NCCQ UK Theory Past Paper Exam
Questions and answers | 2024/25
The requirement for national collection of the use of fifth characters appears in which four
II II II II II II II II II II II II II II
ICD-10 4th Edition chapters? Either chapter numbers (Arabic or Roman numeral) or full
II II II II II II II II II II II II II
titles are acceptable. [3 Marks] - Correct Answers Chapter IX (9) Diseases of the
II II II II II II II II II II II II II II II II II II
circulatory system
II II II
Chapter X (10) Diseases of the respiratory system II II II II II II II
Chapter XIII (13) Diseases of the musculoskeletal system and connective tissue
II II II II II II II II II II II
Chapter XIX (19) Injury, poisoning and certain other consequences of external causes
II II II II II II II II II II II
The circumstances surrounding reactions to drug/medication are classified in two ways
II II II II II II II II II II II
within ICD-10 Tabular List, Volume 1. Name both ways. [2 Marks] - Correct Answers
II II II II II II II II II II II II II II II II II II
Poisoning (improper use)
II II II II
Adverse effect (proper use) II II II
What must a coder do if a surgical eponym is used in the medical record to describe a
II II II II II II II II II II II II II II II II II II
procedure? [3 Marks] - Correct Answers The coder must analyse the procedural
II II II II II II II II II II II II II II II II
information and ensure that code assignment fully reflects the procedure performed.
II II II II II II II II II II II II
Where the coder is unsure what procedure the eponym describes, they must seek advice
II II II II II II II II II II II II II
from the responsible consultant to ensure that the correct codes are assigned.
II II II II II II II II II II II II
When should site codes from Chapter Z be assigned? [1 Mark] - Correct Answers They
II II II II II II II II II II II II II II II II II II II
must always be assigned when this adds further information about the site on which the
II II II II II II II II II II II II II II II
procedure was performed
II II II
What two conditions must be coded if a diagnosis of 'severe sepsis' alone is made by the
II II II II II II II II II II II II II II II II II
clinician? No actual codes are required. [2 Marks] - Correct Answers (A41.9) Sepsis
II II II II II II II II II II II II II II II II II
(unspecified) (R65.1) Systemic Inflammatory Response Syndrome (SIRS) of infectious
II II II II II II II II II
origin with organ failure
II II II II
What is the standard regarding the use of the OPCS-4.7 code X35.1 Intravenous
II II II II II II II II II II II II II
induction of labour? [1 Mark] - Correct Answers It must never be used.
II II II II II II II II II II II II II II II II II
On what occasion is it a mandatory requirement to assign an OPCS-4.7 general
II II II II II II II II II II II II II
anaesthetic code? [1 Mark] - Correct Answers When radiotherapy is delivered under
II II II II II II II II II II II II II II II II
general anaesthetic, a code from category Y80 General anaesthetic must be assigned in
II II II II II II II II II II II II II
addition to the radiotherapy delivery.
II II II II II
When should codes from ICD-10 category Z54.- Convalescence be assigned and how
II II II II II II II II II II II II
should they be sequenced? No actual codes are required. [2 Marks] - Correct Answers
II II II II II II II II II II II II II II II II II II
Never in primary. They must only be assigned in a secondary position when a patient has
II II II II II II II II II II II II II II II II
received convalescence in a dedicated convalescent unit.
II II II II II II II
, How should an injury caused by a geriatric fall be coded? Describe the possible
II II II II II II II II II II II II II II
sequencing of these codes. No actual codes are required. [4 Marks] - Correct Answers
II II II II II II II II II II II II II II II II II II
Code classifying the injury sustained (from Chapter XIX). External cause code to describe
II II II II II II II II II II II II II
the fall (from categories W00-W19).
II II II II II II
(R29.6) Tendency to fall, (not elsewhere classified). II II II II II II II
In this sequence, unless the patient remains in hospital for investigation of the falls and
II II II II II II II II II II II II II II
this becomes the primary focus of care, then this code (R29.6) must be sequenced before
II II II II II II II II II II II II II II II
the codes for the injury
II II II II II
What must be coded when an excision and biopsy (excision biopsy) is performed on the
II II II II II II II II II II II II II II II
same site during the same theatre visit, and why? No actual codes are required. [2 Marks]
II II II II II II II II II II II II II II II II
- Correct Answers Only assign a code(s) for the excision as a biopsy is an integral part
II II II II II II II II II II II II II II II II II II II II II
of an excision.
II II II
When must codes from ICD-10 category Z38.- Liveborn infants according to place of birth
II II II II II II II II II II II II II II
be assigned in the primary coding field? [1 Mark] - Correct Answers If the baby is a
II II II II II II II II II II II II II II II II II II II II II
completely well baby and has no morbid conditions that have been treated or
II II II II II II II II II II II II II
investigated.
II
During which procedure should OPCS-4.7 code X50.5 Evaluation of a cardiodefibrillator
II II II II II II II II II II II
not be assigned when carried out? No actual codes are required. [1 Mark] - Correct
II II II II II II II II II II II II II II II II
Answers When testing is performed during the insertion of the cardioverter defibrillator
II II II II II II II II II II II II II II II
(K59 Cardioverter defibrillator introduced through the vein or K72 Other cardioverter
II II II II II II II II II II II
defibrillator).
II
What precise wording, other than 'status asthmaticus', must be present in the medical
II II II II II II II II II II II II II
records to be able to assign J46.X Status asthmaticus? [1 Mark] - Correct Answers
II II II II II II II II II II II II II II II II II II
Acute severe asthma
II II II
How should a fracture fixation procedure be coded when the description names more
II II II II II II II II II II II II II
than one type of fixation device, e.g. pin and plate? No actual codes are required. [2
II II II II II II II II II II II II II II II II
Marks] - Correct Answers Only the main part of the device that is holding the fracture
II II II II II II II II II II II II II II II II II II II II
together must be coded. When it is not clear which part of the fixation device is the main
II II II II II II II II II II II II II II II II II II
part holding the fracture together, advice must be sought from the responsible consultant.
II II II II II II II II II II II II II
In accordance with national clinical coding standards, name the two specific forms of
II II II II II II II II II II II II II
chest pain categorised to ICD-10 category R07 Pain in throat and chest. [2 Marks] -
II II II II II II II II II II II II II II II II
Correct Answers Central chest pain
II II II II II II II II II
Musculoskeletal chest pain II II
In ICD-10 coding terms, describe the difference between a 'rectal haemorrhage' and 'per
II II II II II II II II II II II II II
rectal haemorrhage', and the coding standards related to these terms. No actual codes
II II II II II II II II II II II II II
are required. [3 Marks] - Correct Answers The code (K62.5) for 'haemorrhage of anus
II II II II II II II II II II II II II II II II II II
and rectum' must only be assigned for an actual haemorrhage of the anus and/or rectum.
II II II II II II II II II II II II II II II
, It must not be assigned for haemorrhage that has occurred from elsewhere in the
II II II II II II II II II II II II II II
gastrointestinal tract that is merely exiting via the rectum, i.e. per rectal haemorrhage.
II II II II II II II II II II II II II II
The code (K92.2) for 'gastrointestinal haemorrhage, unspecified' must be assigned for a
II II II II II II II II II II II
haemorrhage that occurred via the rectum (per rectal haemorrhage) but is not specified
II II II II II II II II II II II II II
as being from the actual rectum or anus. This code must not be assigned when it is a
II II II II II II II II II II II II II II II II II II
symptom of a specific disease which has been diagnosed.
II II II II II II II II II
How must a colonoscopy with ileal intubation that includes a biopsy of the terminal ileum
II II II II II II II II II II II II II II II
be coded? No actual codes are required. [2 Marks] - Correct Answers (H22.1)
II II II II II II II II II II II II II II II II II
Diagnostic fibreoptic endoscopic examination of colon and biopsy of lesion of colon
II II II II II II II II II II II II
followed by the site code (Z27.6) Ileum
II II II II II II II
What clinical coding standards relating to the use of ICD-10 category O63 Long labour
II II II II II II II II II II II II II II
must the coder be aware of? [2 Marks] - Correct Answers It must be documented in the
II II II II II II II II II II II II II II II II II II II II II
medical record that the labour or stage of labour is prolonged/long for this category to be
II II II II II II II II II II II II II II II II
used.
II II
If the reason for the prolonged/long labour is stated, then this must be coded instead
II II II II II II II II II II II II II II
When must the insertion of a nasogastric (NG) feeding tube be coded? [1 Mark] - Correct
II II II II II II II II II II II II II II II II II
Answers When a patient is admitted solely for the purpose of insertion.
II II II II II II II II II II II II II II II
What is the OPCS-4 standard when a gastroscope is not able to be inserted further than
II II II II II II II II II II II II II II II II
the patient's mouth during an endoscopy? No actual codes are required. [1 Mark] -
II II II II II II II II II II II II II II II
Correct Answers The procedure must not be coded.
II II II II II II II II II II II
The ICD-10 classification contains 22 chapters and is divided into three different chapter
II II II II II II II II II II II II II
types. Name the three types of chapter. [3 Marks] - Correct Answers Special group
II II II II II II II II II II II II II II II II II II
chapters
II II
Body system chapters II II II
Other chapters II
When there is doubt as to where a condition should be coded which of the three chapter
II II II II II II II II II II II II II II II II II
types found in the axis of the ICD-10 classification takes priority? [1 Mark] - Correct
II II II II II II II II II II II II II II II II
Answers Where there is any doubt as to where a condition should be coded, the 'special
II II II II II II II II II II II II II II II II II II II
group' chapters must take priority.
II II II II II
In order for an ICD-10 classification code to be valid what is the minimum character length
II II II II II II II II II II II II II II II II
that it must be? Describe the structure of a code and how it must be extended as
II II II II II II II II II II II II II II II II II
documented in DRule.2: Category and code structure. [5 Marks] - Correct Answers
II II II II II II II II II II II II II II II II
Four.
II II
Three character category codes must subdivided into four character subcategories.
II
II II II II II II II II II II
, Where a three character category code is not subdivided into four character subdivisions
II II II II II II II II II II II II
the 'X' filler must be assigned in the fourth character field so the codes are of a standard
II II II II II II II II II II II II II II II II II II
length for data processing and validation.
II
II
II II II II II II
Where a three character code requires assignment of both the 'X' filler and a fifth
II II II II II II II II II II II II II II
character subdivision, the 'X' filler must continue to be recorded in the fourth field before
II II II II II II II II II II II II II II II
the fifth character, for example M45.X3 Ankylosing spondylitis, cervicothoracic region.
II II II II II II II II II II
Where is the 'point dash (.-)' punctuation found in the ICD-10 classification and describe
II II II II II II II II II II II II II II
its purpose? [3 Marks] - Correct Answers A point-dash is found in both the Tabular List
II II II II II II II II II II II II II II II II II II II II
and the Alphabetical Index to indicate there are fourth character subdivisions.
II II II II II II II II II II II
Unique identifiers (reference number) are applied to four areas of the National Clinical
II II II II II II II II II II II II II
Coding Standards ICD-10 4th Edition (2015) reference book; flow charts are one of these,
II II II II II II II II II II II II II II
name the other three. [3 Marks] - Correct Answers Rules
II II II II II II II II II II II II II II II
Conventions II
Standards
Name the three types of standard documented in the National Clinical Coding Standards
II II II II II II II II II II II II II
ICD-10 4th Edition (2015) reference book. Briefly describe their locations within it and
II II II II II II II II II II II II II
how they should be applied. [9 Marks] - Correct Answers General coding standards are
II II II II II II II II II II II II II II II II II II
located at the beginning of the reference book and are applicable throughout the
II II II II II II II II II II II II II
classification.
II
II
II
Chapter standards are located at the beginning of an ICD-10 chapter of the reference
II II II II II II II II II II II II II
book and are applicable throughout that chapter. Note that not all chapters will have
II II II II II II II II II II II II II II
chapter standards.
II
II
II II
Coding standards are located throughout each ICD-10 chapter of the reference book and
II II II II II II II II II II II II
are applicable to a specific diagnosis, disorder, disease or condition, or describe the
II II II II II II II II II II II II II
correct usage of a code, category or range of codes. Coding standards are, generally,
II II II II II II II II II II II II II II
listed in code, category or range order.
II II II II II II II
What must clinical coders take into account when coding a 'radical operation'? [3 Marks] -
II II II II II II II II II II II II II II II II
Correct Answers When coding radical operations:
II II II II II II II II II II
Code assignment must fully reflect the procedure(s) performed during the radical
II II II II II II II II II II
operation.
II II
Instructional Notes must be applied in order to fully reflect all procedures performed. II II II II II II II II II II II II II
Any uncertainty as to what procedures were performed during the radical operation must
II II II II II II II II II II II II
be clarified with the responsible consultant in order to ensure correct code assignment.
II II II II II II II II II II II II II
What sequencing rules must be applied when a resection and reconstruction of an organ
II II II II II II II II II II II II II II
or site has been performed during the same theatre visit? [2 Marks] - Correct Answers
II II II II II II II II II II II II II II II II II II II
Where resection and reconstruction have been performed the codes that classify the
II II II II II II II II II II II II
resection must be assigned before the codes that classify the reconstruction.
II II II II II II II II II II II
What is being described when codes from OPCS-4.7 category V55 Levels of spine are
II II II II II II II II II II II II II II
assigned? [1 Mark] - Correct Answers The number of levels being operated on.
II II II II II II II II II II II II II II II II II
Questions and answers | 2024/25
The requirement for national collection of the use of fifth characters appears in which four
II II II II II II II II II II II II II II
ICD-10 4th Edition chapters? Either chapter numbers (Arabic or Roman numeral) or full
II II II II II II II II II II II II II
titles are acceptable. [3 Marks] - Correct Answers Chapter IX (9) Diseases of the
II II II II II II II II II II II II II II II II II II
circulatory system
II II II
Chapter X (10) Diseases of the respiratory system II II II II II II II
Chapter XIII (13) Diseases of the musculoskeletal system and connective tissue
II II II II II II II II II II II
Chapter XIX (19) Injury, poisoning and certain other consequences of external causes
II II II II II II II II II II II
The circumstances surrounding reactions to drug/medication are classified in two ways
II II II II II II II II II II II
within ICD-10 Tabular List, Volume 1. Name both ways. [2 Marks] - Correct Answers
II II II II II II II II II II II II II II II II II II
Poisoning (improper use)
II II II II
Adverse effect (proper use) II II II
What must a coder do if a surgical eponym is used in the medical record to describe a
II II II II II II II II II II II II II II II II II II
procedure? [3 Marks] - Correct Answers The coder must analyse the procedural
II II II II II II II II II II II II II II II II
information and ensure that code assignment fully reflects the procedure performed.
II II II II II II II II II II II II
Where the coder is unsure what procedure the eponym describes, they must seek advice
II II II II II II II II II II II II II
from the responsible consultant to ensure that the correct codes are assigned.
II II II II II II II II II II II II
When should site codes from Chapter Z be assigned? [1 Mark] - Correct Answers They
II II II II II II II II II II II II II II II II II II II
must always be assigned when this adds further information about the site on which the
II II II II II II II II II II II II II II II
procedure was performed
II II II
What two conditions must be coded if a diagnosis of 'severe sepsis' alone is made by the
II II II II II II II II II II II II II II II II II
clinician? No actual codes are required. [2 Marks] - Correct Answers (A41.9) Sepsis
II II II II II II II II II II II II II II II II II
(unspecified) (R65.1) Systemic Inflammatory Response Syndrome (SIRS) of infectious
II II II II II II II II II
origin with organ failure
II II II II
What is the standard regarding the use of the OPCS-4.7 code X35.1 Intravenous
II II II II II II II II II II II II II
induction of labour? [1 Mark] - Correct Answers It must never be used.
II II II II II II II II II II II II II II II II II
On what occasion is it a mandatory requirement to assign an OPCS-4.7 general
II II II II II II II II II II II II II
anaesthetic code? [1 Mark] - Correct Answers When radiotherapy is delivered under
II II II II II II II II II II II II II II II II
general anaesthetic, a code from category Y80 General anaesthetic must be assigned in
II II II II II II II II II II II II II
addition to the radiotherapy delivery.
II II II II II
When should codes from ICD-10 category Z54.- Convalescence be assigned and how
II II II II II II II II II II II II
should they be sequenced? No actual codes are required. [2 Marks] - Correct Answers
II II II II II II II II II II II II II II II II II II
Never in primary. They must only be assigned in a secondary position when a patient has
II II II II II II II II II II II II II II II II
received convalescence in a dedicated convalescent unit.
II II II II II II II
, How should an injury caused by a geriatric fall be coded? Describe the possible
II II II II II II II II II II II II II II
sequencing of these codes. No actual codes are required. [4 Marks] - Correct Answers
II II II II II II II II II II II II II II II II II II
Code classifying the injury sustained (from Chapter XIX). External cause code to describe
II II II II II II II II II II II II II
the fall (from categories W00-W19).
II II II II II II
(R29.6) Tendency to fall, (not elsewhere classified). II II II II II II II
In this sequence, unless the patient remains in hospital for investigation of the falls and
II II II II II II II II II II II II II II
this becomes the primary focus of care, then this code (R29.6) must be sequenced before
II II II II II II II II II II II II II II II
the codes for the injury
II II II II II
What must be coded when an excision and biopsy (excision biopsy) is performed on the
II II II II II II II II II II II II II II II
same site during the same theatre visit, and why? No actual codes are required. [2 Marks]
II II II II II II II II II II II II II II II II
- Correct Answers Only assign a code(s) for the excision as a biopsy is an integral part
II II II II II II II II II II II II II II II II II II II II II
of an excision.
II II II
When must codes from ICD-10 category Z38.- Liveborn infants according to place of birth
II II II II II II II II II II II II II II
be assigned in the primary coding field? [1 Mark] - Correct Answers If the baby is a
II II II II II II II II II II II II II II II II II II II II II
completely well baby and has no morbid conditions that have been treated or
II II II II II II II II II II II II II
investigated.
II
During which procedure should OPCS-4.7 code X50.5 Evaluation of a cardiodefibrillator
II II II II II II II II II II II
not be assigned when carried out? No actual codes are required. [1 Mark] - Correct
II II II II II II II II II II II II II II II II
Answers When testing is performed during the insertion of the cardioverter defibrillator
II II II II II II II II II II II II II II II
(K59 Cardioverter defibrillator introduced through the vein or K72 Other cardioverter
II II II II II II II II II II II
defibrillator).
II
What precise wording, other than 'status asthmaticus', must be present in the medical
II II II II II II II II II II II II II
records to be able to assign J46.X Status asthmaticus? [1 Mark] - Correct Answers
II II II II II II II II II II II II II II II II II II
Acute severe asthma
II II II
How should a fracture fixation procedure be coded when the description names more
II II II II II II II II II II II II II
than one type of fixation device, e.g. pin and plate? No actual codes are required. [2
II II II II II II II II II II II II II II II II
Marks] - Correct Answers Only the main part of the device that is holding the fracture
II II II II II II II II II II II II II II II II II II II II
together must be coded. When it is not clear which part of the fixation device is the main
II II II II II II II II II II II II II II II II II II
part holding the fracture together, advice must be sought from the responsible consultant.
II II II II II II II II II II II II II
In accordance with national clinical coding standards, name the two specific forms of
II II II II II II II II II II II II II
chest pain categorised to ICD-10 category R07 Pain in throat and chest. [2 Marks] -
II II II II II II II II II II II II II II II II
Correct Answers Central chest pain
II II II II II II II II II
Musculoskeletal chest pain II II
In ICD-10 coding terms, describe the difference between a 'rectal haemorrhage' and 'per
II II II II II II II II II II II II II
rectal haemorrhage', and the coding standards related to these terms. No actual codes
II II II II II II II II II II II II II
are required. [3 Marks] - Correct Answers The code (K62.5) for 'haemorrhage of anus
II II II II II II II II II II II II II II II II II II
and rectum' must only be assigned for an actual haemorrhage of the anus and/or rectum.
II II II II II II II II II II II II II II II
, It must not be assigned for haemorrhage that has occurred from elsewhere in the
II II II II II II II II II II II II II II
gastrointestinal tract that is merely exiting via the rectum, i.e. per rectal haemorrhage.
II II II II II II II II II II II II II II
The code (K92.2) for 'gastrointestinal haemorrhage, unspecified' must be assigned for a
II II II II II II II II II II II
haemorrhage that occurred via the rectum (per rectal haemorrhage) but is not specified
II II II II II II II II II II II II II
as being from the actual rectum or anus. This code must not be assigned when it is a
II II II II II II II II II II II II II II II II II II
symptom of a specific disease which has been diagnosed.
II II II II II II II II II
How must a colonoscopy with ileal intubation that includes a biopsy of the terminal ileum
II II II II II II II II II II II II II II II
be coded? No actual codes are required. [2 Marks] - Correct Answers (H22.1)
II II II II II II II II II II II II II II II II II
Diagnostic fibreoptic endoscopic examination of colon and biopsy of lesion of colon
II II II II II II II II II II II II
followed by the site code (Z27.6) Ileum
II II II II II II II
What clinical coding standards relating to the use of ICD-10 category O63 Long labour
II II II II II II II II II II II II II II
must the coder be aware of? [2 Marks] - Correct Answers It must be documented in the
II II II II II II II II II II II II II II II II II II II II II
medical record that the labour or stage of labour is prolonged/long for this category to be
II II II II II II II II II II II II II II II II
used.
II II
If the reason for the prolonged/long labour is stated, then this must be coded instead
II II II II II II II II II II II II II II
When must the insertion of a nasogastric (NG) feeding tube be coded? [1 Mark] - Correct
II II II II II II II II II II II II II II II II II
Answers When a patient is admitted solely for the purpose of insertion.
II II II II II II II II II II II II II II II
What is the OPCS-4 standard when a gastroscope is not able to be inserted further than
II II II II II II II II II II II II II II II II
the patient's mouth during an endoscopy? No actual codes are required. [1 Mark] -
II II II II II II II II II II II II II II II
Correct Answers The procedure must not be coded.
II II II II II II II II II II II
The ICD-10 classification contains 22 chapters and is divided into three different chapter
II II II II II II II II II II II II II
types. Name the three types of chapter. [3 Marks] - Correct Answers Special group
II II II II II II II II II II II II II II II II II II
chapters
II II
Body system chapters II II II
Other chapters II
When there is doubt as to where a condition should be coded which of the three chapter
II II II II II II II II II II II II II II II II II
types found in the axis of the ICD-10 classification takes priority? [1 Mark] - Correct
II II II II II II II II II II II II II II II II
Answers Where there is any doubt as to where a condition should be coded, the 'special
II II II II II II II II II II II II II II II II II II II
group' chapters must take priority.
II II II II II
In order for an ICD-10 classification code to be valid what is the minimum character length
II II II II II II II II II II II II II II II II
that it must be? Describe the structure of a code and how it must be extended as
II II II II II II II II II II II II II II II II II
documented in DRule.2: Category and code structure. [5 Marks] - Correct Answers
II II II II II II II II II II II II II II II II
Four.
II II
Three character category codes must subdivided into four character subcategories.
II
II II II II II II II II II II
, Where a three character category code is not subdivided into four character subdivisions
II II II II II II II II II II II II
the 'X' filler must be assigned in the fourth character field so the codes are of a standard
II II II II II II II II II II II II II II II II II II
length for data processing and validation.
II
II
II II II II II II
Where a three character code requires assignment of both the 'X' filler and a fifth
II II II II II II II II II II II II II II
character subdivision, the 'X' filler must continue to be recorded in the fourth field before
II II II II II II II II II II II II II II II
the fifth character, for example M45.X3 Ankylosing spondylitis, cervicothoracic region.
II II II II II II II II II II
Where is the 'point dash (.-)' punctuation found in the ICD-10 classification and describe
II II II II II II II II II II II II II II
its purpose? [3 Marks] - Correct Answers A point-dash is found in both the Tabular List
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and the Alphabetical Index to indicate there are fourth character subdivisions.
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Unique identifiers (reference number) are applied to four areas of the National Clinical
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Coding Standards ICD-10 4th Edition (2015) reference book; flow charts are one of these,
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name the other three. [3 Marks] - Correct Answers Rules
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Conventions II
Standards
Name the three types of standard documented in the National Clinical Coding Standards
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ICD-10 4th Edition (2015) reference book. Briefly describe their locations within it and
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how they should be applied. [9 Marks] - Correct Answers General coding standards are
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located at the beginning of the reference book and are applicable throughout the
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classification.
II
II
II
Chapter standards are located at the beginning of an ICD-10 chapter of the reference
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book and are applicable throughout that chapter. Note that not all chapters will have
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chapter standards.
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II
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Coding standards are located throughout each ICD-10 chapter of the reference book and
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are applicable to a specific diagnosis, disorder, disease or condition, or describe the
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correct usage of a code, category or range of codes. Coding standards are, generally,
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listed in code, category or range order.
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What must clinical coders take into account when coding a 'radical operation'? [3 Marks] -
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Correct Answers When coding radical operations:
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Code assignment must fully reflect the procedure(s) performed during the radical
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operation.
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Instructional Notes must be applied in order to fully reflect all procedures performed. II II II II II II II II II II II II II
Any uncertainty as to what procedures were performed during the radical operation must
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be clarified with the responsible consultant in order to ensure correct code assignment.
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What sequencing rules must be applied when a resection and reconstruction of an organ
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or site has been performed during the same theatre visit? [2 Marks] - Correct Answers
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Where resection and reconstruction have been performed the codes that classify the
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resection must be assigned before the codes that classify the reconstruction.
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What is being described when codes from OPCS-4.7 category V55 Levels of spine are
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assigned? [1 Mark] - Correct Answers The number of levels being operated on.
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