CMRT Coding & Classification Systems Flashcards
6 cards from real CMRT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CMRT Coding & Classification Systems flashcards as text
What is the purpose of HCPCS Level II codes?
Answer: Code supplies, equipment, and non-physician services not covered by CPT
HCPCS Level II codes are alpha-numeric codes used to bill for supplies, durable medical equipment, ambulance services, and certain drugs not covered by CPT.
In outpatient coding, what is the 'first-listed diagnosis' equivalent to in the inpatient setting?
Answer: Principal diagnosis
The first-listed diagnosis in outpatient coding is the condition established after study as the reason for the visit, analogous to the inpatient principal diagnosis.
Which coding concept describes assigning additional codes to fully describe a condition that requires more than one code?
Answer: Multiple coding / Code also / Use additional code
Multiple coding directives like 'use additional code' instruct coders to assign secondary codes to capture the full clinical picture of a condition.
What does the ICD-10-CM Excludes1 note mean for a coder?
Answer: The excluded condition cannot be coded together with the code it appears under
Excludes1 means the two conditions cannot occur together; if both are present, query the physician because one may be incorrectly documented.
Which coding system is used specifically for dental procedures in the US?
Answer: CDT (Code on Dental Procedures and Nomenclature)
CDT codes, maintained by the American Dental Association, are used to report dental procedures for insurance billing.
What is the purpose of the CC/MCC subclassification in the MS-DRG system?
Answer: Adjust payment to reflect increased resource use due to complications or comorbidities
CC (Complication or Comorbidity) and MCC (Major Complication or Comorbidity) designations increase MS-DRG weight and reimbursement when present as secondary diagnoses.