NCCQ PRACTICE QUESTIONS | WITH
COMPLETE 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
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.
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.
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]
COMPLETE 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
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.
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.
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]
