Certified Coding Associate Exam Certified Coding Associate Classification 5

Question 1

In ICD-10-CM, what does the placeholder character 'X' serve when used within a code?

Accepted Answer

It holds a position so that a required character can be placed in the correct position

Answer

The placeholder 'X' is used to fill character positions in ICD-10-CM codes so that a 7th character extension can be added in the correct position.

Question 2

Under CPT guidelines, which modifier indicates that a procedure was performed bilaterally?

Accepted Answer

-50

Answer

CPT modifier -50 is used to report bilateral procedures performed during the same operative session.

Question 3

When coding an encounter for chemotherapy administration in ICD-10-CM, which code is sequenced first?

Accepted Answer

The Z code for encounter for antineoplastic chemotherapy

Answer

ICD-10-CM guidelines instruct sequencing the Z51.11 (encounter for antineoplastic chemotherapy) code first, followed by the malignancy code.

Question 4

A coder finds that a diagnosis code in the ICD-10-CM Tabular List has an Excludes1 note. This means:

Accepted Answer

The excluded condition cannot be coded at the same time as the current code

Answer

An Excludes1 note is a 'pure' exclusion indicating that the two conditions cannot occur together and therefore cannot be coded simultaneously.

Question 5

Which approach character in ICD-10-PCS represents a procedure performed entirely through orifices?

Accepted Answer

Via Natural or Artificial Opening (7)

Answer

The approach character '7' in ICD-10-PCS represents procedures performed via natural or artificial openings without incision into the body.

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