Certified Coding Associate Classification Flashcards
7 cards from real Certified Coding Associate Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Certified Coding Associate Classification flashcards as text
Which of the following best describes the 'Excision' root operation in ICD-10-PCS?
Answer: Cutting out or off, without replacement, a portion of a body part
Excision is defined in ICD-10-PCS as cutting out or off, without replacement, a portion (not all) of a body part.
Under ICD-10-CM guidelines, signs and symptoms that are integral to a confirmed disease are:
Answer: Not coded separately, as they are included in the confirmed diagnosis code
Signs and symptoms that are routinely associated with a disease process are not coded separately when a definitive diagnosis has been established.
In CPT, what is the purpose of an 'add-on' code (indicated by a '+' symbol)?
Answer: It must be reported in addition to a primary procedure and cannot be used alone
CPT add-on codes, marked with a '+', are always reported in conjunction with a primary procedure code and are never used independently.
Which ICD-10-CM chapter contains codes for factors influencing health status and contact with health services?
Answer: Chapter 21 — Factors Influencing Health Status (Z codes)
Chapter 21 of ICD-10-CM contains Z codes, which represent encounters for reasons other than illness or injury, such as screenings, vaccinations, and history.
A patient receives a prescription for a drug that causes an adverse effect when taken correctly as prescribed. How is this coded in ICD-10-CM?
Answer: Code the adverse effect first, then a code from T36–T50 with 5th character '5'
For adverse effects, ICD-10-CM instructs coding the nature of the adverse effect first, followed by the drug code (T36–T50) with the appropriate 5th/6th character for adverse effect.
In the outpatient setting, which of the following should be coded as the first-listed diagnosis?
Answer: The condition chiefly responsible for the outpatient service as documented by the provider
For outpatient services, the first-listed diagnosis is the condition, after study, chiefly responsible for the service provided on that encounter.
Which of the following correctly describes DRG (Diagnosis Related Group) reimbursement?
Answer: Payment is based on a fixed rate determined by the patient's diagnosis group
DRG reimbursement pays hospitals a fixed, predetermined rate based on the assigned DRG, regardless of actual costs incurred during the stay.