NCCQ UK Theory Past Paper Practice | UPDATED Questions with
100% Verified Answers
Question:
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]
Answer:
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
Question:
The circumstances surrounding reactions to drug/medication
are classified in two ways within ICD-10 Tabular List, Volume 1.
Name both ways. [2 Marks]
Answer:
Poisoning (improper use)
Adverse effect (proper use)
Question:
What must a coder do if a surgical eponym is used in the
medical record to describe a procedure? [3 Marks]
Answer:
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.
Question:
When should site codes from Chapter Z be assigned? [1 Mark]
Answer:
,They must always be assigned when this adds further information about the site on which
the procedure was performed
Question:
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]
Answer:
(A41.9) Sepsis (unspecified) (R65.1) Systemic Inflammatory Response Syndrome (SIRS) of
infectious origin with organ failure
Question:
What is the standard regarding the use of the OPCS-4.7 code
X35.1 Intravenous induction of labour? [1 Mark]
Answer:
It must never be used.
Question:
On what occasion is it a mandatory requirement to assign an
OPCS-4.7 general anaesthetic code? [1 Mark]
Answer:
When radiotherapy is delivered under general anaesthetic, a code from category Y80
General anaesthetic must be assigned in addition to the radiotherapy delivery.
Question:
When should codes from ICD-10 category Z54.-
Convalescence be assigned and how should they be
sequenced? No actual codes are required. [2 Marks]
Answer:
Never in primary. They must only be assigned in a secondary position when a patient has
received convalescence in a dedicated convalescent unit.
Question:
,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]
Answer:
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
Question:
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]
Answer:
Only assign a code(s) for the excision as a biopsy is an integral part of an excision.
Question:
When must codes from ICD-10 category Z38.- Liveborn
infants according to place of birth be assigned in the primary
coding field? [1 Mark]
Answer:
If the baby is a completely well baby and has no morbid conditions that have been
treated or investigated.
Question:
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]
Answer:
When testing is performed during the insertion of the cardioverter defibrillator (K59
Cardioverter defibrillator introduced through the vein or K72 Other cardioverter
, defibrillator).
Question:
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]
Answer:
Acute severe asthma
Question:
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]
Answer:
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.
Question:
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]
Answer:
Central chest pain
Musculoskeletal chest pain
Question:
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]
Answer:
100% Verified Answers
Question:
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]
Answer:
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
Question:
The circumstances surrounding reactions to drug/medication
are classified in two ways within ICD-10 Tabular List, Volume 1.
Name both ways. [2 Marks]
Answer:
Poisoning (improper use)
Adverse effect (proper use)
Question:
What must a coder do if a surgical eponym is used in the
medical record to describe a procedure? [3 Marks]
Answer:
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.
Question:
When should site codes from Chapter Z be assigned? [1 Mark]
Answer:
,They must always be assigned when this adds further information about the site on which
the procedure was performed
Question:
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]
Answer:
(A41.9) Sepsis (unspecified) (R65.1) Systemic Inflammatory Response Syndrome (SIRS) of
infectious origin with organ failure
Question:
What is the standard regarding the use of the OPCS-4.7 code
X35.1 Intravenous induction of labour? [1 Mark]
Answer:
It must never be used.
Question:
On what occasion is it a mandatory requirement to assign an
OPCS-4.7 general anaesthetic code? [1 Mark]
Answer:
When radiotherapy is delivered under general anaesthetic, a code from category Y80
General anaesthetic must be assigned in addition to the radiotherapy delivery.
Question:
When should codes from ICD-10 category Z54.-
Convalescence be assigned and how should they be
sequenced? No actual codes are required. [2 Marks]
Answer:
Never in primary. They must only be assigned in a secondary position when a patient has
received convalescence in a dedicated convalescent unit.
Question:
,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]
Answer:
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
Question:
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]
Answer:
Only assign a code(s) for the excision as a biopsy is an integral part of an excision.
Question:
When must codes from ICD-10 category Z38.- Liveborn
infants according to place of birth be assigned in the primary
coding field? [1 Mark]
Answer:
If the baby is a completely well baby and has no morbid conditions that have been
treated or investigated.
Question:
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]
Answer:
When testing is performed during the insertion of the cardioverter defibrillator (K59
Cardioverter defibrillator introduced through the vein or K72 Other cardioverter
, defibrillator).
Question:
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]
Answer:
Acute severe asthma
Question:
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]
Answer:
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.
Question:
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]
Answer:
Central chest pain
Musculoskeletal chest pain
Question:
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]
Answer:
