CPC ICD-10-CM Diagnosis Coding 2

Question 1

According to ICD-10-CM guidelines, when should signs and symptoms be coded in addition to a confirmed diagnosis?

Accepted Answer

When the sign or symptom is not routinely associated with the confirmed diagnosis

Answer

Signs and symptoms that are NOT integral to (routinely associated with) a confirmed diagnosis should be coded as additional codes.

Question 2

What does a 'Code First' instruction in ICD-10-CM direct the coder to do?

Accepted Answer

Sequence the underlying etiology before the manifestation code

Answer

A 'Code First' note instructs the coder to sequence the underlying condition (etiology) before the manifestation code, following the etiology/manifestation convention.

Question 3

What is a combination code in ICD-10-CM?

Accepted Answer

A single code that classifies two diagnoses, a diagnosis with a complication, or a diagnosis with an associated manifestation

Answer

A combination code is one code that captures multiple clinical concepts simultaneously, such as a condition and its associated complication or manifestation.

Question 4

What does an 'Excludes1' note in ICD-10-CM indicate?

Accepted Answer

The two conditions cannot coexist, so both codes should never be reported together

Answer

An Excludes1 note is a 'pure' exclusion meaning the two conditions are mutually exclusive and can never be coded together for the same patient at the same time.

Question 5

What does an 'Excludes2' note in ICD-10-CM mean?

Accepted Answer

The excluded condition is not included here, but both conditions may coexist and be coded simultaneously

Answer

An Excludes2 note means the excluded condition is not included in the current code, but a patient may have both conditions at the same time, in which case both codes may be assigned.

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder Practice Test

CPC ICD-10-CM Diagnosis Coding 2