which ICD-10-CM code category is used to classify adverse effects of drugs when the drug was correctly administered?

Accepted Answer

T36-T50 with 5th character '5'

Answer

In ICD-10-CM, adverse effects (correctly prescribed and administered drugs) use the 5th character '5' in the T36-T50 range.

Question 2

In clinical data management, why is standardized medical coding critical for clinical trial databases?

Accepted Answer

It enables consistent aggregate analysis and cross-study comparison

Answer

Standardized coding ensures that similar events are grouped consistently, enabling meaningful safety analyses and cross-study comparisons.

Question 3

Which MedDRA hierarchy level is most granular and used to code individual adverse events?

Accepted Answer

Lowest Level Term (LLT)

Answer

The LLT is the most granular MedDRA term and directly maps to how a verbatim term is reported, though PTs are used for analysis.

Question 4

A patient is enrolled in a trial and experiences 'upset stomach' as an adverse event. The coder maps this to the MedDRA PT 'Nausea.' This verbatim-to-code mapping is stored in a:

Accepted Answer

Coding bridge / synonym list

Answer

A coding bridge or synonym list (also called a company dictionary) stores verbatim-to-preferred-term mappings to ensure consistency across studies.

Question 5

What CPT code range covers Evaluation and Management (E/M) services for outpatient office visits?

Accepted Answer

99202-99215

Answer

CPT codes 99202-99215 cover new (99202-99205) and established (99211-99215) patient office/outpatient E/M visits.

(CCDM) Certified Clinical Data Manager Practice Test

(CCDM) Certified Clinical Data Manager Practice Test

CCDM Medical Coding 2