Coding Guidelines and Conventions Flashcards
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Read the first 7 Coding Guidelines and Conventions flashcards as text
An Excludes2 note in ICD-10-CM means:
Answer: The excluded condition is not part of the condition but may occur simultaneously and both codes may be reported
An Excludes2 note means the excluded condition is not part of the condition represented by the code, so both codes may be reported together when both conditions are present.
In ICD-10-CM, the placeholder character 'X' is used to:
Answer: Hold a position in a code when a character is not required but a later character is needed
The placeholder 'X' fills a position in the code structure so that a required character (such as a 7th character) can be placed in its correct position.
When a patient presents with a condition that is both an Excludes1 condition and integral to the reported condition, the coder should:
Answer: Query the provider to confirm both conditions are distinct and documented, then follow the guideline
An Excludes1 note means the two conditions cannot occur together; if documentation suggests both are present, the coder should query the provider to clarify before coding.
Under CPT coding conventions, a semicolon (;) in a code descriptor indicates:
Answer: That the portion before the semicolon is shared by the indented codes that follow
In CPT, the text before the semicolon in a parent code is the common descriptor shared by all indented child codes beneath it.
A 'Code Also' instruction in ICD-10-CM means:
Answer: Two codes may be required to fully describe a condition, but sequencing depends on the reason for the encounter
A 'Code Also' note alerts the coder that two codes may be required and that sequencing depends on the circumstances of the encounter.
Which statement is true regarding ICD-10-CM coding of trimesters in obstetric cases?
Answer: The second trimester begins at 13 weeks 0 days and ends at less than 28 weeks
The second trimester is defined in ICD-10-CM as beginning at 13 weeks 0 days and ending before 28 weeks 0 days.
In CPT, the term 'separate procedure' in a code description means:
Answer: The procedure is commonly part of a larger service and should not be reported separately when performed as part of that larger service
A 'separate procedure' designation means the code is ordinarily part of a larger service; it should only be reported independently when performed as a distinct, standalone procedure.