Certified Coding Associate Exam Certified Coding Associate Professional 2 — Questions and Answers
Question 1: Which coding system is used to report inpatient hospital procedures in the United States?
- CPT-4
- ICD-10-PCS (Correct answer)
- HCPCS Level II
- ICD-10-CM
Correct answer: ICD-10-PCS
ICD-10-PCS (Procedure Coding System) is the classification system used for coding inpatient hospital procedures in the U.S.
Question 2: A patient is admitted for pneumonia caused by Pseudomonas aeruginosa. Which code should be sequenced first?
- The Pseudomonas aeruginosa code
- The pneumonia code (Correct answer)
- The sepsis code
- The respiratory failure code
Correct 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.
Question 3: What does the abbreviation 'NEC' mean in the ICD-10-CM Index?
- Not elsewhere coded
- Not elsewhere classifiable (Correct answer)
- Not entirely coded
- No external cause
Correct answer: Not elsewhere classifiable
NEC stands for 'Not Elsewhere Classifiable,' indicating there is no more specific code available for the condition.
Question 4: Which section of the CMS-1500 claim form is used to report the diagnosis codes?
- Box 21 (Correct answer)
- Box 24D
- Box 33
- Box 17
Correct answer: Box 21
Box 21 on the CMS-1500 form is designated for listing the ICD-10-CM diagnosis codes.
Question 5: A patient with type 2 diabetes mellitus is seen for diabetic chronic kidney disease, stage 3. How should this be coded?
- Code only the CKD stage 3
- Code only the diabetes
- Code the combination code for diabetes with CKD, then CKD stage 3 (Correct answer)
- Code CKD stage 3 first, then the diabetes
Correct 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.
Question 6: Which HCPCS Level II modifier indicates a service was performed by a nurse practitioner?
- -SA (Correct answer)
- -AM
- -SB
- -AG
Correct answer: -SA
Modifier SA indicates the service was performed by a nurse practitioner working in collaboration with a physician.
Question 7: The Tabular List in ICD-10-CM is organized into how many chapters?
- 17
- 19
- 21 (Correct answer)
- 22
Correct answer: 21
ICD-10-CM's Tabular List is organized into 21 chapters, each representing a body system or type of condition.
Certified Coding Associate Exam Certified Coding Associate Professional 2
Which coding system is used to report inpatient hospital procedures in the United States?