Certified Coding Associate Knowledge Flashcards
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Which ICD-10-CM convention indicates that a code requires an additional character to be valid?
Answer: A placeholder X
A placeholder 'X' is used in ICD-10-CM to allow for future expansion and must be used to fill out required character positions.
In CPT coding, what does the term 'unbundling' refer to?
Answer: Billing separately for services normally included in a comprehensive code
Unbundling is the improper practice of billing separately for component services that should be reported with a single comprehensive code.
A patient is seen for essential hypertension and type 2 diabetes with diabetic chronic kidney disease stage 3. How many ICD-10-CM codes are required?
Answer: 3
Three codes are needed: E11.22 (type 2 diabetes with diabetic chronic kidney disease), N18.3 (CKD stage 3), and I10 (essential hypertension).
Which CPT modifier indicates a procedure was performed on the left side of the body?
Answer: -LT
Modifier -LT (Left Side) is appended to CPT codes to identify procedures performed on the left side of the body.
Under HIPAA, which entity is classified as a 'covered entity'?
Answer: Health plan
Health plans, healthcare clearinghouses, and healthcare providers who transmit health information electronically are classified as covered entities under HIPAA.
Which section of the CPT manual contains codes for Evaluation and Management services?
Answer: 99202–99499
E/M codes are found in the range 99202–99499 in the CPT manual, covering office visits, hospital care, and other encounter types.
What does the abbreviation 'PCS' stand for in the context of ICD-10?
Answer: Procedure Coding System
PCS stands for Procedure Coding System, the inpatient procedural coding system used alongside ICD-10-CM diagnosis codes.