COBGC Coding Guidelines and Conventions 2

Question 1

An Excludes2 note in ICD-10-CM means:

Accepted Answer

The excluded condition is not part of the condition but may occur simultaneously and both codes may be reported

Answer

An Excludes2 note means the excluded condition is not part of the condition represented by the code, so both codes may be reported together when both conditions are present.

Question 2

In ICD-10-CM, the placeholder character 'X' is used to:

Accepted Answer

Hold a position in a code when a character is not required but a later character is needed

Answer

The placeholder 'X' fills a position in the code structure so that a required character (such as a 7th character) can be placed in its correct position.

Question 3

When a patient presents with a condition that is both an Excludes1 condition and integral to the reported condition, the coder should:

Accepted Answer

Query the provider to confirm both conditions are distinct and documented, then follow the guideline

Answer

An Excludes1 note means the two conditions cannot occur together; if documentation suggests both are present, the coder should query the provider to clarify before coding.

Question 4

Under CPT coding conventions, a semicolon (;) in a code descriptor indicates:

Accepted Answer

That the portion before the semicolon is shared by the indented codes that follow

Answer

In CPT, the text before the semicolon in a parent code is the common descriptor shared by all indented child codes beneath it.

Question 5

A 'Code Also' instruction in ICD-10-CM means:

Accepted Answer

Two codes may be required to fully describe a condition, but sequencing depends on the reason for the encounter

Answer

A 'Code Also' note alerts the coder that two codes may be required and that sequencing depends on the circumstances of the encounter.

(COBGC) Certified Obstetrics Gynecology Coder Practice Test

(COBGC) Certified Obstetrics Gynecology Coder Practice Test

COBGC Coding Guidelines and Conventions 2