RHIT Medical Coding Principles 4

Question 1

A patient is admitted for hip fracture repair and is found to have hypertension managed with medication. How is the hypertension coded?

Accepted Answer

It is coded as an additional diagnosis because it affects patient management

Answer

Conditions that coexist at the time of admission and affect patient care or management should be coded as additional diagnoses.

Question 2

In CPT surgery coding, what does the global surgical package include?

Accepted Answer

Pre-operative, intraoperative, and post-operative care within a defined period

Answer

The global surgical package bundles pre-op evaluation, the surgery, and routine post-op care into a single fee.

Question 3

Which ICD-10-CM code category is used to report the external cause of an injury (e.g., fall from a ladder)?

Accepted Answer

V–Y codes

Answer

ICD-10-CM chapters V–Y (V00–Y99) contain external cause codes describing how, where, and under what circumstances injuries occurred.

Question 4

What CPT modifier indicates that a service or procedure was distinct or independent from other services performed on the same day?

Accepted Answer

-59

Answer

Modifier -59 identifies procedures not normally reported together but appropriate under specific circumstances on the same date.

Question 5

In MS-DRG assignment under the IPPS, what effect does a major complication or comorbidity (MCC) have?

Accepted Answer

It typically shifts the case to a higher-weighted DRG with greater reimbursement

Answer

MCCs indicate a higher severity of illness and generally move a case to a higher-weight DRG, increasing reimbursement.

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