Clinical Coding Flashcards
7 cards from real CDIP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Coding flashcards as text
Which of the following best describes the difference between a CC and an MCC in the MS-DRG system?
Answer: MCCs reflect higher severity and resource use than CCs
MCCs (Major Complications or Comorbidities) represent more severe conditions with greater impact on resources than CCs (Complications or Comorbidities) in the MS-DRG hierarchy.
A patient is treated for opioid use disorder with buprenorphine/naloxone. What is the correct ICD-10-CM code category?
Answer: F11.20 – Opioid dependence, uncomplicated
A patient on maintenance therapy with buprenorphine/naloxone for opioid use disorder is coded F11.20 (opioid dependence, uncomplicated) per ICD-10-CM guidelines.
In CPT, what does the term 'separate procedure' indicate when it appears in a code descriptor?
Answer: The procedure is commonly part of a larger service and is not reported when performed with related procedures
A CPT code designated as a 'separate procedure' is typically an integral part of a more comprehensive service and should not be reported when performed with a related procedure.
When assigning ICD-10-CM codes for a patient with HIV disease and Pneumocystis jirovecii pneumonia (PCP), which sequencing is correct?
Answer: B20 (HIV disease) first, then B59 (PCP)
ICD-10-CM guidelines require B20 (HIV disease) to be sequenced first, followed by additional codes for all HIV-related conditions such as PCP.
A CDI query should adhere to which standard to maintain compliance and avoid leading the physician?
Answer: AHIMA and ACDIS compliant query guidelines requiring non-leading, multiple choice or open-ended format
AHIMA and ACDIS jointly published query guidelines requiring queries to be non-leading, clinically supported, and formatted as multiple-choice or open-ended.
Which ICD-10-CM code is used for a patient admitted with an acute ST-elevation myocardial infarction (STEMI) of the left anterior descending artery?
Answer: I21.02 – ST elevation MI involving left anterior descending coronary artery
I21.02 specifically identifies STEMI of the left anterior descending (LAD) coronary artery in ICD-10-CM.
When a patient is discharged to a skilled nursing facility (SNF), which data element in the UB-04 claim captures this discharge status?
Answer: Patient discharge status code (FL 17)
The patient discharge status code, located in Form Locator 17 (FL 17) on the UB-04, captures the patient's status at discharge, including discharge to a SNF.