QUESTIONS WITH SOLUTIONS GRADED A+
◉ Codes are used for___. Answer: Billing Medicare, Medicaid, and
commercial insurance companies for payment; also for reporting
statistics and reports to the state and federal government
◉ ICD 10 CM. Answer: Alphanumeric coding system used for inpatient
and outpatient diagnosis coding; have between 3-7 characters
◉ ICD 10 PCS. Answer: Coding system used for inpatient procedure
coding ONLY; Contains 7 alphanumeric characters
◉ CPT and HCPCS. Answer: 5 digit numerical coding system used for
outpatient procedure coding ONLY
◉ Encoder. Answer: Software's that help coders find codes more
efficiently than using a book
◉ Coding Software's we will use. Answer: 3M Encoder and
Quantim/Clintegrity Encoder
,◉ ICD-10 stands for:. Answer: International Classification of Diseases,
10th revision
◉ ICD-10-CM Coding Book is divided into____. Answer: Alphabetic
index; Tabular List
◉ Alphabetic Index. Answer: An alphabetic list of terms and their codes;
never finalize a code after locating it in this section
◉ Tabular List. Answer: A structured list of codes divided by chapters
based on body system and condition; Contains categories, subcategories,
and codes
◉ The ICD-10-Cm utilizes a____to allow for future expansion; used for
if a code has less than 7 characters.. Answer: Placeholder character X
◉ [ ]Brackets are used in the Tabular List to enclose. Answer:
Synonyms, alternative wording, or explanatory phrases.
◉ [ ]Brackets are used in the Alphabetic Index to identify. Answer:
Manifestation codes
◉ ( )Parenthesis are used in both the Tabular List and the Alphabetic
Index to__. Answer: Enclose supplementary words that may be present
, or absent in the statement of a disease or procedure without affecting the
code number
◉ Excludes 1 Note in ICD 10 CM. Answer: Indicates that the code
excluded should never be used at the same time as the code above the
Excludes 1 note
◉ Excludes 2 note in ICD 10 CM. Answer: Indicates that the condition
excluded is not part of the condition represented by the code, but a
patient may have both conditions at the same time
◉ Selection of a full code, including laterality and any applicable 7th
character can only be done in the___. Answer: Tabular List
◉ Abstracting. Answer: Data extraction from documentation in the
medical record that creates an overview of the patient's visit; The data is
then entered into a software system and converted to codes or analyzed
for other purposes
◉ Accreditation. Answer: A voluntary process that a facility undergoes
for a review of their performance and adherence to policies by an
independent organization created for the purpose of evaluation; May
mean that an organization has met criteria established by an outside
organization that meets standards set by an organization; usually
reviewed on a regularly basis