CCDS Exam Study Guide with Complete Solutions World Healh Organization (WHO) - Correct Answer Who publishes the ICD-10 code set What is ICD-10 used for in the US? - Correct Answer Classify morbidity data from IP and OP records, physician offices, and National Canter for a health Statistics surveys, reimbursement purposes, and greater specificity of diagnoses.Who updates and approves the ICD-10 code sets? - Correct Answer AHA, AHIMA, CMS, and NCHS Who publishes coding clinic? - Correct Answer AHA (American Hospital Association) Which act requires all providers to use the same code sets, healthcare transactions, and identifiers? - Correct Answer HIPAA HIPAA requires which code sets to report clinical information? - Correct Answer CPT, HCPCS, ICD-10- CM, National Drug Codes How many characters long is an ICD 10 CM code? - Correct Answer 3-7 When assigning a code, which hierarchy is followed? - Correct Answer 1. Coding guidelines
- Alphabetic Index
- Tabular List
Can coding clinic supersede Official guidelines, alphabetic index, or tabular list? - Correct Answer No Does CMS endorse coding clinic? - Correct Answer Yes What is coding advice in coding clinic based on? - Correct Answer The statistical classification scene of ICD-10-CM and definitions specified in UHDDS.How long are subcategories in ICD-10-CM? - Correct Answer Four or 5 characters 1 / 4
What does an ICD-10-PCS code need to reflect? - Correct Answer The procedure performed and the physician's intent or objective for the procedure.What does a whipple procedure consist of? - Correct Answer Pancreaticoduodenectomy What does the first character in a PCS code describe? - Correct Answer General category or section of the procedure being described (medical, surgical, ancillary) What does the second character in a PCS code describe? - Correct Answer Body system or region within the body that is the focus of the procedure What does the third character in a PCS code describe? - Correct Answer Root operation or the intent of the procedure What does the fourth character of a PCS code describe? - Correct Answer Body part, or specific part of the body system on which the procedure is performed.What does the fifth character of a PCS code describe? - Correct Answer Approach or technique used to reach the site of the procedure How many approaches are there in ICD-10-PCS? - Correct Answer Seven What does the sixth character in a PCS code describe? - Correct Answer Whether a device was implanted, the type of device, and it's purpose What does the seventh character of a PCS code describe? - Correct Answer Qualifier - which is unique for different procedures that completes the picture of the code What is the purpose of the DRG system? - Correct Answer For creating national and world healthcare statistics.What is the DRG system designed to promote? - Correct Answer International comparability in the collection, processing, clarification, and presentation of healthcare statistics. 2 / 4
What is one of the most difficult aspects of CDI? - Correct Answer The separation of an inferred condition from the application of the most specific ICD 10 code, In coding guidelines, what does the term provider mean? - Correct Answer Physician or any qualified healthcare practitioner legally accountable for establishing a patient's diagnosis Can specificity of a debridement come from a wound nurse's note? - Correct Answer Yes What do coding guidelines say about signs and symptoms? - Correct Answer They are not to be used as principal diagnosis when a related definitive diagnosis has been established.What do combination codes represent? - Correct Answer Two interrelated condition ms that may only require one code, a manifestation code, or a secondary complication code What is a late effect code? - Correct Answer A condition which is a complication of a precious condition What does UHDDS define the principal diagnosis as? - Correct Answer The condition established after study to be chiefly responsible for occasioning the admission What is one purpose of UHDDS? - Correct Answer It helps hospitals report inpatient data in a standardized manner Data elements and definitions associated with the UHDDS are found in what resource? - Correct Answer Federal register 1985 If a threatened condition is documented and you cannot find it in the code book index, what code do you assign? - Correct Answer A code for the existing underlying condition and not the condition described as impending or threatened If a condition is bilateral but there is no bilateral code, what do you assign? - Correct Answer A code for both left and right.Guidance that states hospitals should ensure complete and accurate coding that results in correct reporting of patient conditions, assignment of appropriate MS-DRG, and ultimately maximum reimbursement comes from where? - Correct Answer Federal Register 1985 3 / 4
If a patient presents with multiple conditions, what guideline do you follow and where does it come from? - Correct Answer Any of the presenting conditions can be principal diagnosis - UHDDS Which organization provides direction that hospitals should ensure complete and accurate coding that results in correct reporting of patient conditions, assignment of appropriate MS-DRG, and ultimately maximum reimbursement for care provided to the patient? - Correct Answer The Federal Register Surgical complication codes require - Correct Answer Documentation that links the condition to the previous event Timeframe required for coding surgical complications - Correct Answer No timeframe needed HIV can be coded in these situations - Correct Answer Provider documents patient is HIV positive WITH SYMPTOMS or has an HIV related illness Zika virus - Correct Answer Cannot be coded if it is suspected. MUST be confirmed.Neoplasm guideline for anemia due to chemo - Correct Answer Anemia due to chemo is PDX if they are admitted for blood transfusions without any other care Neoplasm guideline for admission for dehydration due to chemo - Correct Answer If patient is treated with IV fluids and antiemetics without treatment for breast cancer, then dehydration is PDX and neoplasm is secondary.Which diabetic codes fall under the "with" guideline? - Correct Answer Stage 1 blood pressure range - Correct Answer 130-139 systolic, 80-89 diastolic Stage 2 hypertension range - Correct Answer At least 140 systolic, at least 90 diastoloc Hypertensive crisis range - Correct Answer Over 180 systolic, over 120 diastolic
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