MBC 205/ MBC205 Midterm Exam | Medical Billing and Coding | Complete Questions and Answers Latest 2026 updated - Washtenaw Community College.

MBC 205/ MBC205 Midterm Exam | Medical Billing and Coding | Complete Questions and Answers Latest 2026 updated - Washtenaw Community College. Question 1 Multiple Choice 1 point What edition of the Federal Register would outpatient facilities be especially interested in? October November or December January July Question 2 Multiple Choice 1 point What is the largest third-party payer? U.S. Food and Drug Administration Social Security Administration American government Department of Health and Human Services Question 3 Multiple Choice 1 point What government organization is responsible for administering the Medicare program? Centers for Medicare and Medicaid Services (CMS) Social Security Administration National Center for Health Statistics Department of Health and Human Services Question 4 Multiple Choice 1 point What are the three items that the Medicare beneficiaries are responsible to pay before Medicare will begin to pay for services? personal care items deductibles, drug costs, personal care items premiums deductibles, premiums, and coinsuranceQuestion 5 Multiple Choice 1 point Medicare funds are collected by: U.S. Food and Drug Administration Social Security Administration National Center for Health Statistics Department of the Treasury Question 6 Fill in the Blank 1 point Under the _Relative Value Unit_ (three words) systems, unit values are assigned to each service and are determined on the basis of the resources necessary to the physician’s performance of the service. Question 7 Fill in the Blank 1 point The _limiting_ charge historically was specific for each physician, but in 1993, the charge for a service was the same for all physicians within a locality, regardless of the specialty. Question 8 Fill in the Blank 1 point Within an HMO, there is usually an individual who has been assigned to monitor the services provided to the patient both inside the facility and outside the facility. This person is known as the _primary care physician (gatekeeper)_. Question 9 Fill in the Blank 1 point In this model of HMO, the HMO contracts with the physician to provide the service at a set fee. _Individual_ Practice Associations Question 10 Fill in the Blank 1 point HIPAA stands for_Health Insurance Portability_ (three words) and Accountability Act. Question 11 Multiple Choice 1 point This organization developed and maintains the ICD-10 on a world-wide basis: CMS AHIMA AHA WHOQuestion 12 Multiple Choice 1 point When more than one diagnosis is reported with one code, the code is this type of code: multiple compound complex Combination Question 13 Multiple Choice 1 point Terms in the Index are listed by: Symptoms encounter complication all of the above Question 14 Multiple Choice 1 point The acronym for the I-10 system that reports inpatient procedures is the: PDQ PCS PHI none of the above Question 15 True or False 1 point The first nation to implement the world version of ICD-10 was the United States. True False Question 16 True or False 1 point There are 18 chapters in the United States I-10. True FalseQuestion 17 True or False 1 point I-10 is indexed in a similar manner as the I-9. True False Question 18 True or False 1 point The codes in the I-10 are alphanumeric. True False Question 19 True or False 1 point The Uniform Hospital Discharge Data Set (UHDDS) applies to outpatient coding. True False Question 20 True or False 1 point It is acceptable to report probable diagnoses in the outpatient setting. True False Question 21 True or False 1 point Always begin the search in the Index of the I-10. True False Question 22 True or False 1 point A patient presents with a complaint of fatigue, weight gain, and constipation. Thyroid function studies were ordered. In this case, it is correct to report thyroid studies results. True FalseQuestion 23 True or False 1 point When a patient is admitted for observation for a medical condition, assign a code for the medical condition as the first-listed diagnosis. True False Question 24 True or False 1 point An example of an Index location for Z codes would be: admission, aftercare, attention True False Question 25 True or False 1 point The maximum number of characters in an I-10 code is six. True False Question 26 True or False 1 point For patients receiving diagnostic services only during an encounter, sequence first the diagnosis, condition, problem, or other reason for the encounter shown in the medical record to be chiefly responsible for the outpatient services provided during the encounter. True False Question 27 True or False 1 point If a postoperative diagnosis is different from the preoperative diagnosis, list the preoperative diagnosis first. True False Question 28 Fill in the Blank 1 point Exposure to lead:Z Code: _Z77.011_ Question 29 Fill in the Blank 1 point Personal history of benign neoplasm of the brain: Z Code: _Z86.011_ Question 30 Fill in the Blank 1 point Kidney transplant status: Z Code: _Z94.0_ Question 31 Fill in the Blank 1 point Gastroenteritis due to Salmonella ICD-10-CM Code: _A02.0_ Question 32 Fill in the Blank 1 point Arthritis following pathological fracture of the right femur three years ago ICD-10-CM Codes: __ (two codes) M16.7, M84.451S Question 33 Fill in the Blank 1 point Staphylococcus aureus cellulitis of the face ICD-10-CM Codes: __ (two codes) B95.61; L03.211 Question 34 Fill in the Blank 1 point Dehydration due to pneumonia ICD-10-CM Codes: __ (two codes) E86.0, J18.9Question 35 Fill in the Blank 1 point Aseptic meningitis in leptospirosis ICD-10-CM Code: __A27.81 Question Blank 1 of 1 Question 36 Fill in the Blank 1 point Urinary tract infection due to Escherichia coli ICD-10-CM Codes: __ (two codes) N39.0, B96.20 Question 37 True or False 1 point When separate codes exist to identify acute and chronic conditions, and both conditions are documented, the acute code is sequenced first. True False Question 38 True or False 1 point When sequencing codes for residuals, the residual is sequenced second preceded by a late effect code. True False Question 39 True or False 1 point When there are seven characters available for assignment, you must assign all seven characters. True False Question 40 True or False 1 point According to the Official Guidelines for Coding and Reporting, even when a definitive diagnosis is stated, you should still report the symptoms of the condition. TrueFalse Question 41 True or False 1 point Patient has rheumatoid arthritis and anemia. The anemia is integral to the rheumatoid arthritis. True False Question 42 Multiple Choice 1 point A combination code is a single code used to classify all of the following EXCEPT: two diagnoses a diagnosis with an associated secondary process (manifestation) a compound fracture diagnosis with an associated complication Question 43 Multiple Choice 1 point “Code, if applicable, any causal condition first,” notes indicate that this code may be assigned as a first-listed diagnosis when the causal condition is: not specifically a manifestation code unknown or not applicable in addition to the primary diagnosis a secondary diagnosis not otherwise specified Question 44 Multiple Choice 1 point If there is a 7th character to assign for an I-10 code, but there are only five characters in the terminal code, the 6th character would be which of the following? circle x dash ColonQuestion 45 Multiple Choice 1 point This instructional note in the Tabular of the I-10 directs the coder regarding sequencing. Code first Use additional digit Excludes Includes Question 46 Multiple Choice 1 point The medical record documents: residual foreign body in the femur due to a fall from a ladder onto a metal fixture that embedded in the bone. Which of the following would be the correct residual and cause? Residual: Foreign body of femur; Cause: Fall from ladder Residual: Fall from ladder; Cause: Foreign body of femur Residual: Foreign body of femur; Cause: Metal fixture Residual: Foreign body; Cause: Metal fixture Question 47 Fill in the Blank 1 point Pneumocystis pneumonia in a patient with HIV ICD-10-CM Codes: __B20, B59 Question 48 Fill in the Blank 1 point Gastroenteritis due to Norwalk virus ICD-10-CM Code: __A08.11 Question 49 Fill in the Blank 1 point Hypertension with end-stage renal disease ICD-10-CM Codes: __I12.0, N18.6Question 50 Fill in the Blank 1 point Alzheimer’s disease ICD-10-CM Codes: __G30.9, F02.80 Question 51 Multiple Choice 1 point ________ is the pulling away (eversion) of the eyelid. Entropion Ectropion Question 52 Multiple Choice 1 point ________ is an inherited bone growth that causes hearing loss and is reported with category codes H80. Tympanitis Surfer’s ear Otosclerosis Fibromas Question 53 Multiple Choice 1 point ________ hypertension is a continuous, mild blood pressure elevation that can usually be controlled by medication. Malignant Benign Interrelated EssentialQuestion 54 Multiple Choice 1 point The Guidelines instruct the coder to assume that there is this type of relationship between hypertension and chronic kidney disease reported with category N18.-. cause-and-effect one-to-one no known complex Question 55 Multiple Choice 1 point Which myocardial infarction type is most severe? STEMI NSTEMI Question 56 Fill in the Blank 1 point Recurrent, bilateral inguinal hernia with obstruction ICD-10-CM Code: __K40.01 Question 57 Fill in the Blank 1 point Barrett’s esophagus with high-grade dysplasia ICD-10-CM Code: __K22.711 Question 58 Fill in the Blank 1 point Cellulitis of scalp ICD-10-CM Code: __L03.811 Question 59 Fill in the Blank 1 point Pressure ulcer of left hip, stage 3, with full-thickness skin loss and damage of subcutaneous tissue ICD-10-CM Code: __L89.223Question 60 Fill in the Blank 1 point Dermatitis due to poison ivy ICD-10-CM Code: __L23.7 Question 61 Multiple Choice 1 point Which of the following are two general and important considerations when assigning a gastrointestinal code? patient age and gender diverticulitis and perforation hemorrhage and perforation ulcer and diverticulitis Question 62 Multiple Choice 1 point Which of the following would NOT be assigned with codes from Chapter 12 of the I-10? sweat glands hair nails bone marrow Question 63 Multiple Choice 1 point A stage 1 pressure ulcer involves which of the following? epidermis dermis up to fascia extensive fasciaQuestion 64 Multiple Choice 1 point A stage 3 pressure ulcer involves which of the following? epidermis dermis up to fascia extensive fascia Question 65 Multiple Choice 1 point Most codes in Chapter 13, Diseases of the Musculoskeletal System and Connective Tissue, have these designations: site and laterality laterality and extent depth and laterality none of the above Question 66 Multiple Choice 1 point A complication during pregnancy, childbirth, or the puerperium is considered to be a complication unless the attending physician specifically documents that the complicating condition neither: resulted in extensive complexity or loss of blood affected the mother nor the fetus/newborn affects the pregnancy nor is affected by the pregnancy none of the aboveQuestion 67 Multiple Choice 1 point The Chapter 15, Pregnancy, Childbirth and the Puerperium, codes are only used on this medical record: mother newborn either Neither Question 68 Multiple Choice 1 point Outcome of delivery is only used on this medical record: mother newborn either Neither Question 69 Multiple Choice 1 point The trimesters are calculated from the ________. 14th week 28th week LMP date of first diagnosis of pregnancy Question 70 Multiple Choice 1 point This pregnancy is one in which the fertilized ovum implants outside the uterus, usually in the fallopian tube. hydatidiform mole fallopian pregnancy ectopic pregnancy periuterine pregnancyQuestion 71 Multiple Choice 1 point Trisomy ________ is the name for Down syndrome because the syndrome is due to a cell having an excess chromosome. 19 20 21 22 Question 72 Fill in the Blank 1 point Congenital arachnoid cyst of the brain. ICD-10-CM Code: __Q04.6 Question 73 Fill in the Blank 1 point Two-year-old diagnosed with fragile X syndrome. ICD-10-CM Code: __Q99.2 Question 74 Multiple Choice 1 point A ________ is defined as an objective evidence of disease that can be observed by the physician. sign symptom complication complexity