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World Healh Organization (WHO) - Answers-Who
publishes the ICD-10 code set
What is ICD-10 used for in the US? - Answers-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? -
Answers-AHA, AHIMA, CMS, and NCHS
Who publishes coding clinic? - Answers-AHA (American
Hospital Association)
Which act requires all providers to use the same code
sets, healthcare transactions, and identifiers? - Answers-
HIPAA
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HIPAA requires which code sets to report clinical
information? - Answers-CPT, HCPCS, ICD-10-CM,
National Drug Codes
How many characters long is an ICD 10 CM code? -
Answers-3-7
When assigning a code, which hierarchy is followed? -
Answers-1. Coding guidelines
2. Alphabetic Index
3. Tabular List
Can coding clinic supersede Official guidelines, alphabetic
index, or tabular list? - Answers-No
Does CMS endorse coding clinic? - Answers-Yes
What is coding advice in coding clinic based on? -
Answers-The statistical classification scene of ICD-10-CM
and definitions specified in UHDDS.
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How long are subcategories in ICD-10-CM? - Answers-
Four or 5 characters, so codes within a subcategory can
be 3-7 characters long
What does an ICD-10-PCS code need to reflect? -
Answers-The procedure performed and the physician's
intent or objective for the procedure.
What does a whipple procedure consist of? - Answers-
Pancreaticoduodenectomy
What does the first character in a PCS code describe? -
Answers-General category or section of the procedure
being described (medical, surgical, ancillary)
What does the second character in a PCS code describe?
- Answers-Body system or region within the body that is
the focus of the procedure
What does the third character in a PCS code describe? -
Answers-Root operation or the intent of the procedure
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What does the fourth character of a PCS code describe? -
Answers-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? -
Answers-Approach or technique used to reach the site of
the procedure
How many approaches are there in ICD-10-PCS? -
Answers-Seven
What does the sixth character in a PCS code describe? -
Answers-Whether a device was implanted, the type of
device, and it's purpose
What does the seventh character of a PCS code
describe? - Answers-Qualifier - which is unique for
different procedures that completes the picture of the code
What percent of cases are expected to have a financial
impact? - Answers-20%
What percent of cases would expect to have any kind of
query? - Answers-20-30%