Medical Coding CPC Exam Prep Questions & Answers 2024/2025
Patients receiving a diagnostic service (e.g. ultrasound, MRI, diagnostic colonoscopy), with additional diagnosis, is reported in what sequence? - ANSWERSReport the condition or problem as the primary code to indicate the reason for the test, codes for other diagnosis, like chronic conditions or history are reported as additional diagnosis.
Who are the parties responsible for providing the ICD-10-CM guidelines? - ANSWERSNCHS and CMS
What is the sequencing order when coding a sequela? - ANSWERSThe residual condition is coded first, and the code for the cause of the late effect are coded as secondary.
If the subterms are not listed when looking in the ICD-10-CM Alphabetic Index (ex. Impending menopause, there is no subterm for menopause under impending) then what do you code? - ANSWERSIf
the subterm is not listed then code the symptoms.
What is an example of an eponym? - ANSWERSPaget's disease
When coding for an ambulatory surgical procedure, how is the diagnosis determined? - ANSWERSCode the postoperative diagnosis because it is the most definitive.
If no bilateral code is provided and the condition is bilateral, how are the codes assigned? - ANSWERSAssign separate codes for both left and right sides.
If a bilateral code is provided, and both left and right sides are stated, how are the codes assigned? - ANSWERSYou report the bilateral code, do not report two separate codes.
When the admission/encounter is for management of dehydration due to the malignancy or therapy, or a combination of both, and only the dehydration is being treated; how is this sequenced? - ANSWERSThe
dehydration is sequenced first, followed by the code for the malignancy. According to ICD-10-CM guidelines, when a patient is seen for management of anemia due to malignancy, how is it reported? - ANSWERSThe malignancy is reported first, followed by the code for the anemia.
When do you code acute respiratory failure as a secondary diagnosis? - ANSWERSWhen it occurs after admission.
According to ICD-10-CM guidelines, what is the maximum length of time for a myocardial infarction to be
considered acute? - ANSWERSFour weeks (28 days)
When a migraine does not respond to medication it is considered what? - ANSWERSIntractable
In ICD-10-CM what condition is reported as the default code when the provider documents urosepsis? - ANSWERSThe provider must be queried before an ICD-10-CM code can be applied.
When we are not given more information as to a specific type of tumor, whether its benign or malignant,
what do we code it as? - ANSWERSUnspecified Behavior
When it is documented that the patient is both using tobacco and has a dependence on tobacco, hos is this reported in ICD-10-CM? - ANSWERSThe dependence on tobacco is the only code reported based on the hierarchy in the ICD-10-CM guidelines.
What does MRSA stand for? - ANSWERSMethicillin Resistant Staphylococcus Aureus
According to the ICD-10-CM guidelines, how is bilateral glaucoma of the same type and stage reported? -
ANSWERSA bilateral code can be used to report the type of glaucoma and the stage of glaucoma.
In which circumstances would an external cause code be reported? - ANSWERSCauses of injury or health condition.
How are poisoning codes sequenced? - ANSWERSFirst by the poison code, and then followed by the condition or manifestation.
Patients receiving a diagnostic service (e.g. ultrasound, MRI, diagnostic colonoscopy), with additional diagnosis, is reported in what sequence? - ANSWERSReport the condition or problem as the primary code to indicate the reason for the test, codes for other diagnosis, like chronic conditions or history are reported as additional diagnosis.
Who are the parties responsible for providing the ICD-10-CM guidelines? - ANSWERSNCHS and CMS
What is the sequencing order when coding a sequela? - ANSWERSThe residual condition is coded first, and the code for the cause of the late effect are coded as secondary.
If the subterms are not listed when looking in the ICD-10-CM Alphabetic Index (ex. Impending menopause, there is no subterm for menopause under impending) then what do you code? - ANSWERSIf
the subterm is not listed then code the symptoms.
What is an example of an eponym? - ANSWERSPaget's disease
When coding for an ambulatory surgical procedure, how is the diagnosis determined? - ANSWERSCode the postoperative diagnosis because it is the most definitive.
If no bilateral code is provided and the condition is bilateral, how are the codes assigned? - ANSWERSAssign separate codes for both left and right sides.
If a bilateral code is provided, and both left and right sides are stated, how are the codes assigned? - ANSWERSYou report the bilateral code, do not report two separate codes.
When the admission/encounter is for management of dehydration due to the malignancy or therapy, or a combination of both, and only the dehydration is being treated; how is this sequenced? - ANSWERSThe
dehydration is sequenced first, followed by the code for the malignancy. According to ICD-10-CM guidelines, when a patient is seen for management of anemia due to malignancy, how is it reported? - ANSWERSThe malignancy is reported first, followed by the code for the anemia.
When do you code acute respiratory failure as a secondary diagnosis? - ANSWERSWhen it occurs after admission.
According to ICD-10-CM guidelines, what is the maximum length of time for a myocardial infarction to be
considered acute? - ANSWERSFour weeks (28 days)
When a migraine does not respond to medication it is considered what? - ANSWERSIntractable
In ICD-10-CM what condition is reported as the default code when the provider documents urosepsis? - ANSWERSThe provider must be queried before an ICD-10-CM code can be applied.
When we are not given more information as to a specific type of tumor, whether its benign or malignant,
what do we code it as? - ANSWERSUnspecified Behavior
When it is documented that the patient is both using tobacco and has a dependence on tobacco, hos is this reported in ICD-10-CM? - ANSWERSThe dependence on tobacco is the only code reported based on the hierarchy in the ICD-10-CM guidelines.
What does MRSA stand for? - ANSWERSMethicillin Resistant Staphylococcus Aureus
According to the ICD-10-CM guidelines, how is bilateral glaucoma of the same type and stage reported? -
ANSWERSA bilateral code can be used to report the type of glaucoma and the stage of glaucoma.
In which circumstances would an external cause code be reported? - ANSWERSCauses of injury or health condition.
How are poisoning codes sequenced? - ANSWERSFirst by the poison code, and then followed by the condition or manifestation.
