Diagnostic Coding
Comprehensive Finals Review (Qns & Ans)
2025
1. Which of the following coding systems is primarily used for
diagnosis coding in outpatient settings in the United States?
- A) ICD-9-CM
- B) ICD-10-CM
- C) CPT
- D) HCPCS Level II
- ANS: B) ICD-10-CM
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, - Rationale: ICD-10-CM (International Classification of
Diseases, 10th Revision, Clinical Modification) is used for
diagnosis coding in outpatient settings in the United States.
2. What is the purpose of the “Excludes2” note in ICD-10-CM
coding?
- A) To indicate that the conditions listed are not coded here and
can be coded together
- B) To indicate that the conditions listed should never be coded
together
- C) To indicate an error in the coding manual
- D) To provide additional coding instructions
- ANS: A) To indicate that the conditions listed are not coded
here and can be coded together
- Rationale: “Excludes2” notes in ICD-10-CM indicate that
the conditions listed are not coded here, but can be coded together
if both conditions are present.
Fill-in-the-Blank Questions
3. The __________ code set is used to report procedures and
services performed by physicians and other healthcare providers.
- ANS: CPT (Current Procedural Terminology)
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, - Rationale: CPT codes are used to report procedures and
services performed by healthcare providers.
4. The __________ convention in ICD-10-CM coding is used to
indicate that two conditions are related and should both be coded.
- ANS: “Code Also”
- Rationale: The “Code Also” convention indicates that two
related conditions should both be coded.
True/False Questions
5. True or False: The use of ICD-10-CM codes is mandatory for
all healthcare providers in the United States.
- ANS: True
- Rationale: The use of ICD-10-CM codes is mandatory for
all healthcare providers in the United States for reporting
diagnoses and conditions.
6. True or False: The “See Also” note in ICD-10-CM coding
indicates that another term may provide additional useful coding
information.
- ANS: True
- Rationale: The “See Also” note directs coders to another
term that may provide additional useful information for coding.
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, Multiple Response Questions
7. Which of the following are components of a complete ICD-
10-CM code? (Select all that apply)
- A) Main term
- B) Subterm
- C) Placeholder character “X”
- D) Seventh character extender
- ANS: A) Main term, B) Subterm, C) Placeholder character
“X”, D) Seventh character extender
- Rationale: A complete ICD-10-CM code may include a
main term, subterm, placeholder character “X”, and a seventh
character extender.
8. Which of the following are purposes of medical coding?
(Select all that apply)
- A) Facilitating billing and reimbursement
- B) Tracking public health data
- C) Simplifying medical records for patients
- D) Supporting clinical research
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