CPC Exam Prep 2023 Questions
NEC - ANS 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.
NOS - ANS Not otherwise specified; equivalent of unspecified.
Exlcudes1 - ANS MeANS NOT CODED HERE; the two conditions cannot occur together.
Excludes2 - ANS 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 - ANS Interpret as either or
With - ANS Interpreted as associated with or due to
Uncertain Diagnosis - ANS diagnosis documented at the time of discharge as "probable,"
"suspected," "likely," "questionable," "possible," or "rule out".
Do not doe for uncertain diagnosis in outpatient settings, code for the signs and symptoms instead.
Acute and Chronic conditions - ANS 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 - ANS Single code used to classify two diagnoses
Borderline Diagnosis - ANS 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 - ANS code for the neoplasm first, then the
episode of care
patient encounter solely for chemotherapy, immunotherapy, etc. - ANS assign Z50.- or Z51.-
Patient admitted due to chemotherapy/radiation - ANS Code for the chemo/radiation first then the
complication
Type of diabetes is not documented - ANS default to type 2
adjacent tissue transfer - ANS Transfer of a section of skin or flap from that immediately next to the
damaged skin and than can be moved without completely detaching it.
Reasoned performed: to repair or replace damaged skin.
autograft - ANS use of a patients own tissue from one sire to replace damaged tissue at another site.
Avulsion - ANS forceful tearing of the nail plate
reason performed: to treat onychocryptosis, perform biopsy, or treat an infection
chemosurgery - ANS use of chemical agent to destroy tissue
Cryotherapy - ANS use of liquid nitrogen to destroy tissue
destruction - ANS rendering tissue into tiny fragments
electrocauterization - ANS use of a hot instrument to destroy tissue
electrosurgical destruction - ANS use of high frequency electric current to destroy tissue
excision - ANS process of cutting out
, full thickness removal of disease or damaged tissue
Flap transfer - ANS 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 - ANS injection of medications into a lesion or scar
ligature - ANS tying off skin tag at its based with thread, eliminating the blood flow.
Mohs micrographic surgery - ANS thin layers of malignant tissue are removed, and each is examined
under a microscope to check for adequate extent of the resection
shaving - ANS use of a sharp instrument
Skin replacement - ANS use of skin from the patients own body or a donor to replace damaged skin
tissue expander - ANS a temporary inflatable placed under the skin to stretch it and allow growth of
new skin cells
wound repair, intermediate - ANS requires closure of one or more subcutaneous tissues and
superficial fascia, in addition to the skin closure
wound repair, simple - ANS superficial wound repair, involving epidermis, dermis, and subcutaneous
tissue, requiring only simple, one-layer suturing
wound repair, complex - ANS involves complicated wound closure, including revision, debridement,
extensive undermining, and more than layered closure
Lund-Browder classification - ANS alternate method to the rule of nines for estimating burn size as a
percent of total body surface area. This method takes into consideration age related changes in body
proportions
mastotomy - ANS surgical incision of the breast
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