CCS CCS ICD-10-CM Diagnosis Coding 3

Question 1

Which ICD-10-CM instruction tells the coder to assign an additional code when more information is needed to fully describe the condition?

Accepted Answer

Use additional code

Answer

'Use additional code' instructs the coder to assign a supplementary code to provide complete information about the condition.

Question 2

In ICD-10-CM, what is the 'default code' concept?

Accepted Answer

The code listed next to a main term in the Index when no additional detail or subterm is provided

Answer

The default code is the code listed next to a main term in the Alphabetic Index and is used when documentation does not specify additional detail.

Question 3

ICD-10-CM Chapter 21 (Z codes) is primarily used to report:

Accepted Answer

Factors influencing health status and contact with health services

Answer

Z codes (Chapter 21) capture reasons for encounters other than disease or injury, such as screenings, vaccinations, or status conditions.

Question 4

When a patient is admitted for a condition that is a complication of a prior procedure, the coder should:

Accepted Answer

Code the postprocedural complication as the principal diagnosis

Answer

A postprocedural complication code is sequenced as the principal diagnosis when it is the reason for the inpatient admission.

Question 5

What does the ICD-10-CM guideline 'code to the highest degree of specificity' mean?

Accepted Answer

Assign the most specific code available that is supported by documentation

Answer

Coding to the highest degree of specificity means selecting the most detailed code supported by medical record documentation rather than a general or unspecified code.

(CCS) Certified Coding Specialist Practice Test

(CCS) Certified Coding Specialist Practice Test

CCS CCS ICD-10-CM Diagnosis Coding 3