ccs test rev

G89.3

Pain documented as being related , if a Pt comes in for pain always sequence pain code G89.3 along with manifestation codes after , it would pain pain code G89.3 , xxx,xxx

NCDS

what medical necessity resource is Medicares national determinations

Congenital

Always POA

Pneumonia is always considered a

Major complication or a Comorbidity

What data element are coding professional mostly tasked with abstractions ?

Date of injury

NCCI applies to who

Physicians & Hospital outpatient services

When a patient has pulmonary edema it is due to …. And only …. Is coded

Due to CHF and only CHF is coded

Cement embolism has a code first indicator requesting ?

A complication code to be coded 1st

Medical records need to be coded in How many days ?

30 days

Computer Assisted coding is based on

Natural Language processing

Encryption protects your laptop in the event of

It being stolen

A student has a primary neoplasm of the lung with metastasis to the brain. The patient is admitted for seizure control related to the brain Mets. What is the principal Diagnosis.

Secondary Malignant is for treatment of secondary site, The secondary site is principal.

When admission is for secondary site the secondary site is principal.

In CPT , which modifier represents the professional component of a radiology service ?

-26

-26

Modifier -26 indicates the physicians work ( interpreting the image ) , while technical component (TC) cover equipment and staff

Radiology codes often split into PC (26) and TC

If a physician interprets an x-ray in the hospital they will bill -26

Which of the following is an example of a mechanical complication code

Dislocation of a Hip prosthesis

This indicates the the prosthesis failed to move mechanically

Which organization maintain HCPCS Level II codes

CMS - Centers of Medicare and Medicaid services

HCPCS is A federal owned coding system used primarily for ambulance services and durable medical equipment, prosthetics, orthotics, and supplies

Advance beneficiary notice is mandatory for

Medicare beneficiaries when a service is expected to be denied as not medically necessary

What is the ICD-10 PCS root operation for “insertion of a cardiac pacemaker lead” ?

Insertion

Is putting in a non-biological device the lead that monitors assists performs or prevents a physiological function but does not physically take the place of a body part.

Which CPT modifier indicates that a procedure was performed on the “left Hand” third Digit

F2 specifically identifies the left hand, third Digit

What is the “Three-Day Payment window” ( or 72-Hour Rule)?

Diagnostic services provided within 3 days prior to an inpatient admission must be bundled into the inpatient claim

A patient is admitted with severe anemia due to left colon cancer . The anemia is the primary reason for admission . Which condition is sequenced as PD

Left colon cancer

When a patient is admitted for complication anemia associated with a malignancy , the malignancy is the PD

Which federal regulation prohibits Physicians from referring patients for designated health services to an entity with which they have a financial relationship

Stark law

Physician self referral law .

Anti-Kickback is broader while stark is specific to physicians

A patient undergoes a DX laparoscopy which is then converted to an open cholecystectomy how is it coded in PCS

Code both inspection for - Larparoscopy and resection open cholecystectomy

A PT has a hystory if Myocardial infarction ( Heart attack 2 years ago) . They present with chest pain determined to be non-cardiac . How is hystory coded