Certified Coding Associate Professional 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 Professional flashcards as text
According to UHDDS guidelines, what is the definition of 'other diagnoses' for inpatient reporting?
Answer: Conditions that coexist at admission or develop subsequently and affect patient care
Per UHDDS, other diagnoses are conditions that coexist at the time of admission, develop subsequently, or affect patient care in terms of treatment, length of stay, or nursing care.
A patient is seen in the ED and diagnosed with chest pain, rule out MI. The workup is negative. What is the correct coding approach for this outpatient visit?
Answer: Code the chest pain as the reason for the visit
For outpatient encounters, uncertain diagnoses (rule-out, possible, probable) are not coded; instead, code the sign or symptom, such as chest pain.
Which of the following is an example of a CPT Category II code?
Answer: 4011F
CPT Category II codes (beginning with a number and ending in 'F') are optional tracking codes used for performance measurement.
When coding an obstetric case, the trimester is based on which measurement?
Answer: The weeks of gestation at the time of the encounter
ICD-10-CM defines trimesters by weeks of gestation: first (less than 14 weeks), second (14–27 weeks), and third (27 weeks to delivery).
What does HIPAA's minimum necessary standard require of healthcare providers?
Answer: That only the minimum amount of PHI needed to accomplish a task is used or disclosed
The HIPAA minimum necessary standard requires covered entities to limit PHI use and disclosure to the least amount needed to accomplish the intended purpose.
A patient is admitted with sepsis due to a urinary tract infection caused by E. coli. Which code is sequenced first?
Answer: The sepsis code
Per ICD-10-CM guidelines, when sepsis and a localized infection are both present, sepsis is sequenced as the principal diagnosis.
Which ICD-10-CM placeholder character is used when a code has fewer than the required number of characters?
Answer: X
The letter 'X' is used as a placeholder in ICD-10-CM codes to allow for future expansion and to maintain the correct number of characters.