Certified Coding Associate Exam Certified Coding Associate Classification 4

Question 1

Which of the following best describes the 'Excision' root operation in ICD-10-PCS?

Accepted Answer

Cutting out or off, without replacement, a portion of a body part

Answer

Excision is defined in ICD-10-PCS as cutting out or off, without replacement, a portion (not all) of a body part.

Question 2

Under ICD-10-CM guidelines, signs and symptoms that are integral to a confirmed disease are:

Accepted Answer

Not coded separately, as they are included in the confirmed diagnosis code

Answer

Signs and symptoms that are routinely associated with a disease process are not coded separately when a definitive diagnosis has been established.

Question 3

In CPT, what is the purpose of an 'add-on' code (indicated by a '+' symbol)?

Accepted Answer

It must be reported in addition to a primary procedure and cannot be used alone

Answer

CPT add-on codes, marked with a '+', are always reported in conjunction with a primary procedure code and are never used independently.

Question 4

Which ICD-10-CM chapter contains codes for factors influencing health status and contact with health services?

Accepted Answer

Chapter 21 — Factors Influencing Health Status (Z codes)

Answer

Chapter 21 of ICD-10-CM contains Z codes, which represent encounters for reasons other than illness or injury, such as screenings, vaccinations, and history.

Question 5

A patient receives a prescription for a drug that causes an adverse effect when taken correctly as prescribed. How is this coded in ICD-10-CM?

Accepted Answer

Code the adverse effect first, then a code from T36–T50 with 5th character '5'

Answer

For adverse effects, ICD-10-CM instructs coding the nature of the adverse effect first, followed by the drug code (T36–T50) with the appropriate 5th/6th character for adverse effect.

Certified Coding Associate Exam Practice Test

Certified Coding Associate Exam Practice Test

Certified Coding Associate Exam Certified Coding Associate Classification 4