NCCQ UK THEORY PAST PAPER
PRACTICE QUESTIONS WITH
COMPLETE ANSWERS
The xxrequirement xxfor xxnational xxcollection xxof xxthe xxuse xxof xxfifth xxcharacters
xxappears xxin xxwhich xxfour xxICD-10 xx4th xxEdition xxchapters? xxEither xxchapter
xxnumbers xx(Arabic xxor xxRoman xxnumeral) xxor xxfull xxtitles xxare xxacceptable. xx[3
xxMarks] xx- xxAnswer xxChapter xxIX xx(9) xxDiseases xxof xxthe xxcirculatory xxsystem xx
Chapter xxX xx(10) xxDiseases xxof xxthe xxrespiratory xxsystem
Chapter xxXIII xx(13) xxDiseases xxof xxthe xxmusculoskeletal xxsystem xxand xxconnective
xxtissue xx
Chapter xxXIX xx(19) xxInjury, xxpoisoning xxand xxcertain xxother xxconsequences xxof
xxexternal xxcauses
The xxcircumstances xxsurrounding xxreactions xxto xxdrug/medication xxare xxclassified xxin
xxtwo xxways xxwithin xxICD-10 xxTabular xxList, xxVolume xx1. xxName xxboth xxways. xx[2
xxMarks] xx- xxAnswer xxPoisoning xx(improper xxuse) xx
Adverse xxeffect xx(proper xxuse)
What xxmust xxa xxcoder xxdo xxif xxa xxsurgical xxeponym xxis xxused xxin xxthe xxmedical
xxrecord xxto xxdescribe xxa xxprocedure? xx[3 xxMarks] xx- xxAnswer xxThe xxcoder xxmust
xxanalyse xxthe xxprocedural xxinformation xxand xxensure xxthat xxcode xxassignment xxfully
xxreflects xxthe xxprocedure xxperformed. xx
Where xxthe xxcoder xxis xxunsure xxwhat xxprocedure xxthe xxeponym xxdescribes, xxthey
xxmust xxseek xxadvice xxfrom xxthe xxresponsible xxconsultant xxto xxensure xxthat xxthe
xxcorrect xxcodes xxare xxassigned.
When xxshould xxsite xxcodes xxfrom xxChapter xxZ xxbe xxassigned? xx[1 xxMark] xx- xxAnswer
xxThey xxmust xxalways xxbe xxassigned xxwhen xxthis xxadds xxfurther xxinformation xxabout
xxthe xxsite xxon xxwhich xxthe xxprocedure xxwas xxperformed
What xxtwo xxconditions xxmust xxbe xxcoded xxif xxa xxdiagnosis xxof xx'severe xxsepsis'
xxalone xxis xxmade xxby xxthe xxclinician? xxNo xxactual xxcodes xxare xxrequired. xx[2
xxMarks] xx- xxAnswer xx(A41.9) xxSepsis xx(unspecified) xx(R65.1) xxSystemic
,xxInflammatory xxResponse xxSyndrome xx(SIRS) xxof xxinfectious xxorigin xxwith xxorgan
xxfailure
What xxis xxthe xxstandard xxregarding xxthe xxuse xxof xxthe xxOPCS-4.7 xxcode xxX35.1
xxIntravenous xxinduction xxof xxlabour? xx[1 xxMark] xx- xxAnswer xxIt xxmust xxnever xxbe
xxused.
On xxwhat xxoccasion xxis xxit xxa xxmandatory xxrequirement xxto xxassign xxan xxOPCS-4.7
xxgeneral xxanaesthetic xxcode? xx[1 xxMark] xx- xxAnswer xxWhen xxradiotherapy xxis
xxdelivered xxunder xxgeneral xxanaesthetic, xxa xxcode xxfrom xxcategory xxY80 xxGeneral
xxanaesthetic xxmust xxbe xxassigned xxin xxaddition xxto xxthe xxradiotherapy xxdelivery.
When xxshould xxcodes xxfrom xxICD-10 xxcategory xxZ54.- xxConvalescence xxbe
xxassigned xxand xxhow xxshould xxthey xxbe xxsequenced? xxNo xxactual xxcodes xxare
xxrequired. xx[2 xxMarks] xx- xxAnswer xxNever xxin xxprimary. xxThey xxmust xxonly xxbe
xxassigned xxin xxa xxsecondary xxposition xxwhen xxa xxpatient xxhas xxreceived
xxconvalescence xxin xxa xxdedicated xxconvalescent xxunit.
How xxshould xxan xxinjury xxcaused xxby xxa xxgeriatric xxfall xxbe xxcoded? xxDescribe xxthe
xxpossible xxsequencing xxof xxthese xxcodes. xxNo xxactual xxcodes xxare xxrequired. xx[4
xxMarks] xx- xxAnswer xxCode xxclassifying xxthe xxinjury xxsustained xx(from xxChapter
xxXIX). xxExternal xxcause xxcode xxto xxdescribe xxthe xxfall xx(from xxcategories xxW00-
W19). xx
(R29.6) xxTendency xxto xxfall, xx(not xxelsewhere xxclassified). xx
In xxthis xxsequence, xxunless xxthe xxpatient xxremains xxin xxhospital xxfor xxinvestigation
xxof xxthe xxfalls xxand xxthis xxbecomes xxthe xxprimary xxfocus xxof xxcare, xxthen xxthis xxcode
xx(R29.6) xxmust xxbe xxsequenced xxbefore xxthe xxcodes xxfor xxthe xxinjury
What xxmust xxbe xxcoded xxwhen xxan xxexcision xxand xxbiopsy xx(excision xxbiopsy) xxis
xxperformed xxon xxthe xxsame xxsite xxduring xxthe xxsame xxtheatre xxvisit, xxand xxwhy? xxNo
xxactual xxcodes xxare xxrequired. xx[2 xxMarks] xx- xxAnswer xxOnly xxassign xxa xxcode(s)
xxfor xxthe xxexcision xxas xxa xxbiopsy xxis xxan xxintegral xxpart xxof xxan xxexcision.
When xxmust xxcodes xxfrom xxICD-10 xxcategory xxZ38.- xxLiveborn xxinfants xxaccording
xxto xxplace xxof xxbirth xxbe xxassigned xxin xxthe xxprimary xxcoding xxfield? xx[1 xxMark] xx-
xxAnswer xxIf xxthe xxbaby xxis xxa xxcompletely xxwell xxbaby xxand xxhas xxno xxmorbid
xxconditions xxthat xxhave xxbeen xxtreated xxor xxinvestigated.
During xxwhich xxprocedure xxshould xxOPCS-4.7 xxcode xxX50.5 xxEvaluation xxof xxa
xxcardiodefibrillator xxnot xxbe xxassigned xxwhen xxcarried xxout? xxNo xxactual xxcodes xxare
xxrequired. xx[1 xxMark] xx- xxAnswer xxWhen xxtesting xxis xxperformed xxduring xxthe
xxinsertion xxof xxthe xxcardioverter xxdefibrillator xx(K59 xxCardioverter xxdefibrillator
xxintroduced xxthrough xxthe xxvein xxor xxK72 xxOther xxcardioverter xxdefibrillator).
,What xxprecise xxwording, xxother xxthan xx'status xxasthmaticus', xxmust xxbe xxpresent xxin
xxthe xxmedical xxrecords xxto xxbe xxable xxto xxassign xxJ46.X xxStatus xxasthmaticus? xx[1
xxMark] xx- xxAnswer xxAcute xxsevere xxasthma
How xxshould xxa xxfracture xxfixation xxprocedure xxbe xxcoded xxwhen xxthe xxdescription
xxnames xxmore xxthan xxone xxtype xxof xxfixation xxdevice, xxe.g. xxpin xxand xxplate? xxNo
xxactual xxcodes xxare xxrequired. xx[2 xxMarks] xx- xxAnswer xxOnly xxthe xxmain xxpart xxof
xxthe xxdevice xxthat xxis xxholding xxthe xxfracture xxtogether xxmust xxbe xxcoded. xxWhen xxit
xxis xxnot xxclear xxwhich xxpart xxof xxthe xxfixation xxdevice xxis xxthe xxmain xxpart xxholding
xxthe xxfracture xxtogether, xxadvice xxmust xxbe xxsought xxfrom xxthe xxresponsible
xxconsultant.
In xxaccordance xxwith xxnational xxclinical xxcoding xxstandards, xxname xxthe xxtwo
xxspecific xxforms xxof xxchest xxpain xxcategorised xxto xxICD-10 xxcategory xxR07 xxPain xxin
xxthroat xxand xxchest. xx[2 xxMarks] xx- xxAnswer xxCentral xxchest xxpain xx
Musculoskeletal xxchest xxpain
In xxICD-10 xxcoding xxterms, xxdescribe xxthe xxdifference xxbetween xxa xx'rectal
xxhaemorrhage' xxand xx'per xxrectal xxhaemorrhage', xxand xxthe xxcoding xxstandards
xxrelated xxto xxthese xxterms. xxNo xxactual xxcodes xxare xxrequired. xx[3 xxMarks] xx-
xxAnswer xxThe xxcode xx(K62.5) xxfor xx'haemorrhage xxof xxanus xxand xxrectum' xxmust
xxonly xxbe xxassigned xxfor xxan xxactual xxhaemorrhage xxof xxthe xxanus xxand/or xxrectum.
xxIt xxmust xxnot xxbe xxassigned xxfor xxhaemorrhage xxthat xxhas xxoccurred xxfrom
xxelsewhere xxin xxthe xxgastrointestinal xxtract xxthat xxis xxmerely xxexiting xxvia xxthe
xxrectum, xxi.e. xxper xxrectal xxhaemorrhage. xx
The xxcode xx(K92.2) xxfor xx'gastrointestinal xxhaemorrhage, xxunspecified' xxmust xxbe
xxassigned xxfor xxa xxhaemorrhage xxthat xxoccurred xxvia xxthe xxrectum xx(per xxrectal
xxhaemorrhage) xxbut xxis xxnot xxspecified xxas xxbeing xxfrom xxthe xxactual xxrectum xxor
xxanus. xxThis xxcode xxmust xxnot xxbe xxassigned xxwhen xxit xxis xxa xxsymptom xxof xxa
xxspecific xxdisease xxwhich xxhas xxbeen xxdiagnosed.
How xxmust xxa xxcolonoscopy xxwith xxileal xxintubation xxthat xxincludes xxa xxbiopsy xxof
xxthe xxterminal xxileum xxbe xxcoded? xxNo xxactual xxcodes xxare xxrequired. xx[2 xxMarks] xx-
xxAnswer xx(H22.1) xxDiagnostic xxfibreoptic xxendoscopic xxexamination xxof xxcolon xxand
xxbiopsy xxof xxlesion xxof xxcolon xxfollowed xxby xxthe xxsite xxcode xx(Z27.6) xxIleum
What xxclinical xxcoding xxstandards xxrelating xxto xxthe xxuse xxof xxICD-10 xxcategory xxO63
xxLong xxlabour xxmust xxthe xxcoder xxbe xxaware xxof? xx[2 xxMarks] xx- xxAnswer xxIt xxmust
xxbe xxdocumented xxin xxthe xxmedical xxrecord xxthat xxthe xxlabour xxor xxstage xxof xxlabour
xxis xxprolonged/long xxfor xxthis xxcategory xxto xxbe xxused. xx
If xxthe xxreason xxfor xxthe xxprolonged/long xxlabour xxis xxstated, xxthen xxthis xxmust xxbe
xxcoded xxinstead
, When xxmust xxthe xxinsertion xxof xxa xxnasogastric xx(NG) xxfeeding xxtube xxbe xxcoded?
xx[1 xxMark] xx- xxAnswer xxWhen xxa xxpatient xxis xxadmitted xxsolely xxfor xxthe xxpurpose
xxof xxinsertion.
What xxis xxthe xxOPCS-4 xxstandard xxwhen xxa xxgastroscope xxis xxnot xxable xxto xxbe
xxinserted xxfurther xxthan xxthe xxpatient's xxmouth xxduring xxan xxendoscopy? xxNo xxactual
xxcodes xxare xxrequired. xx[1 xxMark] xx- xxAnswer xxThe xxprocedure xxmust xxnot xxbe
xxcoded.
The xxICD-10 xxclassification xxcontains xx22 xxchapters xxand xxis xxdivided xxinto xxthree
xxdifferent xxchapter xxtypes. xxName xxthe xxthree xxtypes xxof xxchapter. xx[3 xxMarks] xx-
xxAnswer xxSpecial xxgroup xxchapters xx
Body xxsystem xxchapters xx
Other xxchapters
When xxthere xxis xxdoubt xxas xxto xxwhere xxa xxcondition xxshould xxbe xxcoded xxwhich xxof
xxthe xxthree xxchapter xxtypes xxfound xxin xxthe xxaxis xxof xxthe xxICD-10 xxclassification
xxtakes xxpriority? xx[1 xxMark] xx- xxAnswer xxWhere xxthere xxis xxany xxdoubt xxas xxto
xxwhere xxa xxcondition xxshould xxbe xxcoded, xxthe xx'special xxgroup' xxchapters xxmust
xxtake xxpriority.
In xxorder xxfor xxan xxICD-10 xxclassification xxcode xxto xxbe xxvalid xxwhat xxis xxthe
xxminimum xxcharacter xxlength xxthat xxit xxmust xxbe? xxDescribe xxthe xxstructure xxof xxa
xxcode xxand xxhow xxit xxmust xxbe xxextended xxas xxdocumented xxin xxDRule.2: xxCategory
xxand xxcode xxstructure. xx[5 xxMarks] xx- xxAnswer xxFour. xx
Three xxcharacter xxcategory xxcodes xxmust xxsubdivided xxinto xxfour xxcharacter
xxsubcategories. xx
xx
Where xxa xxthree xxcharacter xxcategory xxcode xxis xxnot xxsubdivided xxinto xxfour
xxcharacter xxsubdivisions xxthe xx'X' xxfiller xxmust xxbe xxassigned xxin xxthe xxfourth
xxcharacter xxfield xxso xxthe xxcodes xxare xxof xxa xxstandard xxlength xxfor xxdata
xxprocessing xxand xxvalidation. xx
xx
Where xxa xxthree xxcharacter xxcode xxrequires xxassignment xxof xxboth xxthe xx'X' xxfiller
xxand xxa xxfifth xxcharacter xxsubdivision, xxthe xx'X' xxfiller xxmust xxcontinue xxto xxbe
xxrecorded xxin xxthe xxfourth xxfield xxbefore xxthe xxfifth xxcharacter, xxfor xxexample
xxM45.X3 xxAnkylosing xxspondylitis, xxcervicothoracic xxregion.
Where xxis xxthe xx'point xxdash xx(.-)' xxpunctuation xxfound xxin xxthe xxICD-10
xxclassification xxand xxdescribe xxits xxpurpose? xx[3 xxMarks] xx- xxAnswer xxA xxpoint-dash
xxis xxfound xxin xxboth xxthe xxTabular xxList xxand xxthe xxAlphabetical xxIndex xxto xxindicate
xxthere xxare xxfourth xxcharacter xxsubdivisions.
Unique xxidentifiers xx(reference xxnumber) xxare xxapplied xxto xxfour xxareas xxof xxthe
xxNational xxClinical xxCoding xxStandards xxICD-10 xx4th xxEdition xx(2015) xxreference
PRACTICE QUESTIONS WITH
COMPLETE ANSWERS
The xxrequirement xxfor xxnational xxcollection xxof xxthe xxuse xxof xxfifth xxcharacters
xxappears xxin xxwhich xxfour xxICD-10 xx4th xxEdition xxchapters? xxEither xxchapter
xxnumbers xx(Arabic xxor xxRoman xxnumeral) xxor xxfull xxtitles xxare xxacceptable. xx[3
xxMarks] xx- xxAnswer xxChapter xxIX xx(9) xxDiseases xxof xxthe xxcirculatory xxsystem xx
Chapter xxX xx(10) xxDiseases xxof xxthe xxrespiratory xxsystem
Chapter xxXIII xx(13) xxDiseases xxof xxthe xxmusculoskeletal xxsystem xxand xxconnective
xxtissue xx
Chapter xxXIX xx(19) xxInjury, xxpoisoning xxand xxcertain xxother xxconsequences xxof
xxexternal xxcauses
The xxcircumstances xxsurrounding xxreactions xxto xxdrug/medication xxare xxclassified xxin
xxtwo xxways xxwithin xxICD-10 xxTabular xxList, xxVolume xx1. xxName xxboth xxways. xx[2
xxMarks] xx- xxAnswer xxPoisoning xx(improper xxuse) xx
Adverse xxeffect xx(proper xxuse)
What xxmust xxa xxcoder xxdo xxif xxa xxsurgical xxeponym xxis xxused xxin xxthe xxmedical
xxrecord xxto xxdescribe xxa xxprocedure? xx[3 xxMarks] xx- xxAnswer xxThe xxcoder xxmust
xxanalyse xxthe xxprocedural xxinformation xxand xxensure xxthat xxcode xxassignment xxfully
xxreflects xxthe xxprocedure xxperformed. xx
Where xxthe xxcoder xxis xxunsure xxwhat xxprocedure xxthe xxeponym xxdescribes, xxthey
xxmust xxseek xxadvice xxfrom xxthe xxresponsible xxconsultant xxto xxensure xxthat xxthe
xxcorrect xxcodes xxare xxassigned.
When xxshould xxsite xxcodes xxfrom xxChapter xxZ xxbe xxassigned? xx[1 xxMark] xx- xxAnswer
xxThey xxmust xxalways xxbe xxassigned xxwhen xxthis xxadds xxfurther xxinformation xxabout
xxthe xxsite xxon xxwhich xxthe xxprocedure xxwas xxperformed
What xxtwo xxconditions xxmust xxbe xxcoded xxif xxa xxdiagnosis xxof xx'severe xxsepsis'
xxalone xxis xxmade xxby xxthe xxclinician? xxNo xxactual xxcodes xxare xxrequired. xx[2
xxMarks] xx- xxAnswer xx(A41.9) xxSepsis xx(unspecified) xx(R65.1) xxSystemic
,xxInflammatory xxResponse xxSyndrome xx(SIRS) xxof xxinfectious xxorigin xxwith xxorgan
xxfailure
What xxis xxthe xxstandard xxregarding xxthe xxuse xxof xxthe xxOPCS-4.7 xxcode xxX35.1
xxIntravenous xxinduction xxof xxlabour? xx[1 xxMark] xx- xxAnswer xxIt xxmust xxnever xxbe
xxused.
On xxwhat xxoccasion xxis xxit xxa xxmandatory xxrequirement xxto xxassign xxan xxOPCS-4.7
xxgeneral xxanaesthetic xxcode? xx[1 xxMark] xx- xxAnswer xxWhen xxradiotherapy xxis
xxdelivered xxunder xxgeneral xxanaesthetic, xxa xxcode xxfrom xxcategory xxY80 xxGeneral
xxanaesthetic xxmust xxbe xxassigned xxin xxaddition xxto xxthe xxradiotherapy xxdelivery.
When xxshould xxcodes xxfrom xxICD-10 xxcategory xxZ54.- xxConvalescence xxbe
xxassigned xxand xxhow xxshould xxthey xxbe xxsequenced? xxNo xxactual xxcodes xxare
xxrequired. xx[2 xxMarks] xx- xxAnswer xxNever xxin xxprimary. xxThey xxmust xxonly xxbe
xxassigned xxin xxa xxsecondary xxposition xxwhen xxa xxpatient xxhas xxreceived
xxconvalescence xxin xxa xxdedicated xxconvalescent xxunit.
How xxshould xxan xxinjury xxcaused xxby xxa xxgeriatric xxfall xxbe xxcoded? xxDescribe xxthe
xxpossible xxsequencing xxof xxthese xxcodes. xxNo xxactual xxcodes xxare xxrequired. xx[4
xxMarks] xx- xxAnswer xxCode xxclassifying xxthe xxinjury xxsustained xx(from xxChapter
xxXIX). xxExternal xxcause xxcode xxto xxdescribe xxthe xxfall xx(from xxcategories xxW00-
W19). xx
(R29.6) xxTendency xxto xxfall, xx(not xxelsewhere xxclassified). xx
In xxthis xxsequence, xxunless xxthe xxpatient xxremains xxin xxhospital xxfor xxinvestigation
xxof xxthe xxfalls xxand xxthis xxbecomes xxthe xxprimary xxfocus xxof xxcare, xxthen xxthis xxcode
xx(R29.6) xxmust xxbe xxsequenced xxbefore xxthe xxcodes xxfor xxthe xxinjury
What xxmust xxbe xxcoded xxwhen xxan xxexcision xxand xxbiopsy xx(excision xxbiopsy) xxis
xxperformed xxon xxthe xxsame xxsite xxduring xxthe xxsame xxtheatre xxvisit, xxand xxwhy? xxNo
xxactual xxcodes xxare xxrequired. xx[2 xxMarks] xx- xxAnswer xxOnly xxassign xxa xxcode(s)
xxfor xxthe xxexcision xxas xxa xxbiopsy xxis xxan xxintegral xxpart xxof xxan xxexcision.
When xxmust xxcodes xxfrom xxICD-10 xxcategory xxZ38.- xxLiveborn xxinfants xxaccording
xxto xxplace xxof xxbirth xxbe xxassigned xxin xxthe xxprimary xxcoding xxfield? xx[1 xxMark] xx-
xxAnswer xxIf xxthe xxbaby xxis xxa xxcompletely xxwell xxbaby xxand xxhas xxno xxmorbid
xxconditions xxthat xxhave xxbeen xxtreated xxor xxinvestigated.
During xxwhich xxprocedure xxshould xxOPCS-4.7 xxcode xxX50.5 xxEvaluation xxof xxa
xxcardiodefibrillator xxnot xxbe xxassigned xxwhen xxcarried xxout? xxNo xxactual xxcodes xxare
xxrequired. xx[1 xxMark] xx- xxAnswer xxWhen xxtesting xxis xxperformed xxduring xxthe
xxinsertion xxof xxthe xxcardioverter xxdefibrillator xx(K59 xxCardioverter xxdefibrillator
xxintroduced xxthrough xxthe xxvein xxor xxK72 xxOther xxcardioverter xxdefibrillator).
,What xxprecise xxwording, xxother xxthan xx'status xxasthmaticus', xxmust xxbe xxpresent xxin
xxthe xxmedical xxrecords xxto xxbe xxable xxto xxassign xxJ46.X xxStatus xxasthmaticus? xx[1
xxMark] xx- xxAnswer xxAcute xxsevere xxasthma
How xxshould xxa xxfracture xxfixation xxprocedure xxbe xxcoded xxwhen xxthe xxdescription
xxnames xxmore xxthan xxone xxtype xxof xxfixation xxdevice, xxe.g. xxpin xxand xxplate? xxNo
xxactual xxcodes xxare xxrequired. xx[2 xxMarks] xx- xxAnswer xxOnly xxthe xxmain xxpart xxof
xxthe xxdevice xxthat xxis xxholding xxthe xxfracture xxtogether xxmust xxbe xxcoded. xxWhen xxit
xxis xxnot xxclear xxwhich xxpart xxof xxthe xxfixation xxdevice xxis xxthe xxmain xxpart xxholding
xxthe xxfracture xxtogether, xxadvice xxmust xxbe xxsought xxfrom xxthe xxresponsible
xxconsultant.
In xxaccordance xxwith xxnational xxclinical xxcoding xxstandards, xxname xxthe xxtwo
xxspecific xxforms xxof xxchest xxpain xxcategorised xxto xxICD-10 xxcategory xxR07 xxPain xxin
xxthroat xxand xxchest. xx[2 xxMarks] xx- xxAnswer xxCentral xxchest xxpain xx
Musculoskeletal xxchest xxpain
In xxICD-10 xxcoding xxterms, xxdescribe xxthe xxdifference xxbetween xxa xx'rectal
xxhaemorrhage' xxand xx'per xxrectal xxhaemorrhage', xxand xxthe xxcoding xxstandards
xxrelated xxto xxthese xxterms. xxNo xxactual xxcodes xxare xxrequired. xx[3 xxMarks] xx-
xxAnswer xxThe xxcode xx(K62.5) xxfor xx'haemorrhage xxof xxanus xxand xxrectum' xxmust
xxonly xxbe xxassigned xxfor xxan xxactual xxhaemorrhage xxof xxthe xxanus xxand/or xxrectum.
xxIt xxmust xxnot xxbe xxassigned xxfor xxhaemorrhage xxthat xxhas xxoccurred xxfrom
xxelsewhere xxin xxthe xxgastrointestinal xxtract xxthat xxis xxmerely xxexiting xxvia xxthe
xxrectum, xxi.e. xxper xxrectal xxhaemorrhage. xx
The xxcode xx(K92.2) xxfor xx'gastrointestinal xxhaemorrhage, xxunspecified' xxmust xxbe
xxassigned xxfor xxa xxhaemorrhage xxthat xxoccurred xxvia xxthe xxrectum xx(per xxrectal
xxhaemorrhage) xxbut xxis xxnot xxspecified xxas xxbeing xxfrom xxthe xxactual xxrectum xxor
xxanus. xxThis xxcode xxmust xxnot xxbe xxassigned xxwhen xxit xxis xxa xxsymptom xxof xxa
xxspecific xxdisease xxwhich xxhas xxbeen xxdiagnosed.
How xxmust xxa xxcolonoscopy xxwith xxileal xxintubation xxthat xxincludes xxa xxbiopsy xxof
xxthe xxterminal xxileum xxbe xxcoded? xxNo xxactual xxcodes xxare xxrequired. xx[2 xxMarks] xx-
xxAnswer xx(H22.1) xxDiagnostic xxfibreoptic xxendoscopic xxexamination xxof xxcolon xxand
xxbiopsy xxof xxlesion xxof xxcolon xxfollowed xxby xxthe xxsite xxcode xx(Z27.6) xxIleum
What xxclinical xxcoding xxstandards xxrelating xxto xxthe xxuse xxof xxICD-10 xxcategory xxO63
xxLong xxlabour xxmust xxthe xxcoder xxbe xxaware xxof? xx[2 xxMarks] xx- xxAnswer xxIt xxmust
xxbe xxdocumented xxin xxthe xxmedical xxrecord xxthat xxthe xxlabour xxor xxstage xxof xxlabour
xxis xxprolonged/long xxfor xxthis xxcategory xxto xxbe xxused. xx
If xxthe xxreason xxfor xxthe xxprolonged/long xxlabour xxis xxstated, xxthen xxthis xxmust xxbe
xxcoded xxinstead
, When xxmust xxthe xxinsertion xxof xxa xxnasogastric xx(NG) xxfeeding xxtube xxbe xxcoded?
xx[1 xxMark] xx- xxAnswer xxWhen xxa xxpatient xxis xxadmitted xxsolely xxfor xxthe xxpurpose
xxof xxinsertion.
What xxis xxthe xxOPCS-4 xxstandard xxwhen xxa xxgastroscope xxis xxnot xxable xxto xxbe
xxinserted xxfurther xxthan xxthe xxpatient's xxmouth xxduring xxan xxendoscopy? xxNo xxactual
xxcodes xxare xxrequired. xx[1 xxMark] xx- xxAnswer xxThe xxprocedure xxmust xxnot xxbe
xxcoded.
The xxICD-10 xxclassification xxcontains xx22 xxchapters xxand xxis xxdivided xxinto xxthree
xxdifferent xxchapter xxtypes. xxName xxthe xxthree xxtypes xxof xxchapter. xx[3 xxMarks] xx-
xxAnswer xxSpecial xxgroup xxchapters xx
Body xxsystem xxchapters xx
Other xxchapters
When xxthere xxis xxdoubt xxas xxto xxwhere xxa xxcondition xxshould xxbe xxcoded xxwhich xxof
xxthe xxthree xxchapter xxtypes xxfound xxin xxthe xxaxis xxof xxthe xxICD-10 xxclassification
xxtakes xxpriority? xx[1 xxMark] xx- xxAnswer xxWhere xxthere xxis xxany xxdoubt xxas xxto
xxwhere xxa xxcondition xxshould xxbe xxcoded, xxthe xx'special xxgroup' xxchapters xxmust
xxtake xxpriority.
In xxorder xxfor xxan xxICD-10 xxclassification xxcode xxto xxbe xxvalid xxwhat xxis xxthe
xxminimum xxcharacter xxlength xxthat xxit xxmust xxbe? xxDescribe xxthe xxstructure xxof xxa
xxcode xxand xxhow xxit xxmust xxbe xxextended xxas xxdocumented xxin xxDRule.2: xxCategory
xxand xxcode xxstructure. xx[5 xxMarks] xx- xxAnswer xxFour. xx
Three xxcharacter xxcategory xxcodes xxmust xxsubdivided xxinto xxfour xxcharacter
xxsubcategories. xx
xx
Where xxa xxthree xxcharacter xxcategory xxcode xxis xxnot xxsubdivided xxinto xxfour
xxcharacter xxsubdivisions xxthe xx'X' xxfiller xxmust xxbe xxassigned xxin xxthe xxfourth
xxcharacter xxfield xxso xxthe xxcodes xxare xxof xxa xxstandard xxlength xxfor xxdata
xxprocessing xxand xxvalidation. xx
xx
Where xxa xxthree xxcharacter xxcode xxrequires xxassignment xxof xxboth xxthe xx'X' xxfiller
xxand xxa xxfifth xxcharacter xxsubdivision, xxthe xx'X' xxfiller xxmust xxcontinue xxto xxbe
xxrecorded xxin xxthe xxfourth xxfield xxbefore xxthe xxfifth xxcharacter, xxfor xxexample
xxM45.X3 xxAnkylosing xxspondylitis, xxcervicothoracic xxregion.
Where xxis xxthe xx'point xxdash xx(.-)' xxpunctuation xxfound xxin xxthe xxICD-10
xxclassification xxand xxdescribe xxits xxpurpose? xx[3 xxMarks] xx- xxAnswer xxA xxpoint-dash
xxis xxfound xxin xxboth xxthe xxTabular xxList xxand xxthe xxAlphabetical xxIndex xxto xxindicate
xxthere xxare xxfourth xxcharacter xxsubdivisions.
Unique xxidentifiers xx(reference xxnumber) xxare xxapplied xxto xxfour xxareas xxof xxthe
xxNational xxClinical xxCoding xxStandards xxICD-10 xx4th xxEdition xx(2015) xxreference
