CPC Knowledge Skill 5

Question 1

Which of the following is the correct sequencing rule for inpatient coding of a complication that arose during the stay?

Accepted Answer

Sequence the condition that prompted admission as principal diagnosis; the complication is secondary

Answer

The condition that prompted admission after study is the principal diagnosis; complications that develop during the stay are coded as additional diagnoses.

Question 2

Category III CPT codes are described as:

Accepted Answer

Temporary tracking codes for emerging technologies and services

Answer

Category III codes are temporary alphanumeric codes used to collect data on emerging technologies, services, and procedures.

Question 3

When coding burns in ICD-10-CM, what is the correct sequencing when a patient has both first-degree and third-degree burns at different sites?

Accepted Answer

Sequence the third-degree (highest degree) burn first

Answer

ICD-10-CM guidelines instruct coders to sequence the burn of highest degree first when multiple burns are present.

Question 4

Which modifier indicates that a procedure was performed bilaterally when the CPT descriptor is written for a unilateral procedure?

Accepted Answer

-50

Answer

Modifier -50 is appended to indicate a procedure was performed on both sides of the body during the same operative session.

Question 5

A provider documents 'diabetes mellitus due to underlying condition.' In ICD-10-CM, how should this be coded?

Accepted Answer

E08.- (Diabetes due to underlying condition) with the underlying condition coded first

Answer

ICD-10-CM category E08 is used for diabetes due to an underlying condition, which is sequenced after the underlying cause per etiology/manifestation convention.

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder Practice Test

CPC Knowledge Skill 5