Certified Coding Associate Professional Flashcards
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Which coding system is used to report inpatient hospital procedures in the United States?
Answer: ICD-10-PCS
ICD-10-PCS (Procedure Coding System) is the classification system used for coding inpatient hospital procedures in the U.S.
A patient is admitted for pneumonia caused by Pseudomonas aeruginosa. Which code should be sequenced first?
Answer: The pneumonia code
Per ICD-10-CM guidelines, the code for the type of pneumonia (J15.1) is sequenced as the principal diagnosis, with the organism identified within the code.
What does the abbreviation 'NEC' mean in the ICD-10-CM Index?
Answer: Not elsewhere classifiable
NEC stands for 'Not Elsewhere Classifiable,' indicating there is no more specific code available for the condition.
Which section of the CMS-1500 claim form is used to report the diagnosis codes?
Answer: Box 21
Box 21 on the CMS-1500 form is designated for listing the ICD-10-CM diagnosis codes.
A patient with type 2 diabetes mellitus is seen for diabetic chronic kidney disease, stage 3. How should this be coded?
Answer: Code the combination code for diabetes with CKD, then CKD stage 3
ICD-10-CM has a combination code for type 2 diabetes with diabetic CKD (E11.22), and an additional code for CKD stage (N18.3) is assigned.
Which HCPCS Level II modifier indicates a service was performed by a nurse practitioner?
Answer: -SA
Modifier SA indicates the service was performed by a nurse practitioner working in collaboration with a physician.
The Tabular List in ICD-10-CM is organized into how many chapters?
Answer: 21
ICD-10-CM's Tabular List is organized into 21 chapters, each representing a body system or type of condition.