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CCDS Apprenticeship questions and answers.
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CCDS Apprenticeshipquestions and answers
Write and Maintain Official Guidelines for Coding and Reporting -
answer Centers for Medicare/Medicaid Services (CMS) and National
Center for Health Services (NCHS)
Parties responsible for development and maintainence of ICD-10-
CM/PCS and Official Guidelines for Coding and Reporting - answer
1. CMS
2. NCHS
3. AHA
4. AHIMA
Publishes regulatory guidance via Coding Clinics - answer
American Hospital Association (AHA)
Hierarchy of influence of codes - answer 1. ICD-10-CM/PCS
2. Official Guidelines for Coding and Reporting
3. Coding Clinics
ICD-10-CM/PCS Conventions - answer Instructional notes
"Includes Notes" - answer "Appears immediately under a three-
character code title to further define, or give examples of, the
content of the category." (Synonym or conditions similar enough to
be coded under same code)
, "Inclusion" - answer List of terms included under certain codes to
show conditions for which that code may be used. Terms may be
synonyms. In case of "other specified" codes, list of various
conditions assigned to that code. (additional diagnosis included in
that code set)
"Excludes 1" - answer "NOT CODED HERE" - code should not be
used at the same time as the code above "excludes1" notes.
Example, under A41 "Other sepsis", Excludes1 note indicates group
of codes that should not be coded with it.
"Excludes2" - answer "NOT INCLUDED HERE" - Condition is not part
of the condition represented. Separate the two conditions.
Manifestation codes - answer represent the secondary condition
that is present in addition to the underlying or primary disease that
caused it
Etiology/manifestation - answer The underlying cause (etiology) of
a disease or condition and the characteristics, signs, or symptoms
(manifestation) associated with that disease/condition that occur
due to the underlying condition (Etiology followed by Manifestation)
"Code First" note - answer Manifestation - Instructs the coder to
select a code to represent the etiology that caused the
manifestation. ("first code the etiology, then follow it with this code
as CC/MCC")
"Use additional code" note - answer Etiology - Instructs the coder
to use additional codes to identify the manifestation
(signs/symptoms/CC/MCC) that is present.
"And" note - answer "and" or "or" (Example: "..stomach and
duodenum" means "..of the stomach AND/OR the duodenum")
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