CCDM Medical Coding 3

Question 1

When autocoding software suggests a MedDRA code for a verbatim adverse event term, what step must a trained coder take before accepting it?

Accepted Answer

Review the suggestion for clinical appropriateness before accepting

Answer

Autocoding suggestions must always be reviewed by a qualified coder to confirm clinical appropriateness before acceptance.

Question 2

In MedDRA, which System Organ Class (SOC) would 'Myocardial infarction' most appropriately fall under?

Accepted Answer

Cardiac disorders

Answer

Myocardial infarction is classified under the 'Cardiac disorders' SOC in MedDRA.

Question 3

A CCDM candidate reviewing a coding audit finds that two coders assigned different MedDRA PTs to the same verbatim term. This represents a failure in:

Accepted Answer

Inter-rater coding consistency

Answer

When two coders assign different codes to the same verbatim term, it indicates a lack of inter-rater consistency, which must be addressed through training or a coding guide.

Question 4

What is the correct ICD-10-CM code sequencing rule for a patient admitted for chemotherapy for cancer?

Accepted Answer

Sequence the encounter for chemotherapy (Z51.11) as the principal diagnosis

Answer

When the reason for admission is chemotherapy, ICD-10-CM directs coding Z51.11 as the principal diagnosis, with the cancer coded additionally.

Question 5

SNOMED CT is used in clinical data management primarily for:

Accepted Answer

Coding clinical findings, diagnoses, and procedures in EHR systems

Answer

SNOMED CT provides a comprehensive clinical terminology for EHR systems, covering findings, diagnoses, procedures, and more.

(CCDM) Certified Clinical Data Manager Practice Test

(CCDM) Certified Clinical Data Manager Practice Test

CCDM Medical Coding 3