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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.

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  1. In ICD-10-CM, what does the placeholder character 'X' serve when used within a code?

    Answer: It holds a position so that a required character can be placed in the correct position

    The placeholder 'X' is used to fill character positions in ICD-10-CM codes so that a 7th character extension can be added in the correct position.

  2. Under CPT guidelines, which modifier indicates that a procedure was performed bilaterally?

    Answer: -50

    CPT modifier -50 is used to report bilateral procedures performed during the same operative session.

  3. When coding an encounter for chemotherapy administration in ICD-10-CM, which code is sequenced first?

    Answer: The Z code for encounter for antineoplastic chemotherapy

    ICD-10-CM guidelines instruct sequencing the Z51.11 (encounter for antineoplastic chemotherapy) code first, followed by the malignancy code.

  4. A coder finds that a diagnosis code in the ICD-10-CM Tabular List has an Excludes1 note. This means:

    Answer: The excluded condition cannot be coded at the same time as the current code

    An Excludes1 note is a 'pure' exclusion indicating that the two conditions cannot occur together and therefore cannot be coded simultaneously.

  5. Which approach character in ICD-10-PCS represents a procedure performed entirely through orifices?

    Answer: Via Natural or Artificial Opening (7)

    The approach character '7' in ICD-10-PCS represents procedures performed via natural or artificial openings without incision into the body.

  6. A patient is diagnosed with Type 2 diabetes mellitus with diabetic chronic kidney disease stage 4. Which ICD-10-CM guideline applies?

    Answer: Assume a causal relationship between the diabetes and CKD without physician confirmation

    ICD-10-CM guidelines state that a causal relationship between diabetes and CKD is assumed unless the physician documents otherwise, allowing direct combination coding.

  7. Which of the following is the correct sequence for looking up a diagnosis code in ICD-10-CM?

    Answer: Locate in Alphabetic Index first, then verify the code in the Tabular List

    The correct process is to locate the term in the Alphabetic Index to find a code, then verify and finalize the code in the Tabular List.