NCCQ UK THEORY PAST PAPER PRACTICE | 322 QUESTIONS | WITH COMPLETE SOLUTIONS

Clinical Coding Theory - NCCQ
Revision

What is the definition of clinical coding? - ANS>>Clinical coding is the
ww ww ww ww ww ww ww ww ww ww ww


translation of medical terminology that describes a patient's complaint, problem,
ww ww ww ww ww ww ww ww ww ww


diagnosis, treatment or other reason for seeking medical attention into codes
ww ww ww ww ww ww ww ww ww ww ww


that
ww


can then be easily tabulated, aggregated and sorted for statistical analysis in an
ww ww ww ww ww ww ww ww ww ww ww ww


efficient and meaningful manner.
ww ww ww ww




What is meant by 'coding uniformity'? - ANS>>Coding uniformity means that
ww ww ww ww ww ww ww ww ww ww


whenever a given condition or reason for an episode is coded, the same code
ww ww ww ww ww ww ww ww ww ww ww ww ww ww


is always used to represent that condition or reason for the encounter.
ww ww ww ww ww ww ww ww ww ww ww ww




List the three Volumes of ICD-10 - ANS>>Volume 1: Tabular List
ww ww ww ww ww ww ww ww ww ww ww


Volume 2: Instruction Manual
ww ww ww


Volume 3: Alphabetical Index
ww ww ww




List three sections included in Volume 2 of ICD-10 - ANS>>1. Introduction
ww ww ww ww ww ww ww ww ww ww ww


2. Description of the ICD
ww ww ww ww


3. How to use the ICD
ww ww ww ww ww


4. Rules and guidelines for mortality and morbidity coding
ww ww ww ww ww ww ww ww


5. Statistical presentation
ww ww


6. History of the development of the ICD
ww ww ww ww ww ww ww


7. Annexes
ww




How many chapters does ICD-10 Tabular List contain? - ANS>>22 chapters
ww ww ww ww ww ww ww ww ww ww




Name the three types of chapters included in the ICD-10 Tabular List -
ww ww ww ww ww ww ww ww ww ww ww ww


ANS>>Body system chapters
ww ww ww


Special group chapters
ww ww


Other chapters ww




What is step three of the ICD-10 Four Step Coding Process? - ANS>>Assign a
ww ww ww ww ww ww ww ww ww ww ww ww ww


tentative code(s) using the Alphabetical Index and taking into account all rules,
ww ww ww ww ww ww ww ww ww ww ww ww


conventions and standards.
ww ww ww




In what three circumstances are supplementary fifth characters used in ICD-10
ww ww ww ww ww ww ww ww ww ww


Chapter XIX Injury, poisoning and certain other consequences of external
ww ww ww ww ww ww ww ww ww ww


causes? - ANS>>Supplementary fifth characters are used in this chapter to
ww ww ww ww ww ww ww ww ww ww ww


identify open and closed fractures, intracranial injuries with or without open
ww ww ww ww ww ww ww ww ww ww ww


intracranial wound and internal injuries with or without open wound into cavity.
ww ww ww ww ww ww ww ww ww ww ww ww

, List the three types of standard included in the National Clinical Coding
ww ww ww ww ww ww ww ww ww ww ww


Standards ICD-10 5th Edition for Morbidity Coding - ANS>>General Coding
ww ww ww ww ww ww ww ww ww ww


Standards
ww


Chapter Standards ww


Coding Standards ww




What are the three dimensions of coding accuracy and what do they mean? -
ww ww ww ww ww ww ww ww ww ww ww ww ww


ANS>>Individual codes:
ww ww


Each clinical statement of diagnosis must have the correct code assignment. An
ww ww ww ww ww ww ww ww ww ww ww


individual patient may have many diagnoses (or procedures). Consequently, a
ww ww ww ww ww ww ww ww ww ww


coded record for an episode will have at least one or potentially many
ww ww ww ww ww ww ww ww ww ww ww ww ww


individual codes.
ww ww




Totality of codes: ww ww


It means that all codes necessary to give an accurate clinical picture of the
ww ww ww ww ww ww ww ww ww ww ww ww ww


wwpatient's diagnosis, problems or other reasons for an episode encounter, must
ww ww ww ww ww ww ww ww ww ww


wwbe assigned in accordance with the rules, conventions and standards of the
ww ww ww ww ww ww ww ww ww ww ww


wwclassification. ww




Sequencing of codes: ww ww


Codes must be sequenced in accordance with clinical coding standards to
ww ww ww ww ww ww ww ww ww ww


provide consistent data for statistical analysis. A significant aspect of
ww ww ww ww ww ww ww ww ww ww


sequencing is the selection of the main condition treated.
ww ww ww ww ww ww ww ww ww




What time period is the perinatal period as regarded in the National Clinical
ww ww ww ww ww ww ww ww ww ww ww ww


Coding Standards reference book? - ANS>>Before birth through to the 27th
ww ww ww ww ww ww ww ww ww ww ww


day, 23rd hour and 59th minute of life i.e. the period before the start of the
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww


28th day.
ww ww




How must the term "if desired" in an instructional note be interpreted by the
ww ww ww ww ww ww ww ww ww ww ww ww ww


coder? - ANS>>Where a note states to "Use an additional code, if desired" to
ww ww ww ww ww ww ww ww ww ww ww ww ww ww


add further information about the disorder, where that information is present in
ww ww ww ww ww ww ww ww ww ww ww ww


the medical record the additional code must be assigned.
ww ww ww ww ww ww ww ww ww




Name and define the two cross-references found in the ICD-10 Alphabetical
ww ww ww ww ww ww ww ww ww ww


Index - ANS>>See:
ww ww ww


This is an explicit direction to look elsewhere as no codes can be found
ww ww ww ww ww ww ww ww ww ww ww ww ww


alongside this cross reference. It is used to direct the coder to another lead
ww ww ww ww ww ww ww ww ww ww ww ww ww ww


term in the Alphabetical Index where complete information can be found. It is
ww ww ww ww ww ww ww ww ww ww ww ww ww


also used after anatomical sites to remind the coder that the Alphabetical
ww ww ww ww ww ww ww ww ww ww ww ww


Index is organised by condition.
ww ww ww ww ww




See also: ww


This is a reminder to look under another lead term if the term the coder is
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww


looking for cannot be found modified in any way under the first lead term.
ww ww ww ww ww ww ww ww ww ww ww ww ww ww