Medical Coding CPC Exam Prep verified A level

Medical Coding CPC Exam Prep Patients receiving a diagnostic service (e.g. ultrasound, MRI, diagnostic colonoscopy), with additional diagnosis, is reported in what sequence? - Report 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? - NCHS and CMS What is the sequencing order when coding a sequela? - The 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? - If the subterm is not listed then code the symptoms. What is an example of an eponym? - Paget's disease When coding for an ambulatory surgical procedure, how is the diagnosis determined? - Code 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? - Assign 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? - You 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? - The 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? - The malignancy is reported first, followed by the code for the anemia. When do you code acute respiratory failure as a secondary diagnosis? - When 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? - Four weeks (28 days) When a migraine does not respond to medication it is considered what? - Intractable In ICD-10-CM what condition is reported as the default code when the provider documents urosepsis? - The 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? - Unspecified 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? - The dependence on tobacco is the only code reported based on the hierarchy in the ICD-10-CM guidelines. What does MRSA stand for? - Methicillin Resistant Staphylococcus Aureus According to the ICD-10-CM guidelines, how is bilateral glaucoma of the same type and stage reported? - A 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? - Causes of injury or health condition. How are poisoning codes sequenced? - First by the poison code, and then followed by the condition or manifestation. Superficial injuries such as abrasions or contusions are not coded when associated with what? - More severe injuries to the same site.