Certified Coding Associate Clinical 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 Clinical flashcards as text
Which root operation in ICD-10-PCS involves cutting out or off a portion of a body part without replacement?
Answer: Excision
Excision is defined as cutting out or off a portion of a body part without replacement.
A diabetic patient with diabetic chronic kidney disease stage 3 should be coded using which approach?
Answer: E11.65 with N18.3
ICD-10-CM instructs coders to use E11.65 for type 2 diabetes with hyperglycemia and add N18.3 for the CKD stage.
What does the abbreviation NEC mean in ICD-10-CM?
Answer: Not Elsewhere Classifiable
NEC stands for Not Elsewhere Classifiable, meaning the code is used when no specific code exists for the condition.
A patient's record states 'history of colon cancer, currently in remission.' Which code applies?
Answer: Z85.038 — personal history of malignant neoplasm of colon
A personal history of a malignancy that has been treated and is in remission is coded with a Z85 history code.
Which CPT code range covers Evaluation and Management (E/M) office visits for established patients?
Answer: 99211–99215
CPT codes 99211–99215 are used for office or outpatient E/M visits for established patients.
A coder encounters the instruction 'Code first underlying disease' in ICD-10-CM. This is an example of which type of instructional note?
Answer: Etiology/manifestation convention
The 'Code first underlying disease' note is part of the etiology/manifestation coding convention in ICD-10-CM.
What does the qualifier 'Diagnostic' in ICD-10-PCS indicate about a procedure?
Answer: A biopsy or sampling procedure done to confirm a diagnosis
The qualifier 'Diagnostic' (X) in ICD-10-PCS identifies procedures such as biopsies performed to obtain tissue for diagnosis.