Medical Coding Guidelines & Compliance Flashcards
6 cards from real CCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Medical Coding Guidelines & Compliance flashcards as text
Which ICD-10-CM guideline governs sequencing when a patient is admitted due to a complication of surgery performed at another facility?
Answer: Sequence the complication as the principal diagnosis
Per ICD-10-CM Guidelines, when a patient is admitted for a postoperative complication, the complication is sequenced as the principal diagnosis.
Under ICD-10-CM, a patient with Type 2 diabetes mellitus and diabetic chronic kidney disease stage 3 should be coded as:
Answer: E11.22 (Type 2 DM with diabetic CKD) and N18.3 (CKD stage 3) together
ICD-10-CM provides combination code E11.22 for Type 2 DM with diabetic chronic kidney disease, and guidelines require an additional code from N18.- to identify the CKD stage.
According to ICD-10-CM guidelines for sepsis, which of the following sequences is correct when a patient is admitted with sepsis due to MRSA pneumonia?
Answer: A41.02 (Sepsis due to MRSA) sequenced first, then J15.212 (Pneumonia due to MRSA)
When sepsis is present on admission with a localized infection, the sepsis is sequenced as principal diagnosis, followed by the specific infection (MRSA pneumonia).
The ICD-10-CM 7th character 'A' used with injury codes designates:
Answer: Initial encounter - patient receiving active treatment for the condition
The 7th character 'A' designates 'initial encounter,' meaning the patient is receiving active treatment for the injury, regardless of whether it is the first visit.
Under the Official Guidelines, what is the correct approach to coding a patient's HIV disease with an HIV-related condition?
Answer: Sequence B20 (HIV disease) first, followed by codes for all HIV-related conditions
ICD-10-CM Guidelines Section I.C.1.a state that B20 (HIV disease) is sequenced as principal/first-listed when the patient has confirmed HIV disease with associated conditions, followed by codes for all documented manifestations.
According to ICD-10-CM coding guidelines, how should a patient's chronic condition that is being managed during an inpatient admission be coded?
Answer: Code all chronic conditions that coexist at the time of admission and affect care
ICD-10-CM Guidelines require coding of all conditions that coexist at the time of admission and affect patient care, treatment, or require monitoring during the encounter.