CCS ICD-10-CM Diagnosis Coding Flashcards
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Read the first 6 CCS ICD-10-CM Diagnosis Coding flashcards as text
A combination code in ICD-10-CM is best described as:
Answer: A single code that classifies two diagnoses, a diagnosis with an associated complication, or a diagnosis with an associated manifestation
A combination code captures two related conditions in a single code, avoiding the need for multiple codes when one fully describes the situation.
Which of the following Z code categories is used to indicate a patient's history of a resolved condition that no longer exists but may affect future care?
Answer: Z85-Z87 (Personal history)
Z85-Z87 personal history codes document past conditions that have been resolved but may influence current or future medical management.
In ICD-10-CM, 'laterality' refers to:
Answer: Specifying which side of the body (right, left, bilateral) is affected
Laterality codes in ICD-10-CM identify the specific side of the body involved when a condition is site-specific.
An 'Excludes2' note in ICD-10-CM indicates:
Answer: The excluded condition is not part of the indexed condition but may occur simultaneously and both may be coded
An Excludes2 note means the excluded condition is distinct from the indexed condition and, if both are present, both may be coded.
When coding signs and symptoms in ICD-10-CM for an outpatient visit, the coder should:
Answer: Code signs and symptoms when no definitive diagnosis has been established
For outpatient encounters, signs and symptoms are coded when the physician has not established a definitive diagnosis.
The 'principal diagnosis' for an inpatient encounter is defined as:
Answer: The condition established after study to be chiefly responsible for occasioning the admission
The principal diagnosis is determined after workup and defined as the condition chiefly responsible for the patient's admission to the hospital.