Certified Coding Associate Clinical Flashcards
7 cards from real Certified Coding Associate Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Certified Coding Associate Clinical flashcards as text
A patient is admitted following a car accident with a fractured femur and a head injury. After study, the femur fracture required surgery. Which is the principal diagnosis?
Answer: Fractured femur, as it required surgical treatment
The condition chiefly responsible for the admission after study is the principal diagnosis; in this case, the femur fracture prompted surgery.
In CPT, what does the modifier '-26' indicate when appended to a radiology code?
Answer: Professional component only
Modifier -26 indicates the physician's professional component (interpretation and report) when billed separately from the technical component.
Which section of ICD-10-PCS is used to code a blood transfusion?
Answer: Administration
Transfusions are coded in the Administration section of ICD-10-PCS because they involve introducing a therapeutic substance into the body.
When a patient is seen for a complication of a prior surgery, which code is assigned first?
Answer: The complication code from the T80–T88 range
Complications of surgery are reported with the appropriate complication code (T80–T88) as the principal or first-listed diagnosis.
A patient with type 1 diabetes is admitted in diabetic ketoacidosis. What is the correct principal diagnosis code?
Answer: E10.10
E10.10 captures type 1 diabetes mellitus with ketoacidosis without coma, which is the correct code for this scenario.
Which healthcare setting uses the UB-04 claim form for billing?
Answer: Inpatient hospital and outpatient facilities
The UB-04 (CMS-1450) is used by inpatient hospitals, outpatient hospitals, and other facility-based providers.
What is the purpose of an Excludes2 note in ICD-10-CM?
Answer: The excluded condition may be coded together with the code above when both are present
Excludes2 means the condition is not included here but may coexist and be coded together when both conditions are present.