RHIA Clinical Classification Systems and Coding

Question 1

In ICD-10-CM, what is the maximum number of characters a code can have?

Accepted Answer

7

Answer

ICD-10-CM codes can have up to 7 characters, with the first three characters identifying the category and additional characters providing specificity.

Question 2

Which coding guideline requires that the condition established after study to be chiefly responsible for occasioning the admission is sequenced first?

Accepted Answer

Principal diagnosis definition

Answer

The principal diagnosis is defined as the condition established after study to be chiefly responsible for occasioning the admission to the hospital, per the UHDDS definition.

Question 3

CPT codes are organized into how many main sections (categories)?

Accepted Answer

6

Answer

CPT is organized into 6 main sections: Evaluation and Management, Anesthesia, Surgery, Radiology, Pathology and Laboratory, and Medicine.

Question 4

HCPCS Level II codes are used primarily to report what type of services?

Accepted Answer

Supplies, equipment, and non-physician services not in CPT

Answer

HCPCS Level II codes supplement CPT to cover supplies, durable medical equipment, ambulance services, and other services not represented in CPT.

Question 5

The MS-DRG system is used to classify inpatient cases primarily for which payer?

Accepted Answer

Medicare

Answer

Medicare Severity-Diagnosis Related Groups (MS-DRGs) are used by Medicare under the Inpatient Prospective Payment System (IPPS) to determine hospital reimbursement.

RHIA Exam Practice Test

RHIA Exam Practice Test

RHIA Clinical Classification Systems and Coding