ICD-10-CM Coding Principles Flashcards
6 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 6 ICD-10-CM Coding Principles flashcards as text
According to ICD-10-CM Official Guidelines, how should a 'probable' diagnosis be coded in the inpatient setting?
Answer: Code the condition as if confirmed
In the inpatient setting, conditions described as 'probable,' 'suspected,' or 'likely' should be coded as if confirmed per the Official Guidelines.
In ICD-10-CM, what is a 'combination code'?
Answer: A single code that classifies both an etiology and a manifestation, or a disease with an associated complication
A combination code is a single ICD-10-CM code that captures both an etiology and its associated manifestation, or a disease with a common complication.
How should hypertension be coded in ICD-10-CM when no causal relationship is documented?
Answer: As essential (primary) hypertension with code I10
When hypertension is documented without a specified cause, it is coded as essential (primary) hypertension using I10.
Which of the following represents the correct use of an 'Excludes1' note in ICD-10-CM?
Answer: The two codes cannot be used together because they represent the same condition
An 'Excludes1' note means the two codes represent the same condition and cannot be reported together; they are mutually exclusive.
When coding acute and chronic conditions in ICD-10-CM, which sequencing rule applies if separate codes exist?
Answer: Code the acute condition first
Per ICD-10-CM guidelines, when separate codes exist for acute and chronic conditions, the acute code is sequenced first.
In ICD-10-CM, what do Z codes primarily represent?
Answer: Factors influencing health status and encounters not due to illness or injury
Z codes represent factors that influence health status or reasons for healthcare encounters that are not due to a current illness or injury.