Medical Coding Systems & Classification Flashcards

A neoplasm that is described as 'behavior uncertain' in ICD-10-CM is coded from which column of the Neoplasm Table?

Answer: Uncertain behavior

Neoplasms of uncertain behavior are classified to codes in the 'Uncertain behavior' column (D37–D48) when the pathologist cannot determine if the tumor is benign or malignant.

CPT modifier -26 is used to report:

Answer: A professional component only

Modifier -26 is appended when a physician reports only the professional component (interpretation and report) of a diagnostic service that has both technical and professional parts.

In ICD-10-CM, codes from category Z23 are used to report:

Answer: Encounters for immunization

Category Z23 is assigned as the primary diagnosis when a patient presents solely for the purpose of receiving a preventive immunization.

Which of the following CPT code ranges covers Evaluation and Management services?

Answer: 99202–99499

E/M services are reported with CPT codes 99202–99499, covering office visits, hospital care, consultations, and other patient management services.

In ICD-10-PCS, the root operation 'Excision' differs from 'Resection' in that:

Answer: Excision cuts out part of a body part; Resection cuts out all of a body part

Excision involves cutting out or off a portion of a body part, while Resection involves cutting out or off the entire body part.

Which organization publishes the Official Guidelines for Coding and Reporting for ICD-10-CM?

Answer: CMS and NCHS, cooperating with AHIMA and AHA

The Official ICD-10-CM Guidelines are a cooperative product of the four cooperating parties: CMS, NCHS, AHIMA, and AHA.

When coding poisoning in ICD-10-CM, which code is sequenced first?

Answer: The poisoning code itself

For poisonings, the poisoning code (T36–T65) is sequenced first, followed by codes for all manifestations of the poisoning.