CMC Coding Guidelines & Conventions 2

Question 1

In ICD-10-CM, what does the instruction 'Code first' indicate?

Accepted Answer

The listed code must be sequenced first when a causal condition exists

Answer

'Code first' directs the coder to sequence the underlying cause or manifestation code before the current condition code.

Question 2

What is the purpose of the 'Excludes2' note in ICD-10-CM?

Accepted Answer

The excluded condition may be coded together with the code when both conditions are present

Answer

Excludes2 means the excluded condition is not part of the indexed condition but both may be reported simultaneously if documented.

Question 3

When coding an encounter for a condition that is both acute and chronic, which form should generally be sequenced first?

Accepted Answer

Acute form

Answer

ICD-10-CM guidelines direct coders to sequence the acute condition first when separate codes exist for both acute and chronic forms.

Question 4

In CPT, what is a 'separate procedure' designation?

Accepted Answer

A procedure integral to a larger service and not separately reported when performed as part of that service

Answer

Procedures labeled 'separate procedure' in CPT are commonly bundled into larger services and should not be reported separately unless performed independently.

Question 5

What does the abbreviation 'NEC' mean in the ICD-10-CM index?

Accepted Answer

Not Elsewhere Classified

Answer

NEC (Not Elsewhere Classified) directs the coder to use this code when a specific code for the condition does not exist.

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CMC Coding Guidelines & Conventions 2