CCDS
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
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
2. Alphabetic Index
3. 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
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.
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
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