2
NCCQ UK Theory newest updated exam with precise || || || || || || || ||
detailed solutions ||
The requirement for national collection of the use of fifth characters appears in which four
|| || || || || || || || || || || || || || ||
ICD-10 4th Edition chapters? Either chapter numbers (Arabic or Roman numeral) or full
|| || || || || || || || || || || || ||
titles are acceptable. [3 Marks] - ✔✔Chapter IX (9) Diseases of the circulatory system
|| || || || || || || || || || || || || ||
Chapter X (10) Diseases of the respiratory system
|| || || || || || ||
Chapter XIII (13) Diseases of the musculoskeletal system and connective tissue
|| || || || || || || || || || ||
Chapter XIX (19) Injury, poisoning and certain other consequences of external causes
|| || || || || || || || || || ||
The circumstances surrounding reactions to drug/medication are classified in two ways
|| || || || || || || || || || ||
within ICD-10 Tabular List, Volume 1. Name both ways. [2 Marks] - ✔✔Poisoning
|| || || || || || || || || || || || ||
(improper use) || ||
Adverse effect (proper use) || || ||
What must a coder do if a surgical eponym is used in the medical record to describe a
|| || || || || || || || || || || || || || || || || ||
procedure? [3 Marks] - ✔✔The coder must analyse the procedural information and ensure
|| || || || || || || || || || || || ||
that code assignment fully reflects the procedure performed.
|| || || || || || || ||
Where the coder is unsure what procedure the eponym describes, they must seek advice
|| || || || || || || || || || || || || ||
from the responsible consultant to ensure that the correct codes are assigned.
|| || || || || || || || || || ||
When should site codes from Chapter Z be assigned? [1 Mark] - ✔✔They must always be
|| || || || || || || || || || || || || || || ||
assigned when this adds further information about the site on which the procedure was
|| || || || || || || || || || || || || ||
performed
,2
What two conditions must be coded if a diagnosis of 'severe sepsis' alone is made by the
|| || || || || || || || || || || || || || || || ||
clinician? No actual codes are required. [2 Marks] - ✔✔(A41.9) Sepsis (unspecified) (R65.1)
|| || || || || || || || || || || || ||
Systemic Inflammatory Response Syndrome (SIRS) of infectious origin with organ failure
|| || || || || || || || || ||
What is the standard regarding the use of the OPCS-4.7 code X35.1 Intravenous induction of
|| || || || || || || || || || || || || ||
labour? [1 Mark] - ✔✔It must never be used.
|| || || || || || || || ||
On what occasion is it a mandatory requirement to assign an OPCS-4.7 general anaesthetic
|| || || || || || || || || || || || || ||
code? [1 Mark] - ✔✔When radiotherapy is delivered under general anaesthetic, a code from
|| || || || || || || || || || || || ||
category Y80 General anaesthetic must be assigned in addition to the radiotherapy delivery.
|| || || || || || || || || || || || ||
When should codes from ICD-10 category Z54.- Convalescence be assigned and how should
|| || || || || || || || || || || || ||
they be sequenced? No actual codes are required. [2 Marks] - ✔✔Never in primary. They
|| || || || || || || || || || || || || || ||
must only be assigned in a secondary position when a patient has received convalescence in
|| || || || || || || || || || || || || || ||
a dedicated convalescent unit.
|| || ||
How should an injury caused by a geriatric fall be coded? Describe the possible sequencing
|| || || || || || || || || || || || || || ||
of these codes. No actual codes are required. [4 Marks] - ✔✔Code classifying the injury
|| || || || || || || || || || || || || || ||
sustained (from Chapter XIX). External cause code to describe the fall (from categories
|| || || || || || || || || || || || ||
W00-W19). ||
(R29.6) Tendency to fall, (not elsewhere classified).
|| || || || || || ||
In this sequence, unless the patient remains in hospital for investigation of the falls and this
|| || || || || || || || || || || || || || || ||
becomes the primary focus of care, then this code (R29.6) must be sequenced before the
|| || || || || || || || || || || || || || ||
codes for the injury || || ||
What must be coded when an excision and biopsy (excision biopsy) is performed on the
|| || || || || || || || || || || || || || ||
same site during the same theatre visit, and why? No actual codes are required. [2 Marks] -
|| || || || || || || || || || || || || || || || ||
✔✔Only assign a code(s) for the excision as a biopsy is an integral part of an excision.
|| || || || || || || || || || || || || || || ||
,2
When must codes from ICD-10 category Z38.- Liveborn infants according to place of birth
|| || || || || || || || || || || || || ||
be assigned in the primary coding field? [1 Mark] - ✔✔If the baby is a completely well baby
|| || || || || || || || || || || || || || || || || ||
and has no morbid conditions that have been treated or investigated.
|| || || || || || || || || ||
During which procedure should OPCS-4.7 code X50.5 Evaluation of a cardiodefibrillator not
|| || || || || || || || || || ||
be assigned when carried out? No actual codes are required. [1 Mark] - ✔✔When testing is
|| || || || || || || || || || || || || || || || ||
performed during the insertion of the cardioverter defibrillator (K59 Cardioverter
|| || || || || || || || || ||
defibrillator introduced through the vein or K72 Other cardioverter defibrillator). || || || || || || || || ||
What precise wording, other than 'status asthmaticus', must be present in the medical
|| || || || || || || || || || || || ||
records to be able to assign J46.X Status asthmaticus? [1 Mark] - ✔✔Acute severe asthma
|| || || || || || || || || || || || || ||
How should a fracture fixation procedure be coded when the description names more than
|| || || || || || || || || || || || || ||
one type of fixation device, e.g. pin and plate? No actual codes are required. [2 Marks] -
|| || || || || || || || || || || || || || || || ||
✔✔Only the main part of the device that is holding the fracture together must be coded.
|| || || || || || || || || || || || || || || ||
When it is not clear which part of the fixation device is the main part holding the fracture
|| || || || || || || || || || || || || || || || || ||
together, advice must be sought from the responsible consultant.
|| || || || || || || ||
In accordance with national clinical coding standards, name the two specific forms of chest
|| || || || || || || || || || || || || ||
pain categorised to ICD-10 category R07 Pain in throat and chest. [2 Marks] - ✔✔Central
|| || || || || || || || || || || || || || ||
chest pain || ||
Musculoskeletal chest pain || ||
In ICD-10 coding terms, describe the difference between a 'rectal haemorrhage' and 'per
|| || || || || || || || || || || || ||
rectal haemorrhage', and the coding standards related to these terms. No actual codes are
|| || || || || || || || || || || || || ||
required. [3 Marks] - ✔✔The code (K62.5) for 'haemorrhage of anus and rectum' must only
|| || || || || || || || || || || || || || ||
be assigned for an actual haemorrhage of the anus and/or rectum. It must not be assigned
|| || || || || || || || || || || || || || || ||
for haemorrhage that has occurred from elsewhere in the gastrointestinal tract that is
|| || || || || || || || || || || || ||
merely exiting via the rectum, i.e. per rectal haemorrhage.
|| || || || || || || || ||
, 2
The code (K92.2) for 'gastrointestinal haemorrhage, unspecified' must be assigned for a
|| || || || || || || || || || || ||
haemorrhage that occurred via the rectum (per rectal haemorrhage) but is not specified as || || || || || || || || || || || || || ||
being from the actual rectum or anus. This code must not be assigned when it is a symptom
|| || || || || || || || || || || || || || || || || ||
of a specific disease which has been diagnosed.
|| || || || || || ||
How must a colonoscopy with ileal intubation that includes a biopsy of the terminal ileum
|| || || || || || || || || || || || || || ||
be coded? No actual codes are required. [2 Marks] - ✔✔(H22.1) Diagnostic fibreoptic
|| || || || || || || || || || || || ||
endoscopic examination of colon and biopsy of lesion of colon followed by the site code || || || || || || || || || || || || || || ||
(Z27.6) Ileum ||
What clinical coding standards relating to the use of ICD-10 category O63 Long labour must
|| || || || || || || || || || || || || ||
the coder be aware of? [2 Marks] - ✔✔It must be documented in the medical record that
|| || || || || || || || || || || || || || || || || ||
the labour or stage of labour is prolonged/long for this category to be used.
|| || || || || || || || || || || || || ||
If the reason for the prolonged/long labour is stated, then this must be coded instead
|| || || || || || || || || || || || || ||
When must the insertion of a nasogastric (NG) feeding tube be coded? [1 Mark] - ✔✔When
|| || || || || || || || || || || || || || || ||
a patient is admitted solely for the purpose of insertion.
|| || || || || || || || ||
What is the OPCS-4 standard when a gastroscope is not able to be inserted further than the
|| || || || || || || || || || || || || || || || ||
patient's mouth during an endoscopy? No actual codes are required. [1 Mark] - ✔✔The
|| || || || || || || || || || || || || ||
procedure must not be coded. || || || ||
The ICD-10 classification contains 22 chapters and is divided into three different chapter
|| || || || || || || || || || || || ||
types. Name the three types of chapter. [3 Marks] - ✔✔Special group chapters
|| || || || || || || || || || || || ||
Body system chapters || || ||
Other chapters ||
When there is doubt as to where a condition should be coded which of the three chapter
|| || || || || || || || || || || || || || || || ||
types found in the axis of the ICD-10 classification takes priority? [1 Mark] - ✔✔Where
|| || || || || || || || || || || || || || ||
NCCQ UK Theory newest updated exam with precise || || || || || || || ||
detailed solutions ||
The requirement for national collection of the use of fifth characters appears in which four
|| || || || || || || || || || || || || || ||
ICD-10 4th Edition chapters? Either chapter numbers (Arabic or Roman numeral) or full
|| || || || || || || || || || || || ||
titles are acceptable. [3 Marks] - ✔✔Chapter IX (9) Diseases of the circulatory system
|| || || || || || || || || || || || || ||
Chapter X (10) Diseases of the respiratory system
|| || || || || || ||
Chapter XIII (13) Diseases of the musculoskeletal system and connective tissue
|| || || || || || || || || || ||
Chapter XIX (19) Injury, poisoning and certain other consequences of external causes
|| || || || || || || || || || ||
The circumstances surrounding reactions to drug/medication are classified in two ways
|| || || || || || || || || || ||
within ICD-10 Tabular List, Volume 1. Name both ways. [2 Marks] - ✔✔Poisoning
|| || || || || || || || || || || || ||
(improper use) || ||
Adverse effect (proper use) || || ||
What must a coder do if a surgical eponym is used in the medical record to describe a
|| || || || || || || || || || || || || || || || || ||
procedure? [3 Marks] - ✔✔The coder must analyse the procedural information and ensure
|| || || || || || || || || || || || ||
that code assignment fully reflects the procedure performed.
|| || || || || || || ||
Where the coder is unsure what procedure the eponym describes, they must seek advice
|| || || || || || || || || || || || || ||
from the responsible consultant to ensure that the correct codes are assigned.
|| || || || || || || || || || ||
When should site codes from Chapter Z be assigned? [1 Mark] - ✔✔They must always be
|| || || || || || || || || || || || || || || ||
assigned when this adds further information about the site on which the procedure was
|| || || || || || || || || || || || || ||
performed
,2
What two conditions must be coded if a diagnosis of 'severe sepsis' alone is made by the
|| || || || || || || || || || || || || || || || ||
clinician? No actual codes are required. [2 Marks] - ✔✔(A41.9) Sepsis (unspecified) (R65.1)
|| || || || || || || || || || || || ||
Systemic Inflammatory Response Syndrome (SIRS) of infectious origin with organ failure
|| || || || || || || || || ||
What is the standard regarding the use of the OPCS-4.7 code X35.1 Intravenous induction of
|| || || || || || || || || || || || || ||
labour? [1 Mark] - ✔✔It must never be used.
|| || || || || || || || ||
On what occasion is it a mandatory requirement to assign an OPCS-4.7 general anaesthetic
|| || || || || || || || || || || || || ||
code? [1 Mark] - ✔✔When radiotherapy is delivered under general anaesthetic, a code from
|| || || || || || || || || || || || ||
category Y80 General anaesthetic must be assigned in addition to the radiotherapy delivery.
|| || || || || || || || || || || || ||
When should codes from ICD-10 category Z54.- Convalescence be assigned and how should
|| || || || || || || || || || || || ||
they be sequenced? No actual codes are required. [2 Marks] - ✔✔Never in primary. They
|| || || || || || || || || || || || || || ||
must only be assigned in a secondary position when a patient has received convalescence in
|| || || || || || || || || || || || || || ||
a dedicated convalescent unit.
|| || ||
How should an injury caused by a geriatric fall be coded? Describe the possible sequencing
|| || || || || || || || || || || || || || ||
of these codes. No actual codes are required. [4 Marks] - ✔✔Code classifying the injury
|| || || || || || || || || || || || || || ||
sustained (from Chapter XIX). External cause code to describe the fall (from categories
|| || || || || || || || || || || || ||
W00-W19). ||
(R29.6) Tendency to fall, (not elsewhere classified).
|| || || || || || ||
In this sequence, unless the patient remains in hospital for investigation of the falls and this
|| || || || || || || || || || || || || || || ||
becomes the primary focus of care, then this code (R29.6) must be sequenced before the
|| || || || || || || || || || || || || || ||
codes for the injury || || ||
What must be coded when an excision and biopsy (excision biopsy) is performed on the
|| || || || || || || || || || || || || || ||
same site during the same theatre visit, and why? No actual codes are required. [2 Marks] -
|| || || || || || || || || || || || || || || || ||
✔✔Only assign a code(s) for the excision as a biopsy is an integral part of an excision.
|| || || || || || || || || || || || || || || ||
,2
When must codes from ICD-10 category Z38.- Liveborn infants according to place of birth
|| || || || || || || || || || || || || ||
be assigned in the primary coding field? [1 Mark] - ✔✔If the baby is a completely well baby
|| || || || || || || || || || || || || || || || || ||
and has no morbid conditions that have been treated or investigated.
|| || || || || || || || || ||
During which procedure should OPCS-4.7 code X50.5 Evaluation of a cardiodefibrillator not
|| || || || || || || || || || ||
be assigned when carried out? No actual codes are required. [1 Mark] - ✔✔When testing is
|| || || || || || || || || || || || || || || || ||
performed during the insertion of the cardioverter defibrillator (K59 Cardioverter
|| || || || || || || || || ||
defibrillator introduced through the vein or K72 Other cardioverter defibrillator). || || || || || || || || ||
What precise wording, other than 'status asthmaticus', must be present in the medical
|| || || || || || || || || || || || ||
records to be able to assign J46.X Status asthmaticus? [1 Mark] - ✔✔Acute severe asthma
|| || || || || || || || || || || || || ||
How should a fracture fixation procedure be coded when the description names more than
|| || || || || || || || || || || || || ||
one type of fixation device, e.g. pin and plate? No actual codes are required. [2 Marks] -
|| || || || || || || || || || || || || || || || ||
✔✔Only the main part of the device that is holding the fracture together must be coded.
|| || || || || || || || || || || || || || || ||
When it is not clear which part of the fixation device is the main part holding the fracture
|| || || || || || || || || || || || || || || || || ||
together, advice must be sought from the responsible consultant.
|| || || || || || || ||
In accordance with national clinical coding standards, name the two specific forms of chest
|| || || || || || || || || || || || || ||
pain categorised to ICD-10 category R07 Pain in throat and chest. [2 Marks] - ✔✔Central
|| || || || || || || || || || || || || || ||
chest pain || ||
Musculoskeletal chest pain || ||
In ICD-10 coding terms, describe the difference between a 'rectal haemorrhage' and 'per
|| || || || || || || || || || || || ||
rectal haemorrhage', and the coding standards related to these terms. No actual codes are
|| || || || || || || || || || || || || ||
required. [3 Marks] - ✔✔The code (K62.5) for 'haemorrhage of anus and rectum' must only
|| || || || || || || || || || || || || || ||
be assigned for an actual haemorrhage of the anus and/or rectum. It must not be assigned
|| || || || || || || || || || || || || || || ||
for haemorrhage that has occurred from elsewhere in the gastrointestinal tract that is
|| || || || || || || || || || || || ||
merely exiting via the rectum, i.e. per rectal haemorrhage.
|| || || || || || || || ||
, 2
The code (K92.2) for 'gastrointestinal haemorrhage, unspecified' must be assigned for a
|| || || || || || || || || || || ||
haemorrhage that occurred via the rectum (per rectal haemorrhage) but is not specified as || || || || || || || || || || || || || ||
being from the actual rectum or anus. This code must not be assigned when it is a symptom
|| || || || || || || || || || || || || || || || || ||
of a specific disease which has been diagnosed.
|| || || || || || ||
How must a colonoscopy with ileal intubation that includes a biopsy of the terminal ileum
|| || || || || || || || || || || || || || ||
be coded? No actual codes are required. [2 Marks] - ✔✔(H22.1) Diagnostic fibreoptic
|| || || || || || || || || || || || ||
endoscopic examination of colon and biopsy of lesion of colon followed by the site code || || || || || || || || || || || || || || ||
(Z27.6) Ileum ||
What clinical coding standards relating to the use of ICD-10 category O63 Long labour must
|| || || || || || || || || || || || || ||
the coder be aware of? [2 Marks] - ✔✔It must be documented in the medical record that
|| || || || || || || || || || || || || || || || || ||
the labour or stage of labour is prolonged/long for this category to be used.
|| || || || || || || || || || || || || ||
If the reason for the prolonged/long labour is stated, then this must be coded instead
|| || || || || || || || || || || || || ||
When must the insertion of a nasogastric (NG) feeding tube be coded? [1 Mark] - ✔✔When
|| || || || || || || || || || || || || || || ||
a patient is admitted solely for the purpose of insertion.
|| || || || || || || || ||
What is the OPCS-4 standard when a gastroscope is not able to be inserted further than the
|| || || || || || || || || || || || || || || || ||
patient's mouth during an endoscopy? No actual codes are required. [1 Mark] - ✔✔The
|| || || || || || || || || || || || || ||
procedure must not be coded. || || || ||
The ICD-10 classification contains 22 chapters and is divided into three different chapter
|| || || || || || || || || || || || ||
types. Name the three types of chapter. [3 Marks] - ✔✔Special group chapters
|| || || || || || || || || || || || ||
Body system chapters || || ||
Other chapters ||
When there is doubt as to where a condition should be coded which of the three chapter
|| || || || || || || || || || || || || || || || ||
types found in the axis of the ICD-10 classification takes priority? [1 Mark] - ✔✔Where
|| || || || || || || || || || || || || || ||
