M132/HIM1126C Section 02 ICD-PCS Coding - Online Plus - 2018 Winter Quarter Term 1,100% CORRECT

M132/HIM1126C Section 02 ICD-PCS Coding - Online Plus - 2018 Winter Quarter Term 1 Results Displayed All Answers, Submitted Answers, Correct Answers, Feedback, Incorrectly Answered Questions • Question 1 1 out of 1 points When building an ICD 10 PCS code, the first step (after reading the documentation and making sure you understand all terms) to building the most accurate code is to: Selected Answer: Determine the objective or intent of the procedure to find the root operation. Answers: Find the body system to code. Go directly to the Coding Tables. Determine the approach of the procedure. Determine the objective or intent of the procedure to find the root operation. • Question 2 1 out of 1 points The second character of the PCS code in the Medical and Surgical section represents the body system. The body systems characters are specified in what part of the code book? Selected Answer: The Introduction Answers: The coding guidelines The conventions section The Coding Tables The Introduction • Question 3 1 out of 1 points In the Medical and Surgical section, the third character of the ICD 10 PCS code always represents the: Selected Answer: Root Operation Answers: Root Operation Body System Device Body Part • Question 4 If a patient has a laparoscopic (the surgery is done via a scope) cholecystectomy (complete removal of the gallbladder) that requires being converted to an open 1 out of 1 points cholecystectomy, the ICD-10-PCS coding guidelines require that the coder must code: Selected Answer: Both percutaneous endoscopic inspection and the open resection of the gallbladder Answers: Open excision of the gallbladder Open resection of the gallbladder Percutaneous endoscopic inspection Both percutaneous endoscopic inspection and the open resection of the gallbladder • Question 5 Devices in the Medical and Surgical section are depicted in the code by character: Selected Answer: six Answers: sev en five 1 out of 1 points six four • Question 6 What letters are not used in the ICD 10 PCS coding system? Selected Answer: I and O Answers: E and T S and X O and S 1 out of 1 points I and O • Question 7 1 out of 1 points The fifth character of the ICD-10-PCS code in the Medical and Surgical section is for the approach which identifies the method used to reach the operative site. If this approach involves a puncture or minor incision through the skin or mucous membrane and any other body layers necessary using any instrumentation except a scope to reach the site of the procedure, then the approach is: Selected Answer: Percutaneous approach Answers: Via natural or artificial opening with percutaneous endoscopic assistance Open approach Percutaneous endoscopic approach Percutaneous approach • Question 8 Which of the following statements is false regarding ICD-10-PCS? Selected Answer: ICD 10 PCS may contain 5, 6, or 7 characters in the code. Answers: 1 out of 1 points ICD 10 PCS may contain 5, 6, or 7 characters in the code. The first character is ICD 10 PCS designates the section the code is from and may start with either a letter or a number. It is not required that the physician use the exact same standardized medical terminology as is used in the ICD 10 PCS coding system in order for a coder to code the documentation given. When the word "and" is used in a code description in the coding tables, it means "and/or" per the ICD 10 Conventions found in the code book. • Question 9 1 out of 1 points If a resection (removal) of a joint is performed first and then a joint replacement is performed as one procedure, the coder should code: Selected Answer: Code only the joint replacement with the removal of the joint as part of the procedure. Answers: Code only the joint replacement with the removal of the joint as part of the procedure. Query the physician to ask what should be coded. Code separately the resection (removal) of the joint and the joint replacement. Code the resection (removal) first and then code the joint replacement second. • Question 10 What value is used if there is a character that does not apply to a given code? Selected Answer: Z Answers: 1 out of 1 points Z O dash (-) X • Question 11 If multiple tubular body parts are inspected, the coder must: Selected Answer: Code the most distal body part inspected in the procedure. Answers: Code all body parts inspected separately. Query the physician as to which part of the procedure was most extensive. Code the first body part inspected in the procedure. Code the most distal body part inspected in the procedure. • Question 12 If a patient has a total laparoscopic cholecystectomy, what root operation does this procedure represent? Selected Answer: Resection Answers: Excision Resection Repair Removal 1 out of 1 points 1 out of 1 points • Question 13 1 out of 1 points If the intended procedure is discontinued before the intended root operation is performed, which root operation is used for coding the initiation of the procedure without completing the procedure? Selected Answer: Inspection Answers: Dilation Placement Insertion Inspection • Question 14 1 out of 1 points In the Conventions section included in the ICD 10 Official Guidelines for Coding and Reporting, there are guidelines that start with an “A” and provide foundational information on how to build a code accurately in ICD 10 PCS coding. Convention A6 addresses which of the following? Selected Answer: The purpose of the Alphabetic Index Answers: To describe meaning of the seven characters of a PCS code. How to use the Code Table index. How to translate physician documentation into a code. The purpose of the Alphabetic Index • Question 15 The total number of characters in an ICD-10-PCS code is: Selected Answer: sev en Answers: six five sev en eigh t • Question 16 1 out of 1 points 1 out of 1 points Non-coronary Bypass procedures are coded by: Selected Answer: By identifying the body part bypassed from and bypassed to in the code. Answers: A qualifier character that indicates this is a bypass. A device character that indicates this is a bypass By identifying the body part bypassed from and bypassed to in the code. The root procedure only indicating this is a bypass procedure. • Question 17 1 out of 1 points The first character of all codes in ICD-10-PCS from the Medical and Surgical section will begin with: Selected Answer: a number Answers: a letter or a number a letter a letter/number combination a number • Question 18 1 out of 1 points The number of root operations available to use in the Medical and Surgical section of the code book only is: Selected Answer: 3 1 Answers: 2 8 3 1 2 4 2 1 • Question 19 0 out of 1 points If the physician documents "partial resection of the stomach", the coder should: Selected Answer: Code the root operation "Removal" Answers: Code the root operation "Resection" Code the root operation "Excision" Query the physician to ask if he means "excision" , "removal", or "resection" Code the root operation "Removal" • Question 20 0 out of 1 points When a biopsy is done, the meaning of the 7th character qualifier that is used in building the code is: Selected Answer: Pathology Answers: Excision Pathology Diagnostic Resection • Question 21 If the patient has a diagnostic or biopsy procedure performed followed by a more 1 out of 1 points definitive procedure on the same body site during the same operative episode, the coder must code: Selected Answer: Both the diagnostic or biopsy procedure and the more definitive procedure. Answers: The diagnostic procedure only. The combination code that covers both the diagnostic procedure and the more definitive procedure. Both the diagnostic or biopsy procedure and the more definitive procedure. The most extensive procedure. • Question 22 1 out of 1 points When a physician performs a cystoscopy which is done with making a small incision to insert a scope, the approach for this procedure is: Selected Answer: Percutaneous endoscopic approach Answers: Via natural or artificial opening with percutaneous endoscopic assistance Open approach Via natural or artificial opening, endoscopic Percutaneous endoscopic approach • Question 23 1 out of 1 points If a patient has an open reduction of a dislocation of the temporomandibular joint on the left side, what root operation does this procedure represent based on the definitions given for root operations in the Appendix in the back of the ICD 10 PCS code book? Selected Answer: Reposition Answers: Reduction Realignment Reposition Placement • Question 24 If a patient has a left upper lung lobectomy to completely remove the left upper lung lobe, the coder will code: Selected Answer: Resection of upper lung lobe, left Answers: Resection of lung, left Resection of upper lung lobe, left Excision of upper lung lobe, left Excision of lung, left • Question 25 ICD-10-PCS is the HIPAA mandated code set for reporting: Selected Answer: inpatient procedures Answers: outpatient procedures inpatient diagnoses 1 out of 1 points 1 out of 1 points inpatient procedures outpatient diagnoses