CPC Certified Professional Coder 4

Question 1

Which official guideline governs ICD-10-CM coding and must be followed by all coders?

Accepted Answer

ICD-10-CM Official Guidelines for Coding and Reporting

Answer

The ICD-10-CM Official Guidelines for Coding and Reporting, published annually, are the authoritative source for correct diagnosis coding.

Question 2

A patient is admitted for a fracture repair. The coder finds a sign/symptom code and a definitive diagnosis code for the same condition. Which should be reported?

Accepted Answer

The definitive diagnosis code only

Answer

When a definitive diagnosis is established, ICD-10-CM guidelines instruct coders to report the definitive diagnosis rather than the signs or symptoms that led to the diagnosis.

Question 3

Modifier -51 is used to indicate:

Accepted Answer

Multiple procedures were performed during the same operative session

Answer

Modifier -51 is appended to secondary procedures to indicate that multiple procedures were performed at the same operative session.

Question 4

When coding an outpatient encounter, which diagnosis should be reported as the first-listed diagnosis?

Accepted Answer

The condition established after study to be chiefly responsible for the visit

Answer

For outpatient services, the first-listed diagnosis is the condition, after study, found to be chiefly responsible for the services provided during the encounter.

Question 5

A coder is unsure how to assign a CPT code and checks the CPT Index. Which action should follow finding a term in the index?

Accepted Answer

Go directly to the listed code range in the tabular section to verify

Answer

The CPT Index directs coders to a possible code or range; coders must always verify the correct code by reading the full description in the tabular section.

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder Practice Test

CPC Certified Professional Coder 4