CCDM Medical Coding 5

Question 1

In ICD-10-CM, an 'excludes1' note means:

Accepted Answer

The excluded code can never be reported with the code in question

Answer

An 'Excludes1' note means the conditions cannot occur together, so both codes should never be reported simultaneously.

Question 2

When a clinical data manager reviews coded adverse event data before database lock, the primary goal of the coding review is to ensure:

Accepted Answer

All verbatim terms are accurately mapped to the appropriate MedDRA terms and no coding errors exist

Answer

The coding review ensures accuracy and completeness of verbatim-to-MedDRA mappings to support reliable safety analysis before database lock.

Question 3

A patient's death during a clinical trial is coded as an adverse event. Under MedDRA, 'Death' at the PT level falls under which SOC?

Accepted Answer

General disorders and administration site conditions

Answer

The MedDRA PT 'Death' is classified under the SOC 'General disorders and administration site conditions.'

Question 4

Which of the following best describes 'upcoding' in the context of medical billing compliance?

Accepted Answer

Assigning a higher-level code than the documentation supports to increase reimbursement

Answer

Upcoding is a fraudulent practice of assigning codes representing more complex or expensive services than those actually documented or performed.

Question 5

In the context of WHO-DD coding, what is the ATC (Anatomical Therapeutic Chemical) classification used for?

Accepted Answer

Classifying drugs by the organ system they act on and their therapeutic and chemical properties

Answer

The ATC system classifies drugs according to the organ or system they act on and their pharmacological, therapeutic, and chemical properties.

(CCDM) Certified Clinical Data Manager Practice Test