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SECTION
III
Answer Keys to
Workbook Assignments
and Reviews
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C H APT E R
Overview
of Coding 1
ASSIGNMENT 1.1 – CAREER AS A CODER: INTERVIEW OF A CODING
PROFESSIONAL
ASSIGNMENT 1.2 – PROFESSIONAL DISCUSSION FORUMS
ASSIGNMENT 1.3 – CODING OVERVIEW: VALIDATING ACCURACY

OF ICD-10-CM AND ICD-10-PCS CODES
Validating ICD-10-CM and ICD-10-PCS Coding Accuracy
secondary carcinoma of the bone
Escherichia coli
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134 Section III Answer Keys to Workbook Assignments and Reviews
Chapter 1 Overview of Coding 134
ASSIGNMENT 1.4 – COMPUTER-ASSISTED CODING (CAC)

Date of procedure:
Preoperative diagnosis:
Postoperative diagnosis:
Procedures:
Note:
Arthroscopy
Procedures
arthroscopy Procedures
Note:
admitting diagnosis Admitting Diagnosis

Admitting Diagnosis
admitting diagnosis reason for admission
reason for admission admitting diagnosis
Note:
synovectomy, limited (e.g., plica or shelf resection) (separate

procedure) separate procedure
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ASSIGNMENT 1.5 – HEALTH DATA COLLECTION: FACE VALIDITY

OF DATA MANAGEMENT REPORTS
Section A
Service Discharges Deaths Autopsies1 Discharge Average Consults Medicare Pediatric
Days LOS1 Patients Patients
# % # Days # Days
Medicine 725 40 8 25% 6,394 9 717 301 3,104 0 0
General Surgery 280 10 3 30% 2,374 8 184 80 916 0 0
Cardiac Surgery 64 1 1 100% 1,039 16 35 26 431 0 0
Hand Surgery 26 0 0 0% 81 3 2 3 10 0 0
Neurosurgery 94 0 0 0% 1,429 15 39 12 266 4 39
Plastic Surgery 46 0 0 0% 319 7 19 7 97 0 0
Dental Surgery 25 0 0 0% 81 3 46 2 11 1 3
Dermatology 20 0 0 0% 289 14 56 6 83 0 0
Neurology 83 0 0 0% 776 9 183 24 284 0 0
Ophthalmology 87 0 0 0% 352 4 98 51 183 0 0
Orthopedics 216 2 0 0% 1,920 9 64 39 563 1 2
Otolaryngology 139 2 0 0% 705 5 87 16 168 4 7
2
ICU 8 1 1 50% 128 16 1 0 0 8 127
Psychiatry 126 0 0 0% 3,624 29 97 7 317 1 8
Urology 108 1 1 100% 810 8 74 36 318 0 0
Gynecology 184 2 1 50% 853 5 55 11 93 0 0
Obstetrics 451 2 2 0% 2,099 5 14 0 0 1 2
SUBTOTAL 2,682 62 17 27% 23,273 9 1,771 621 6,844 20 189
Newborn 310 0 0 0% 1,191 4 0 0 0 0 0
3
SCN 38 4 1 25% 742 20 0 0 0 O 0
TOTAL 3,030 66 18 27% 25,206 8 1,771 621 6,844 20 189
Section B Section C Section D

Discharge Disposition # of Patients Results # of Patients Type of Death Number of Deaths Autopsies
# %
Against medical advice 15 Discharged alive 2,964 Anesthesia 0 0 0%
Home 2,850 Not treated 0 Postoperative 8 2 25%
Home health care 10 Diagnosis only 0 Medical examiner 4 3 75%
Skilled nursing facility 37 Expired over 48 hours 54 Stillbirths 4 3 75%
Rehabilitation facility 39 Expired under 48 hours 12
Other hospital 13
Expired 65
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TOTAL 3,030 TOTAL 3,029 TOTAL 16 8 50%

1
Round up mathematical calculations to the whole number (e.g., 8.82 is reported as 9).
2
ICU is the abbreviation for intensive care unit, where patients who need constant monitoring receive care.
3
SCN is the abbreviation for special care nursery, where premature infants, twins, triplets, and so on, receive care.
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Section A
4 3 5
4 3
5
Section B
Section C
1 1 5
ASSIGNMENT 1.6 – PHYSICIAN QUERY PROCESS

Physician Query
To: Dr. Trevors

From: Lisa Dubois (Coder04)
Date: May 8, YYYY
Subject: Query about patient record number 987654
Patient Name Patient Record Number
Marian Reynolds 987654
Date of Encounter Location
May 4, YYYY Medical Center
Reason for Query

Inadequate documentation
Query or Comment
Documentation indicates patient received intravenous fluids for the nursing diagnosis of dehydration. Would it be appropriate
to document a diagnosis for coding? If so, add an addendum to the patient record. Thank you. LD
Provider Reply
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REVIEW
Multiple Choice
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Introduction
C H APT E R
to ICD-10-CM
and ICD-10-PCS
Coding
2
ASSIGNMENT 2.1 – ICD-10-CM INDEX TO DISEASES AND INJURIES
Pseudomonas
see
ASSIGNMENT 2.2 – ICD-10-PCS INDEX
see
see
see
see
see
see
Chapter 2 Introduction to ICD-10-CM and ICD-10-PCS Coding 139
see
ASSIGNMENT 2.3 – ICD-10-PCS INDEX AND TABLES
ASSIGNMENT 2.4 – GENERAL EQUIVALENCE MAPPING (GEMs)

Column 1 Column 2 Column 3 Column 4 Column 5
ICD-9-CM Code GEM ICD-9-CM GEM ICD-10-CM ICD-10-CM Diagnosis GEM ICD-10-PCS
Diagnosis Code Diagnosis Code Code Procedure Code(s)
1. 003.24 00324 A0229 A02.29 n/a
2. 001.0 0010 A001 A00.1 n/a
3. 002.1 0021 A012 A01.2 n/a
4. 00.01 0001 n/a n/a 6A750Z4 or 6A751Z5
5. 00.03 0003 n/a n/a 6A750Z6 or 6A751Z6
Note:
not
REVIEW
Multiple Choice
ICD-10-CM and C H APT E R
ICD-10-PCS
Coding Conventions 3
ASSIGNMENT 3.1 – APPLYING ICD-10-CM AND ICD-10-PCS CODING

CONVENTIONS
Format
Eponyms
NEC and NOS Abbreviations
Punctuation
141 Section III Answer Keys to Workbook
Chapter Assignments
3 and Reviews
ICD-10-CM and ICD-10-PCS Coding Conventions 141
Tables
Includes and Excludes Notes and Inclusion Terms
Other, Other Specified, and Unspecified
Etiology and Manifestation Rules
Note:
And
Due to
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Chapter Assignments
3 and Reviews
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Chapter Assignments
3 and Reviews
With
Cross References: See, See Also, See Category, See Condition
Code Assignment and Clinical Criteria
REVIEW
Multiple Choice
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ICD-10-CM C H APT E R
Coding
Guidelines 4
ASSIGNMENT 4.1 – ICD-10-CM OFFICIAL GUIDELINES FOR CODING

AND REPORTING
Note:
Note:
hydronephrosis not
Note:
S sequela.
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Chapter 4 ICD-10-CM Coding Guidelines 144
ASSIGNMENT 4.2 – ICD-10-CM DISEASE CODING

Infectious and Parasitic Diseases
Neoplasms
Endocrine, Nutritional, Metabolic, Immunity
Diseases of the Blood and Blood-Forming Organs
Mental Disorders
Diseases of the Nervous System and Sense Organs
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Diseases of the Circulatory System
Diseases of the Respiratory System
Diseases of the Digestive System
Diseases of the Genitourinary System
Complications of Pregnancy, Childbirth, and the Puerperium
Diseases of the Skin and Subcutaneous Tissue
Diseases of the Musculoskeletal System and Connective Tissue
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Congenital Anomalies
Certain Conditions Originating in the Perinatal Period
Symptoms, Signs, and Ill-Defined Conditions
Injury and Poisoning
Note:
Factors Influencing Health Status and Contact with Health Services
External Causes of Injury
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REVIEW
Multiple Choice
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ICD-10-CM and C H APT E R
ICD-10-PCS
Hospital Inpatient
Coding
5
1. c
Note:
• Alcohol use and gallstones are the most common causes of acute pancreatitis.
• Do not assign codes to symptoms (e.g., midabdominal pain) when a definitive diagnosis is
established. In this case, the patient was definitively diagnosed with acute pancreatitis and
cholecystitis.
• Do not assign a code to cholelithiasis because this condition was not evaluated during the
admission; it will be evaluated on an outpatient basis.
2. d
Note:
• Do not assign codes to symptoms such as fatigue, shortness of breath, and chest pain when
a definitive diagnosis has been established. In this case, the patient was diagnosed with
congestive heart failure.
• According to the AHA’s Coding Clinic, “Pleural effusion is commonly seen with congestive
heart failure . . . pleural effusion documented only as an x-ray finding without the physician
having made such a diagnosis should not be reported.” In this case, congestive heart failure
should be documented as the principal diagnosis.
3. d
Note:
Documentation indicates that the patient was administered insulin during the hospitalization,
and the patient is discharged with a prescription for insulin. Although the patient receives insulin
during the hospitalization and continues to receive insulin upon return to the nursing facility, a
physician query should be generated to ask if the patient’s diabetes is type 1 or 2.
Chapter 5 Assignments and Reviews
ICD-10-CM and ICD-10-PCS Hospital Inpatient Coding 149
Note:
Note:
Note:
possible osteoporosis
Note:
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ASSIGNMENT 5.2 – ICD-10-PCS PROCEDURE CODING

ICD-10-PCS Reference Manual
Root Operation: Destruction
Root Operation: Detachment
Excision
Root Operation: Extraction
Root Operation: Resection
Root Operation: Drainage
Root Operation: Extirpation
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Root Operation: Fragmentation
Root Operation: Division
Root Operation: Release
Root Operation: Reattachment
Root Operation: Reposition
Root Operation: Transfer
Root Operation: Transplantation
Root Operation: Bypass
Root Operation: Dilation
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Root Operation: Occlusion
Root Operation: Restriction
Root Operation: Change
Root Operation: Insertion
Root Operation: Removal
Root Operation: Replacement
Root Operation: Revision
Root Operation: Supplement
Root Operation: Inspection
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Root Operation: Map
Root Operation: Control
Root Operation: Repair
Root Operation: Alteration
Root Operation: Creation
Root Operation: Fusion
Section: Obstetrics
Section: Placement
Section: Administration
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Section: Measurement and Monitoring
Section: Extracorporeal Assistance and Performance
Section: Extracorporeal Therapies
Section: Osteopathic
Section: Other Procedures
Section: Chiropractic
Section: Imaging
Section: Nuclear Medicine
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Section: Radiation Therapy
Section: Physical Rehabilitation and Diagnostic Audiology
Section: Mental Health
Section: Substance Abuse Treatment
Section: New Technology
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ASSIGNMENT 5.3 – SELECTING AND CODING PRINCIPAL DIAGNOSIS,

OTHER (ADDITIONAL) DIAGNOSES, PRINCIPAL PROCEDURE, AND
OTHER SIGNIFICANT PROCEDURES
ICD Code(s)
Principal Diagnosis: C34.11
Other (Additional) Diagnosis(es): Z87.891

(e.g., comorbidities, complications,
and secondary diagnoses)
Principal Procedure: 0BBC8ZX
Other Significant Procedure(s):
Note:
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ICD Code(s)
Principal Diagnosis: Z38.00
Other (Additional) Diagnosis(es): Q69.0

(e.g., comorbidities, complications, Q69.2
Principal Procedure: 0H5FXZZ
Other Significant Procedure(s): 0H5GXZZ

0H5MXZZ
0H5NXZZ
Note:
ligation of extra digits both hands and feet

Destruction physical eradication of all or a portion of a body part by the
direct use of energy, force, or a destructive agent
tied off
Excision
portion
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ICD Code(s)
Principal Diagnosis: I50.9
Other (Additional) Diagnosis(es): I42.2

(e.g., comorbidities, complications, I10
Principal Procedure: 5A2204Z
Note:
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ICD Code(s)
Principal Diagnosis: Z30.2
Other (Additional) Diagnosis(es): I97.89

(e.g., comorbidities, complications, R00.1
and secondary diagnoses) Y83.8
Z21
Principal Procedure: 0UL74C
Note:
Occlusion
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ICD Code(s)
Principal Diagnosis: D34
Other (Additional) Diagnosis(es):

Principal Procedure: 0GTK0ZZ
Note:
Papilloma.
benign
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ICD Code(s)
Principal Diagnosis: Q40.0
Other (Additional) Diagnosis(es): E86.0

Principal Procedure:
Note:
Stenosis pylorus (hypertrophic)
Infantile
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ICD Code(s)
Principal Diagnosis: K25.4
Other (Additional) Diagnosis(es): I10

(e.g., comorbidities, complications, E78.4
Principal Procedure: 0DJ08ZZ
Note:
ulcer, prepyloric ulcer, stomach.

ulcer peptic prepyloric.
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ICD Code(s)
Principal Diagnosis: C67.0
Other (Additional) Diagnosis(es): I10

(e.g., comorbidities, complications, H40.9
N99.0
Y83.6
Principal Procedure: 0TBB0ZZ
Other Significant Procedure(s): 0TRB07Z

0DBN0ZZ
Note:
Excision Bladder
Repair Bladder
Excision Intestine
portion
Resection
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ICD Code(s)
Other (Additional) Diagnosis(es):

Principal Procedure: 0DBB0ZZ
Other Significant Procedure(s): 0DTJ0ZZ
Note:
exploratory laparotomy
Excision ileum
portion
Resection Appendix entire
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ICD Code(s)
Other (Additional) Diagnosis(es): P70.4

Principal Procedure: 0CQ00ZZ
Note:
Hypoglycemia neonatal
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ASSIGNMENT 5.4 – CODING PRACTICE: HOSPITAL INPATIENT CASES

Infectious and Parasitic Diseases
Note:
Note:
Neoplasms
Note:
Note:
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Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders
Note:
Note:
Diseases of the Blood and Blood-Forming Organs
Note:
Mental Disorders
Note:
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Diseases of the Nervous System and Sense Organs
Note:
Diseases of the Circulatory System
Note:
Note:
Hemiplegia
Note:
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Diseases of the Respiratory System
Note:
Note:
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Diseases of the Digestive System
Note:
Note:
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Diseases of the Genitourinary System
Note:
Complications of Pregnancy, Childbirth, and the Puerperium
Note:
Note:
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Diseases of the Skin and Subcutaneous Tissue
Note:
Debridement
Nonexcisional see
wound management
wound management
Note:
Wound, open, cheek, complicated.
Diseases of the Musculoskeletal System and Connective Tissue
Note:
Note:
Congenital Anomalies
Note:
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Escherichia coli
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Certain Conditions Originating in the Perinatal Period
Note:
Symptoms, Signs, and Ill-Defined Conditions
Note:
Injury and Poisoning
Note:
Sodium basic phosphate

initial encounter
Note:
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Note:
REVIEW
Multiple Choice
Note:
principal diagnosis, other (additional) diagnoses, principal procedure
significant procedure.
Note:
Note:
Note:
Note:
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Note:
Note:
Note:
Note:
Note:
newborn
Note:
not
Note:
fracture is closed treatment is open.
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Note:
complication of surgery.
Note:
chronic
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ICD-10-CM C H APT E R
Outpatient and
Physician Office
Coding
6

1. d
Note:
Even though the radiologist documented “frontal sinusitis” on the radiology report, the attending
physician should be asked if she concurs that “frontal sinusitis” is the diagnosis that should
be coded. Official coding guidelines state that abnormal findings (e.g., x-ray results) are not
coded and reported unless the physician indicates their clinical significance. If the findings are
outside the normal range and the physician has ordered other tests to evaluate the condition
or prescribed treatment, it is appropriate to ask the physician whether the abnormal finding
should be added. Also do not assign codes to the headache and facial pain because they are
symptoms of the frontal sinusitis.
2. a
Note:
The patient’s record clearly documents past history of type 2 diabetes mellitus and hypertension
(HTN), which was also documented as medically managed during the visit. Type 2 diabetes
mellitus justifies medical necessity for the blood glucose level, and HTN justifies medical
necessity for the physician’s writing a refilled prescription for Verelan.
3. a
Note:
This case is properly documented. A Colles’ fracture involves the lower end of the radius with
displacement of the distal fragment dorsally.
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Chapter 6 Assignments andOutpatient
ICD-10-CM Reviews and Physician Office Coding 179
Note:
Note:
ASSIGNMENT 6.2 – DIAGNOSTIC CODING AND REPORTING GUIDELINES

FOR OUTPATIENT SERVICES: HOSPITAL-BASED AND PHYSICIAN OFFICE
Note:
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Note:
Note:
Note:
Note:
Note:
Note:
Rule out thrush
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ASSIGNMENT 6.3 – SELECTING THE FIRST-LISTED DIAGNOSIS AND

LINKING DIAGNOSES WITH PROCEDURES/SERVICES FOR MEDICAL
NECESSITY
Selecting the First-Listed Diagnosis
Linking Diagnoses with Procedures/Services for Medical Necessity
ASSIGNMENT 6.4 – CODING PRACTICE

Ambulatory Surgery Center (ASC)
Note:
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Chiropractic Office
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Note:
Note:
Note:
Note:
Note:
Strain
Hospital Emergency Department
Note:
Lesion
pigmented (skin).
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Note:
Note:
sprain of right great toe versus early gout
Hospital Outpatient Department
Note:
Diabetic nephropathy due to type 1 diabetes mellitus
Note:
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Note:
Hospital Same Day Surgery
Note:
Adenocarcinoma
Physician Office
Note:
Stand-Alone Radiology Center
Note:
Stand-Alone Urgent Care Center
Note:
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REVIEW
Multiple Choice
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HCPCS Level II C H APT E R
National Coding
System 7
ASSIGNMENT 7.1 – HCPCS LEVEL II INDEX
ASSIGNMENT 7.2 – HCPCS LEVEL II MODIFIERS
ASSIGNMENT 7.3 – ASSIGNING HCPCS LEVEL II CODES

Transport Services Including Ambulance (A0000–A0999)
Medical and Surgical Supplies (A4000–A9999)
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186 Section III Answer Keys to Workbook Assignments
Chapter 7 andHCPCS
ReviewsLevel II National Coding System 186
Enteral and Parenteral Therapy (B4000–B9999)
C Codes for Hospital OPPS (C1700–C9999)
Durable Medical Equipment (E0100–E9999)
Procedures/Professional Services (Temporary) (G0000–G9999)

3
Note:
Alcohol and/or Drug Abuse Treatment Services (H0001–H2037)
Note:
Alcohol
abuse service.
Note:
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Chapter 7 andHCPCS
J Codes Drugs (J0120–J8499) and J Codes Chemotherapy Drugs (J8501–J9999)
Temporary Durable Medical Equipment (K0000–K9999)
Orthotic Procedures and Devices (L0000–L4999)
Prosthetic Procedures (L5000–L9999)
Medical Services (M0000–M0301)
Pathology and Laboratory Services (P0000–P9999)
Q Codes: Temporary Codes (Q0035–Q9999)
Diagnostic Radiology Services (R0000–R5999)
Temporary National Codes (Non-Medicare) (S0000–S9999)
National T Codes Established for State Medicaid Agencies (T1000–T9999)
Note:
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Chapter 7 andHCPCS
Note:
Vision Services (V0000–V2999)
Note:
Hearing Services (V5000–V5999)
Note:
Note:
Note:
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Chapter 7 andHCPCS
Note:
Note:
REVIEW
Multiple Choice
Note:
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C H APT E R
Introduction
to CPT Coding 8
ASSIGNMENT 8.1 – CPT INDEX
Identification of Main Term in CPT Index
Note:
Removal.
Note:
Suture.
Note:
Repair Hernia
Identification of Procedure or Service as Main Term in CPT Index
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191 Section III Answer Keys to Workbook AssignmentsChapter
and Reviews
8 Introduction to CPT Coding 191
Identification of Organ or Other Anatomical Site as Main Term in CPT Index
Identification of Condition as Main Term in CPT Index
Note:
Identification of Synonym as Main Term in CPT Index
Identification of Eponym as Main Term in CPT Index
Identification of Abbreviation as Main Term in CPT Index
Note:
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Terminology
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and Reviews
Note:
Note:
Note:
Note:
CPT Index Code Ranges
Note:
Use of the Directional Term See in the CPT Index

See
See
See
See
See
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and Reviews
ASSIGNMENT 8.2 – CPT APPENDICES

Appendix A
Appendix B
Appendix C
Note:
Appendix D
Appendix E
Appendix F
Appendix J
Appendix K
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and Reviews
Appendix L
Appendix M
Appendix N
Appendix O
Appendix P
ASSIGNMENT 8.3 – CPT SYMBOLS
ASSIGNMENT 8.4 – CPT SECTIONS, SUBSECTIONS, CATEGORIES,

AND SUBCATEGORIES
ASSIGNMENT 8.5 – CPT MODIFIERS
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REVIEW
Multiple Choice
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C H APT E R
CPT Evaluation
and Management 9
ASSIGNMENT 9.1 – LEVELS OF EVALUATION AND MANAGEMENT
SERVICES
Chapterand
9 Reviews
CPT Evaluation and Management 197
ASSIGNMENT 9.2 – ASSIGNING EVALUATION AND MANAGEMENT CODES

ICD CoDES CPT CoDES
Note:
Note:
Note:
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Chapterand
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ICD CoDES CPT CoDES
Note:
Note:
Disturbance
sleep.
Note:
Note:
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Chapterand
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ICD CoDES CPT CoDES
Note:
Note:

ICD CoDES CPT CoDES
Note:
injury, head
Note:
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ICD CoDES CPT CoDES
Note:
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Chapterand
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REVIEW
Multiple Choice
Note:
Note:
Note:
Note:
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CH APT E R
CPT Anesthesia
10
ASSIGNMENT 10.1 – DETERMINING ANESTHESIA SERVICE PAYMENTS
4 5
Note:
1 1 3 5
Note:
sum
4 5
Note:
Note:
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1 1 3 5
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Chapter 10 CPT Anesthesia 204
4 5
Note:
Note:
1 1 3 5 .
ASSIGNMENT 10.2 – ANESTHESIA MODIFIERS

HCPCS Level II Anesthesia Modifiers
Physical Status Modifiers
Note:
Note:
Note:
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Note:
ICD CoDES CPT CoDES

Head
Note:
Note:
Neck
Note:
Thorax (Chest Wall and Shoulder Girdle)
Note:
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ICD CoDES CPT CoDES

Intrathoracic
Note:
Note:
Spine and Spinal Cord
Note:
Upper Abdomen
Note:
Note:
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ICD CoDES CPT CoDES

Lower Abdomen
Note:
Note:
Perineum
Note:
Pelvis
Upper Leg
Note:
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ICD CoDES CPT CoDES
Knee and Popliteal Area
Note:
Note:
Lower Leg
Note:
Note:
Shoulder and Axilla
Upper Arm and Elbow
Note:
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ICD CoDES CPT CoDES
ICD CoDES CPT CoDES
Note:
Forearm, Wrist, and Hand
Radiological Procedures
Note:
Burn Excisions or Debridement
Note:
Obstetric
Note:
Other Procedures
Note:
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ICD CoDES CPT CoDES
Note:
Note:
REVIEW
Multiple Choice
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CH APT E R
CPT Surgery I
11
ICD CoDES CPT CoDES
Note:
Note:
skin, trunk, benign.
Note:
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212 Section III Answer Keys to Workbook Assignments and ReviewsChapter 11 CPT Surgery I 212
ASSIGNMENT 11.2 – CODING OPERATIVE REPORTS

ICD CoDES CPT CoDES
Note:
anus Cyst.
perianal Cyst.
Note:
Note:
Note:
Note:
nipples nipple
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212 Section III Answer Keys to Workbook Assignments and ReviewsChapter 11 CPT Surgery I 213
REVIEW
Multiple Choice
Note:
Note:
Note:
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CH APT E R
CPT Surgery II
12
ICD CoDES CPT CoDES
Note:
Note:
Note:
Chapter 12 CPT Surgery II 215

ICD CoDES CPT CoDES
Note:
Trigger finger repair
Note:
Note:
Removal (of)
device fixation internal.
Note:
Note:
separate procedure
ICD CoDES CPT CoDES
Note:
Spur bone see also

Enthesopathy foot specified type NEC
Note:
Note:
REVIEW
Multiple Choice
Note:
Chapter 12 CPT Surgery II 217
Note:
Note:
CH APT E R
CPT Surgery III

13
ICD CoDES CPT CoDES
Note:
Status
Note:
Regurgitation tricuspid
See Insufficiency tricuspid
Note:
Complication
Chapter 13 CPT Surgery III 219
ICD CoDES CPT CoDES

ICD CoDES CPT CoDES
Note:
Note:
Note:
Removal catheter, vascular
Note:
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Chapter 13 CPT Surgery III 220
ICD CoDES CPT CoDES
Note:
Note:
Note:
Donor
REVIEW
Multiple Choice
Note:
Note:
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CH APT E R
CPT Surgery IV
14
ICD CoDES CPT CoDES
Note:
Mass liver
Note:
Note:
Mass
Mass specified organ NEC—see Disease, by site,
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Chapter 14 CPT Surgery IV 222
ICD CoDES CPT CoDES
Note:
Note:
Urethritis gonococcal
Note:
diaphragm

ICD CoDES CPT CoDES
Note:
incarcerated
Note:
appendicitis, acute suppurative
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ICD CoDES CPT CoDES
ICD CoDES CPT CoDES
Note:
Note:
hemicolectomy partial colectomy
Note:
Note:
CPT Assistant
Note:
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ICD CoDES CPT CoDES
Note:
Note:
Note:
Note:
Chamberlain
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ICD CoDES CPT CoDES

REVIEW
Multiple Choice
Note:
Note:
Note:
Note:
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CH APT E R
CPT Surgery V
15
ICD CoDES CPT CoDES
Note:
Injury nerve foot
specified site NEC Laceration
nerve Injury.
Note:
Outcome
Note:
227 Section III Answer Keys to Workbook Assignments and ReviewsChapter 15 CPT Surgery V 227
ICD CoDES
ICD CoDES CPT CoDES
CPT CoDES
Note:
Bowen’s
skin, male genital organs, penis, in situ.
Note:
Note:
Note:
Note:
Mass, substernal thyroid
Goiter
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ICD CoDES
ICD CoDES CPT CoDES
CPT CoDES
Note:
ulcer
cornea
Note:
Note:
ear
(external).
Note:
Neuritis facial
orbital, supraorbital frontal
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ICD CoDES
ICD CoDES CPT CoDES
CPT CoDES
Note:

ICD CoDES CPT CoDES
Note:
Note:
Encounter (for) sterilization.
Note:
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ICD CoDES
ICD CoDES CPT CoDES
CPT CoDES
Note:
Note:
Note:
Note:
Note:
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ICD CoDES
ICD CoDES CPT CoDES
CPT CoDES
Note:
care
course
Note:
Complication nervous
system postprocedural
REVIEW
Multiple Choice
Note:
trichiasis
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Note:
Note:
Note:
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CH APT E R
CPT Radiology
16
ICD CoDES CPT CoDES
Note:
Note:
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Chapter 16 CPT Radiology 234
ICD CoDES CPT CoDES
ICD CoDES CPT CoDES
Note:
Mass
head
Note:
ASSIGNMENT 16.2 – CODING RADIOLOGY REPORTS

ICD CoDES CPT CoDES
Note:
Urography intravenous
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Chapter 16 CPT Radiology 235
ICD CoDES CPT CoDES
Note:
REVIEW
Multiple Choice
Note:
Note:
Note:
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CH APT E R
CPT Pathology
and Laboratory 17
ICD CoDES CPT CoDES
Note:
Note:
Examination donor (potential)
Note:
237 Section III Answer Keys to Workbook Assignments and 17
Chapter ReviewsCPT Pathology and Laboratory 237
ICD CoDES CPT CoDES
Note:
Note:
Note:
Note:
Note:
Screening rubella
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ICD CoDES CPT CoDES
ICD CoDES CPT CoDES
Note:
Screening genitourinary disease
ASSIGNMENT 17.2 – CODING PATHOLOGY AND LABORATORY REPORTS

ICD CoDES CPT CoDES
Note:
Note:
Note:
Urinary bladder biopsy
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ICD CoDES CPT CoDES
Note:
Note:
Note:
Note:
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ICD CoDES CPT CoDES

REVIEW
Multiple Choice
Note:
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CH APT E R
CPT Medicine
18
ICD CoDES CPT CoDES
Note:
Note:
complicated
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242 Section III Answer Keys to Workbook Assignments and ReviewsChapter 18 CPT Medicine 242
ICD CoDES CPT CoDES
ASSIGNMENT 18.2 – CODING MEDICINE REPORTS

ICD CoDES CPT CoDES
Note:
rule out coronary artery disease
Note:
Note:
Note:
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243 Section III Answer Keys to Workbook Assignments and ReviewsChapter 18 CPT Medicine 243
REVIEW
Multiple Choice
Note:
Note:
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CH APT E R
Insurance and
Reimbursement 19
ASSIGNMENT 19.1 – CHARGEMASTER REVIEW PROCESS
ASSIGNMENT 19.2 – INTERPRETING A REMITTANCE ADVICE
Chapter ReviewsInsurance and Reimbursement 245
ASSIGNMENT 19.3 – INTERPRETING A MEDICARE FEE-FOR-SERVICE

PAYMENT ERROR REPORT
ASSIGNMENT 19.4 – AMBULATORY PAYMENT CLASSIFICATIONS
Note:
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ASSIGNMENT 19.5 – INTERPRETING DIAGNOSIS-RELATED GROUPS

DECISION TREES
Medical Partitioning DRG Decision Tree (Figure 19-4 in the Workbook)
Surgical Partitioning DRG Decision Tree (Figure 19-5 in the Workbook)
ASSIGNMENT 19.6 – ASSIGNING DIAGNOSIS-RELATED GROUPS
Note:
Note:
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that are surgical in nature, carry an anesthetic risk, or

require specialized training to perform.
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Current Procedural
Current Procedural
Terminology
Terminology
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ASSIGNMENT 19.7 – RESOURCE UTILIZATION GROUPS
Note:
5 3 5
Note:
5 3 5
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Note:
2 5
5
3 5
RUG-53 Category Total Rate Labor Portion Nonlabor Portion

Rehabilitation Ultra High plus Extensive Services High (RUX) 564.83 428.83 136
Rehabilitation Ultra High plus Extensive Services Low (RUL) 496.04 376.6 119.44
Rehabilitation Very High plus Extensive Services High (RVX) 428.24 325.13 103.11
Rehabilitation Very High plus Extensive Services Low (RVL) 399.34 303.19 96.15
Rehabilitation High plus Extensive Services High (RHX) 363.02 275.61 87.41
Rehabilitation High plus Extensive Services Low (RHL) 356.14 270.39 85.75
Rehabilitation Medium (RMC) 308.25 234.03 74.22
Rehabilitation Medium (RMB) 299.99 227.76 72.23
Rehabilitation Medium (RMA) 293.11 222.53 70.58
Rehabilitation Low (RLB) 271.64 206.23 65.41
Rehabilitation Low (RLA) 231.74 175.94 55.8
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Current Procedural
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Terminology
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Total Rate
RLA
RUX
RLB
RMA
RUL
RMB
RMC
RVX
RHL
RVL
RHX
REVIEW
Multiple Choice
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ASSIGNMENT 1.2 – PROFESSIONAL DISCUSSION FORUMS

ASSIGNMENT 1.3 – CODING OVERVIEW: VALIDATING ACCURACY

Validating ICD-10-CM and ICD-10-PCS Coding Accuracy

secondary carcinoma of the bone

ASSIGNMENT 1.4 – COMPUTER-ASSISTED CODING (CAC)

admitting diagnosis Admitting Diagnosis

admitting diagnosis reason for admission

reason for admission admitting diagnosis

synovectomy, limited (e.g., plica or shelf resection) (separate

ASSIGNMENT 1.5 – HEALTH DATA COLLECTION: FACE VALIDITY

Section B Section C Section D

TOTAL 3,030 TOTAL 3,029 TOTAL 16 8 50%

ASSIGNMENT 1.6 – PHYSICIAN QUERY PROCESS

To: Dr. Trevors

Patient Name Patient Record Number

Marian Reynolds 987654

Date of Encounter Location

May 4, YYYY Medical Center

Reason for Query

ASSIGNMENT 2.2 – ICD-10-PCS INDEX

ASSIGNMENT 2.3 – ICD-10-PCS INDEX AND TABLES

ASSIGNMENT 2.4 – GENERAL EQUIVALENCE MAPPING (GEMs)

ASSIGNMENT 3.1 – APPLYING ICD-10-CM AND ICD-10-PCS CODING

NEC and NOS Abbreviations

Includes and Excludes Notes and Inclusion Terms

Other, Other Specified, and Unspecified

Etiology and Manifestation Rules

Cross References: See, See Also, See Category, See Condition

Code Assignment and Clinical Criteria

ASSIGNMENT 4.1 – ICD-10-CM OFFICIAL GUIDELINES FOR CODING

ASSIGNMENT 4.2 – ICD-10-CM DISEASE CODING

Endocrine, Nutritional, Metabolic, Immunity

Diseases of the Blood and Blood-Forming Organs

Diseases of the Nervous System and Sense Organs

Diseases of the Circulatory System

Diseases of the Respiratory System

Diseases of the Digestive System

Diseases of the Genitourinary System

Complications of Pregnancy, Childbirth, and the Puerperium

Diseases of the Skin and Subcutaneous Tissue

Diseases of the Musculoskeletal System and Connective Tissue

Certain Conditions Originating in the Perinatal Period

Symptoms, Signs, and Ill-Defined Conditions

Injury and Poisoning

Factors Influencing Health Status and Contact with Health Services

External Causes of Injury

ASSIGNMENT 5.2 – ICD-10-PCS PROCEDURE CODING

Root Operation: Destruction

Root Operation: Detachment

Root Operation: Extraction

Root Operation: Resection

Root Operation: Drainage

Root Operation: Extirpation

Root Operation: Fragmentation

Root Operation: Division

Root Operation: Release

Root Operation: Reattachment

Root Operation: Reposition

Root Operation: Transfer

Root Operation: Transplantation

Root Operation: Bypass

Root Operation: Dilation