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Module 01 Lab Activity - Explore 3 Coding Systems
Note: There are three sections to complete for this lab worksheet. Each section is for a different coding system. Pre-requisite:
Read the Lesson Content for Module 01 and listen to the Live Classroom session recording.
Instructions:
Enter all responses directly in this worksheet. Submit the completed worksheet to the drop box for grading.
Tip:
A good rule to remember in coding is that reading slowly for understanding is very important in learning the skill of coding, even when you are coding on the job. Even experienced coders have to remember this rule. And always double check your work to ensure accuracy…even experienced coders do that.
Section 1: ICD-10-CM Coding System
Instructions:
For each diagnostic statement on the left, identify the Main Term, and list it in
the column on the right.
Diagnostic Statement
Main Term 1.
Benign Hypertension
Hypertension
2.
Follicular Cyst
Cyst
3.
Acute sinusitis
Sinusitis
4.
Juvenile arthritis, knee
Arthritis
5.
Adult onset diabetes
Diabetes
6.
Chronic persistent atrial fibrillation
Fibrillation
7.
Cystic fibrosis
Fibrosis
8.
Acute aspiration pneumonia
Pneumonia
9.
Chronic orthostatic hypotension
Hypotension
10. Appendicitis with rupture NOS
Appendicitis
11. COPD unspecified
COPD
12. Hyperlipidemia, unspecified Hyperlipidemia
13. Nausea, unspecified, without vomiting
Nausea
14.
Cirrhosis, liver
Cirrhosis
15.
Viral hepatitis
Hepatitis
Instructions:
For each characteristic description on the left, specify the unique characteristic of the ICD-10-CM, and list it in the column on the right.
Characteristic Description
Unique Characteristic
1.
Indicate the number of characters in an ICD-10-CM code
3-7
2.
State the character that is ALWAYS an alphabetic character
The first character
3.
Are there any letter values not used in ICD 10 CM codes?
U
4.
Specify where the decimal point is placed in the code
After the third character
Page 1
of 4
5.
Indicate the character that is ALWAYS a numeric value
The second character
6.
State the Placeholder character value X
Section 2: CPT Coding System
Instructions:
For each characteristic description on the left, specify the unique characteristic of the CPT Code, and list it in the column on the right.
Characteristic Description
Unique Characteristic
1.
State the number of digits in the CPT
5
2.
Indicate the type of setting where CPT codes are typically used
Inpatient 3.
Indicate what is included in the term “procedures” which describes services and what type of tests
Something that is done or given to a patient
4.
Specify where the guidelines for CPT
coding are located in the code book
At the beginning of each section
5.
Identify the next step in the coding process after identifying the main term index
Review sub terms to find the most specific code
6.
Name the 2 character extension applied to the 5-digit CPT to provide information regarding certain circumstances that are relevant to the service performed
modifier
7.
State the 2 categories of office visits
EM(Evaluation and Management), and Preventative
8.
Name the 4
th
classification of main terms in addition to:
Procedure or service (Endoscopy or
splint)
Organ or other anatomical site (Fibula, bladder)
Condition (Abscess)
Synonyms, eponyms, and abbreviations
9.
Explain the purpose of a “Modifying Term”
It provides additional information without changing the meaning of the code
10. State where the Index is located in the CPT code book
In the back of the book
Page 2
of 4
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