CMRT CMRT Coding & Classification Systems

Question 1

Which coding system is used in the US to code inpatient hospital diagnoses and procedures for reimbursement under Medicare?

Accepted Answer

ICD-10-CM/PCS

Answer

CPT

Answer

HCPCS Level II

Answer

CDT

Question 2

What does CPT stand for, and who maintains it?

Accepted Answer

Current Procedural Terminology, maintained by the AMA

Answer

Clinical Procedure Terms, maintained by CMS

Answer

Certified Provider Taxonomy, maintained by AHIMA

Answer

Common Procedure Terminology, maintained by the AHA

Question 3

In ICD-10-CM, what does a 7th character extension typically indicate?

Accepted Answer

Encounter type such as initial, subsequent, or sequela

Answer

The body system affected

Answer

The severity of the condition

Answer

The place of service

Question 4

Which classification system is used to group inpatient hospital cases into categories for Medicare reimbursement?

Accepted Answer

MS-DRG (Medicare Severity Diagnosis Related Groups)

Answer

APC

Answer

RBRVS

Answer

RUGS

Question 5

What is the correct sequencing principle for coding diagnoses in the inpatient setting?

Accepted Answer

Principal diagnosis is the condition established after study to be chiefly responsible for the admission

Answer

First-listed diagnosis is the most chronic condition

Answer

The admitting diagnosis is always the principal diagnosis

Answer

The most expensive condition is sequenced first

Question 6

Which coding guideline requires coders to code to the highest level of specificity in ICD-10-CM?

Accepted Answer

Code to the highest degree of certainty and specificity supported by documentation

Answer

Always assign a sign or symptom code when a definitive diagnosis exists

Answer

Use unspecified codes when documentation is unclear

Answer

Assign the admitting diagnosis as the principal diagnosis