CCDS Clinical Coding 2

Question 1

Under ICD-10-PCS, which of the seven characters defines the specific approach used for a procedure?

Accepted Answer

Character 5 (Approach)

Answer

Character 3 (Root Operation)

Answer

Character 4 (Body Part)

Answer

Character 6 (Device)

Question 2

A patient undergoes a laparoscopic cholecystectomy that is converted to an open procedure. How should this be coded in ICD-10-PCS?

Accepted Answer

Code only the open approach since it was the completed procedure

Answer

Code only the laparoscopic approach since it was the intended approach

Answer

Code both the laparoscopic and open approaches with separate PCS codes

Answer

Code the procedure as percutaneous endoscopic converted to open with a single code

Question 3

Which ICD-10-CM code category is used to report sepsis due to a gram-positive organism when the specific organism is identified?

Accepted Answer

A41 - Other sepsis

Answer

A40 - Streptococcal sepsis

Answer

R65.2 - Severe sepsis

Answer

A02.1 - Salmonella septicemia

Question 4

What is the ICD-10-CM convention for coding a condition that is integral to a disease process?

Accepted Answer

It is not coded separately, as it is inherent to the condition

Answer

It is coded separately with a note indicating it is integral

Answer

It is coded with an additional external cause code

Answer

It is sequenced as the principal diagnosis

Question 5

A patient is admitted with acute respiratory failure due to pneumonia. Which is the correct sequencing under ICD-10-CM inpatient guidelines?

Accepted Answer

Either condition may be sequenced as principal diagnosis per coding guideline discretion

Answer

Sequence pneumonia as principal diagnosis in all cases

Answer

Sequence acute respiratory failure as principal diagnosis in all cases

Answer

Sequence whichever condition was treated with the most resources

Question 6

Which ICD-10-PCS root operation is used when a surgeon removes a kidney stone using an endoscope introduced through the urethra?

Accepted Answer

Extirpation

Answer

Excision

Answer

Fragmentation

Answer

Extraction