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Certified Coding Associate Classification Flashcards

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  1. In ICD-10-CM, what does a 7th character 'A' indicate when appended to a fracture code?

    Answer: Initial encounter for closed fracture

    The 7th character 'A' in ICD-10-CM fracture codes designates the initial encounter, meaning the patient is receiving active treatment for the fracture.

  2. Which coding classification system is used exclusively for inpatient hospital procedure coding in the United States?

    Answer: ICD-10-PCS

    ICD-10-PCS (Procedure Coding System) is the classification system mandated for coding inpatient hospital procedures in the US.

  3. A patient is seen for essential hypertension with chronic kidney disease stage 3. How many ICD-10-CM codes are required?

    Answer: One combination code

    ICD-10-CM provides a combination code (I12.9) that captures both hypertensive chronic kidney disease, eliminating the need for two separate codes.

  4. Which of the following is the correct definition of 'principal diagnosis' in the inpatient setting?

    Answer: The condition established after study to be chiefly responsible for the admission

    Per UHDDS guidelines, the principal diagnosis is the condition determined after study to be chiefly responsible for occasioning the hospital admission.

  5. In CPT coding, what does the term 'unbundling' refer to?

    Answer: Billing component services separately when a comprehensive code exists

    Unbundling is the inappropriate practice of reporting separate codes for component services when a single comprehensive CPT code covers all those services.

  6. Which section of ICD-10-PCS uses a 7-character alphanumeric code structure?

    Answer: All sections of ICD-10-PCS

    Every section of ICD-10-PCS uses a 7-character alphanumeric code structure, with each character position carrying a specific meaning.

  7. A code listed in the Tabular List of ICD-10-CM with the notation 'Code first' instructs the coder to:

    Answer: Sequence an underlying condition or cause before the current code

    'Code first' instructs the coder to sequence the underlying disease or etiology before the manifestation or current condition code.