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Renee's Certified Coding Specialist (CCS) Exam Preparation 2022 – COMPLETE SOLUTIONS
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Diagnostic-related groups (DRGs) and ambulatory patient classifications (APCs) are similar in that they are both: a. Determined by HCPCS codes b. Focused on hospital outpatients c. Focused on hospital inpatients d. Prospective payment systems - d. Prospective payment systems ** Both are types of prospective payment systems (Casto and Forrestal 2015, 6). A patient is treated for esophageal varices with hemorrhage due to cirrhosis. The diagnostic codes that would be assigned are: I85.01 Esophageal varices with bleeding I85.11 Secondary esophageal varices with bleeding K74.60 Unspecified cirrhosis of liver - d. K74.60, I85.11 K74.60: Unspecified cirrhosis of liver I85.11:Secondary esophageal varices with bleeding
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