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
Which root operation in ICD-10-PCS is defined as 'cutting out or off, without replacement, all of a body part'?
Answer: Resection
Resection in ICD-10-PCS means cutting out or off, without replacement, all of a body part, distinguishing it from Excision which is only part of the body part.
In CPT, a 'separate procedure' designation means:
Answer: It is commonly part of a larger procedure and should not be billed separately when performed with a related procedure
A 'separate procedure' designation in CPT indicates the procedure is integral to a larger service and should not be reported separately when performed as part of that service.
When a patient is seen for aftercare following a fracture repair, which Z code category is typically used?
Answer: Z47 (Orthopedic aftercare)
Category Z47 codes are used for orthopedic aftercare, such as follow-up care after fracture repair with hardware removal or cast change.
Which of the following best describes the function of a code editor in medical billing?
Answer: Reviews claims for coding accuracy before submission
A code editor or claims scrubber reviews submitted codes for compliance, accuracy, and payer-specific requirements prior to claim submission.
A surgeon performs an arthroscopic repair of a torn medial meniscus. Which CPT code range would apply?
Answer: 29800-29999 (Arthroscopy)
Arthroscopic knee procedures, including meniscal repairs, are found in the Arthroscopy subsection of the Musculoskeletal CPT codes (29800-29999).
What is the significance of the 'CC/MCC' classification in inpatient DRG reimbursement?
Answer: Complications and comorbidities that affect the DRG assignment and increase reimbursement
CCs (complications/comorbidities) and MCCs (major complications/comorbidities) are secondary diagnoses that, when present, increase the DRG weight and reimbursement.
Under HIPAA, which of the following is NOT considered protected health information (PHI)?
Answer: De-identified data with all 18 identifiers removed
De-identified health information, from which all 18 HIPAA identifiers have been removed, is not considered PHI and is not protected under the Privacy Rule.