MEDICAL CODING 1 - FINAL EXAM
QUESTIONS AND ANSWERS
A third-party administrator (TPA) is an entity that __________ and may contract with
a health care clearinghouse to standardize data for claims processing. - Answer-
processes health care claims and performs related business functions for a health
plan
A secondary purpose of the patient record is to __________. - Answer-evaluate
patient quality of care
Concurrent coding is the review of records and/or use of encounter forms and
chargemasters to assign codes __________. - Answer-during an inpatient stay or
outpatient encounter
Which incorporates software search features to facilitate the location and verification
of diagnosis and procedure codes? - Answer-encoders
Codes that do not require additional character(s) are considered __________ codes.
- Answer-valid
What is the ICD-10-CM code for central pain syndrome? - Answer-G89.0
What is the ICD-10-CM code for acute atopic conjunctivitis, left eye only? - Answer-
H10.12
Combination codes are located by referring to subterm entries in the ICD-10-CM
index and by following __________ notes in the ICD-10-CM tabular list. - Answer-
includes and excludes
Within the ICD-10-CM tabular list, which contain groups of three-character
categories? - Answer-sections
Which Department of Health and Human Services federal government agencies
provide official guidelines for coding and reporting using ICD-10-CM? - Answer-CMS
and NCHS
ICD-10-CM disease and injury codes describe causes of illness or clinical symptoms
exhibited by the patient, and codes assigned must be supported by __________. -
Answer-documentation in patient records
In this ICD-10-CM index entry, "adrenal (capsule) (cortex) (gland) E27.8" is a
__________. - Answer-subterm
What is the ICD-10-CM code for bilateral nuclear sclerosis cataracts? - Answer-
H25.13
, Which is the determination that a service or procedure rendered is reasonable and
necessary for the diagnosis or treatment of an illness or injury? - Answer-medical
necessity
For diagnosis trigonitis due to Escherichia coli, report ICD-10-CM code(s)
__________. - Answer-N30.30, B96.20
In this ICD-10-CM index entry, "(male)" is a __________. - Answer-nonessential
modifier
Coding of sequela generally requires two codes sequenced with a code for the
__________. - Answer-residual condition listed first and the sequela code second
Section II of the Official Guidelines for Coding and Reporting includes guidelines for
the __________. - Answer-selection of the principal diagnosis for non-outpatient
settings (e.g., nursing facility)
What is the ICD-10-CM code for senile dementia? - Answer-F03
Section III of the Official Guidelines for Coding and Reporting includes guidelines for
the __________. - Answer-reporting of additional diagnoses (e.g., coexisting
conditions, complications)
Two codes are reported to completely describe a single condition that affects
multiple body systems when the __________ coding convention is followed. -
Answer-etiology and manifestation
What is the ICD-10-CM code for ear wax, right ear? - Answer-H61.21
What is the ICD-10-CM code for HIV disease? - Answer-B20
A three-character code is to be assigned only if it cannot be further subdivided, and a
code is __________ if it has not been coded to the full number of characters
required for that code, including the seventh character extension, if applicable. -
Answer-invalid
When conditions that were previously treated no longer exist, it is acceptable to
report __________ codes for those conditions that affect patient care, management,
or treatment. - Answer-history (of)
Which core set of comprehensive assessments for adult home care patients is
reported using HAVEN data entry software? - Answer-OASIS
What is the ICD-10-CM code for accidental poisoning, sucrose, initial encounter? -
Answer-T50.3X1A
It is appropriate to report secondary codes for __________ conditions that were
treated or medically managed or that influenced the treatment of the patient during
the encounter. - Answer-coexisting
QUESTIONS AND ANSWERS
A third-party administrator (TPA) is an entity that __________ and may contract with
a health care clearinghouse to standardize data for claims processing. - Answer-
processes health care claims and performs related business functions for a health
plan
A secondary purpose of the patient record is to __________. - Answer-evaluate
patient quality of care
Concurrent coding is the review of records and/or use of encounter forms and
chargemasters to assign codes __________. - Answer-during an inpatient stay or
outpatient encounter
Which incorporates software search features to facilitate the location and verification
of diagnosis and procedure codes? - Answer-encoders
Codes that do not require additional character(s) are considered __________ codes.
- Answer-valid
What is the ICD-10-CM code for central pain syndrome? - Answer-G89.0
What is the ICD-10-CM code for acute atopic conjunctivitis, left eye only? - Answer-
H10.12
Combination codes are located by referring to subterm entries in the ICD-10-CM
index and by following __________ notes in the ICD-10-CM tabular list. - Answer-
includes and excludes
Within the ICD-10-CM tabular list, which contain groups of three-character
categories? - Answer-sections
Which Department of Health and Human Services federal government agencies
provide official guidelines for coding and reporting using ICD-10-CM? - Answer-CMS
and NCHS
ICD-10-CM disease and injury codes describe causes of illness or clinical symptoms
exhibited by the patient, and codes assigned must be supported by __________. -
Answer-documentation in patient records
In this ICD-10-CM index entry, "adrenal (capsule) (cortex) (gland) E27.8" is a
__________. - Answer-subterm
What is the ICD-10-CM code for bilateral nuclear sclerosis cataracts? - Answer-
H25.13
, Which is the determination that a service or procedure rendered is reasonable and
necessary for the diagnosis or treatment of an illness or injury? - Answer-medical
necessity
For diagnosis trigonitis due to Escherichia coli, report ICD-10-CM code(s)
__________. - Answer-N30.30, B96.20
In this ICD-10-CM index entry, "(male)" is a __________. - Answer-nonessential
modifier
Coding of sequela generally requires two codes sequenced with a code for the
__________. - Answer-residual condition listed first and the sequela code second
Section II of the Official Guidelines for Coding and Reporting includes guidelines for
the __________. - Answer-selection of the principal diagnosis for non-outpatient
settings (e.g., nursing facility)
What is the ICD-10-CM code for senile dementia? - Answer-F03
Section III of the Official Guidelines for Coding and Reporting includes guidelines for
the __________. - Answer-reporting of additional diagnoses (e.g., coexisting
conditions, complications)
Two codes are reported to completely describe a single condition that affects
multiple body systems when the __________ coding convention is followed. -
Answer-etiology and manifestation
What is the ICD-10-CM code for ear wax, right ear? - Answer-H61.21
What is the ICD-10-CM code for HIV disease? - Answer-B20
A three-character code is to be assigned only if it cannot be further subdivided, and a
code is __________ if it has not been coded to the full number of characters
required for that code, including the seventh character extension, if applicable. -
Answer-invalid
When conditions that were previously treated no longer exist, it is acceptable to
report __________ codes for those conditions that affect patient care, management,
or treatment. - Answer-history (of)
Which core set of comprehensive assessments for adult home care patients is
reported using HAVEN data entry software? - Answer-OASIS
What is the ICD-10-CM code for accidental poisoning, sucrose, initial encounter? -
Answer-T50.3X1A
It is appropriate to report secondary codes for __________ conditions that were
treated or medically managed or that influenced the treatment of the patient during
the encounter. - Answer-coexisting
