Clinical Coding Theory - NCCQ Revision
Questions and Correct Answers.
What is the definition of clinical coding? - correct answer Clinical coding is the translation of
medical terminology that describes a patient's complaint, problem, diagnosis, treatment or
other reason for seeking medical attention into codes that
can then be easily tabulated, aggregated and sorted for statistical analysis in an efficient and
meaningful manner.
What is meant by 'coding uniformity'? - correct answer Coding uniformity means that whenever
a given condition or reason for an episode is coded, the same code is always used to represent
that condition or reason for the encounter.
List the three Volumes of ICD-10 - correct answer Volume 1: Tabular List
Volume 2: Instruction Manual
Volume 3: Alphabetical Index
List three sections included in Volume 2 of ICD-10 - correct answer 1. Introduction
2. Description of the ICD
3. How to use the ICD
4. Rules and guidelines for mortality and morbidity coding
5. Statistical presentation
6. History of the development of the ICD
7. Annexes
How many chapters does ICD-10 Tabular List contain? - correct answer 22 chapters
, Name the three types of chapters included in the ICD-10 Tabular List - correct answer Body
system chapters
Special group chapters
Other chapters
What is step three of the ICD-10 Four Step Coding Process? - correct answer Assign a tentative
code(s) using the Alphabetical Index and taking into account all rules, conventions and
standards.
In what three circumstances are supplementary fifth characters used in ICD-10 Chapter XIX
Injury, poisoning and certain other consequences of external causes? - correct answer
Supplementary fifth characters are used in this chapter to identify open and closed fractures,
intracranial injuries with or without open intracranial wound and internal injuries with or
without open wound into cavity.
List the three types of standard included in the National Clinical Coding Standards ICD-10 5th
Edition for Morbidity Coding - correct answer General Coding Standards
Chapter Standards
Coding Standards
What are the three dimensions of coding accuracy and what do they mean? - correct answer
Individual codes:
Each clinical statement of diagnosis must have the correct code assignment. An individual
patient may have many diagnoses (or procedures). Consequently, a coded record for an episode
will have at least one or potentially many individual codes.
Totality of codes:
It means that all codes necessary to give an accurate clinical picture of the patient's diagnosis,
problems or other reasons for an episode encounter, must be assigned in accordance with the
rules, conventions and standards of the classification.
Questions and Correct Answers.
What is the definition of clinical coding? - correct answer Clinical coding is the translation of
medical terminology that describes a patient's complaint, problem, diagnosis, treatment or
other reason for seeking medical attention into codes that
can then be easily tabulated, aggregated and sorted for statistical analysis in an efficient and
meaningful manner.
What is meant by 'coding uniformity'? - correct answer Coding uniformity means that whenever
a given condition or reason for an episode is coded, the same code is always used to represent
that condition or reason for the encounter.
List the three Volumes of ICD-10 - correct answer Volume 1: Tabular List
Volume 2: Instruction Manual
Volume 3: Alphabetical Index
List three sections included in Volume 2 of ICD-10 - correct answer 1. Introduction
2. Description of the ICD
3. How to use the ICD
4. Rules and guidelines for mortality and morbidity coding
5. Statistical presentation
6. History of the development of the ICD
7. Annexes
How many chapters does ICD-10 Tabular List contain? - correct answer 22 chapters
, Name the three types of chapters included in the ICD-10 Tabular List - correct answer Body
system chapters
Special group chapters
Other chapters
What is step three of the ICD-10 Four Step Coding Process? - correct answer Assign a tentative
code(s) using the Alphabetical Index and taking into account all rules, conventions and
standards.
In what three circumstances are supplementary fifth characters used in ICD-10 Chapter XIX
Injury, poisoning and certain other consequences of external causes? - correct answer
Supplementary fifth characters are used in this chapter to identify open and closed fractures,
intracranial injuries with or without open intracranial wound and internal injuries with or
without open wound into cavity.
List the three types of standard included in the National Clinical Coding Standards ICD-10 5th
Edition for Morbidity Coding - correct answer General Coding Standards
Chapter Standards
Coding Standards
What are the three dimensions of coding accuracy and what do they mean? - correct answer
Individual codes:
Each clinical statement of diagnosis must have the correct code assignment. An individual
patient may have many diagnoses (or procedures). Consequently, a coded record for an episode
will have at least one or potentially many individual codes.
Totality of codes:
It means that all codes necessary to give an accurate clinical picture of the patient's diagnosis,
problems or other reasons for an episode encounter, must be assigned in accordance with the
rules, conventions and standards of the classification.
