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CPC Exam Prep
GRADED A+ (ACTUAL EXAM ) Questions and Answers (Solved)
1. NEC
Answer: not elsewhere classifiable; when a specific code is not available
for a condition, the alpha. index direct you to other specified code in tubular list.
2. NOS
Answer: Not otherwise specified; equivalent of unspecified.
- Exlcudes1
Answer: Means NOT CODED HERE; the two conditions cannot occur
together.
- Excludes2
Answer: The condition is excluded as not being part of the condition
represented by the code, but if the patient actually has both conditions, both may be codes.
- And
Answer: Interpret as either or
- With
Answer: Interpreted as associated with or due to
- Uncertain Diagnosis
Answer: diagnosis documented at the time of discharge as "prob- able," "suspected," "likely," "questionable," "possible," or "rule out".
Do not doe for uncertain diagnosis in outpatient settings, code for the signs and symptoms instead. 1 / 4
- Acute and Chronic conditions
Answer: If the same condition is described as both acute (subacute) and
chronic, and separate subentries exist in the Alphabetic Index at the same indentation level, code both and sequence the acute (subacute) code first.
- combination code
Answer: Single code used to classify two diagnoses
- Borderline Diagnosis
Answer: If the provider documents a "borderline" diagnosis at the time of discharge, the diagnosis is coded as confirmed, unless the classification provides a specific entry (e.g., borderline diabetes). If a borderline condition has a specific index entry in ICD-10-CM, it should be coded as such. Since borderline conditions are not uncertain diagnoses, no distinction is made between the care setting ( inpatient versus outpatient) Whenever the documentation is unclear regarding a borderline condition, coders are encouraged to query for clarification.
- Episode of care involves surgical removal of neoplasm
Answer: code for the neo- plasm first, then the episode of care
- patient encounter solely for chemotherapy, immunotherapy, etc.
Answer: assign Z50.- or Z51.-
- Patient admitted due to chemotherapy/radiation
Answer: Code for the chemo/radiation first then the complication
- Type of diabetes is not documented
Answer: default to type 2
- / 4
- adjacent tissue transfer
Answer: Transfer of a section of skin or flap from that im- mediately next
to the damaged skin and than can be moved without completely detaching it.
Reasoned performed: to repair or replace damaged skin.
- Autograft
Answer: use of a patients own tissue from one sire to replace damaged
tissue at another site.
17. Avulsion: forceful tearing of the nail plate
reason performed: to treat onychocryptosis, perform biopsy, or treat an
infection
- Chemosurgery
Answer: use of chemical agent to destroy tissue
- Cryotherapy
Answer: use of liquid nitrogen to destroy tissue
- Destruction
Answer: rendering tissue into tiny fragments
- Electrocauterization
Answer: use of a hot instrument to destroy tissue
- electrosurgical destruction
Answer: use of high frequency electric current to destroy tissue
- excision
Answer: process of cutting out full thickness removal of disease or 3 / 4
damaged tissue
- Flap transfer
Answer: moving a section of skin and subcutaneous tissue with blood
vessels intact from one site to another; with anastomosis to vessels at the recipient site.
- intralesional injection
Answer: injection of medications into a lesion or scar
- ligature
Answer: tying off skin tag at its based with thread, eliminating the blood
flow.
- Mohs micrographic surgery
Answer: thin layers of malignant tissue are removed, and each is examined
under a microscope to check for adequate extent of the resection
- Shaving
Answer: use of a sharp instrument
- Skin replacement
Answer: use of skin from the patients own body or a donor to replace
damaged skin
- tissue expander
Answer: a temporary inflatable placed under the skin to stretch it and allow
growth of new skin cells
- wound repair, intermediate
- / 4
Answer: requires closure of one or more subcutaneous tissues and
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