Senior Medical Coding Analyst Interview Questions and Answers

The question is related to medical coding elements and updates for 2023.

• Mdm elements with risk table meanings like elective major surgery, parental drugs, prescribed drugs, OTC drugs

• Preventive care codes guidelines and Medicare wellness codes, vaccination codes admin codes with guidelines

• OP codes new and est, den IP codes same day admit and discharge codes with time and guidelines

• Annual wellness visit (10 questions), vacancies (5 questions)

• EM changes 2023, prolonged service c...read more

In fusion procedure, if autologous and non-autologous tissue graft are used, the appropriate coding would depend on the specific details of the procedure.

• Assign separate codes for autologous and non-autologous tissue grafts

• Use the appropriate CPT codes for each type of tissue graft used

• Ensure accurate documentation of the specific types of tissue grafts used in the fusion procedure

The primary diagnosis (PDx) in this case would be sepsis.

• PDx would be sepsis as it is the main reason for hospitalization and treatment.

• Secondary diagnoses would include UTI and urinary catheter.

• The focus should be on treating the sepsis while also addressing the underlying UTI and catheter issues.

To code severe preeclampsia, use O14.1 with POA indicator 1 for present on admission.

• Code severe preeclampsia as O14.1

• Use POA indicator 1 to indicate it was present on admission

• Document any additional details or complications in the medical record

• Assign additional codes for any associated conditions or symptoms

• Review official coding guidelines for accurate coding

Approaches in PCS coding include root operation, body part, approach, device, qualifier, and body system.

• Root operation: The main action performed on the body part.

• Body part: The specific body part involved in the procedure.

• Approach: The method used to reach the body part for the procedure.

• Device: Any tools or devices used during the procedure.

• Qualifier: Additional information about the procedure.

• Body system: The anatomical system related to the procedure.

Antibiotics are drugs used to treat bacterial infections by killing or inhibiting the growth of bacteria.

• Penicillin (e.g. amoxicillin, ampicillin)

• Cephalosporins (e.g. cephalexin, ceftriaxone)

• Macrolides (e.g. azithromycin, erythromycin)

• Fluoroquinolones (e.g. ciprofloxacin, levofloxacin)

• Tetracyclines (e.g. doxycycline, minocycline)

Mixed hyperlipidemia is a condition where there are high levels of different types of fats in the blood, including both cholesterol and triglycerides.

• Mixed hyperlipidemia is a combination of high cholesterol and high triglycerides in the blood.

• Hypercholesterolemia specifically refers to high levels of cholesterol in the blood.

• Treatment for mixed hyperlipidemia may involve lifestyle changes, medications, and monitoring cholesterol levels.

• Examples of medications used to treat m...read more

Burn ICD guidelines provide specific codes for classifying burns based on severity, location, and extent.

• ICD-10-CM codes for burns range from T20-T31, with additional characters to specify degree and location

• Codes for burns include factors such as extent of body surface area affected and depth of burn

• Guidelines also include separate codes for chemical, electrical, and thermal burns