NCCQ UK Theory Past Paper Practice
Exam Questions and Answers 100% Pass
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
Exam Questions and Answers 100% Pass
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
