Chapter 13: Diagnostic Coding Essentials
Niedzwiecki: Kinn’s The Clinical Medical Assistant, 14th Edition
MULTIPLE CHOICE
1. Burns are coded by:
a. site and degree.
b. the body surface involved.
c. site and degree and the body surface involved.
d. None are correct
ANS: C
Burns are coded by both the site and degree as well as the body surface involved.
REF: p. 274 OBJ: 9 TOP: Insurance: Diagnostic Coding
MSC: CAAHEP: IX.P.2 | ABHES: 1.d
2. Which of the following letters in the ICD-10-CM is reserved by the World Health
Organization to assign new diseases with uncertain etiology?
a. U
b. X
c. Y
d. Z
ANS: A
All of the letters in the English language alphabet are used except for the letter “U,” which
has been reserved by the World Health Organization to assign new diseases with uncertain
etiology.
REF: p. 260
OBJ: 2. Identify the structure and format of the International Classification of Diseases | 10th
revision | Clinical Modification (ICD-10-CM).
TOP: Insurance: Diagnostic Coding MSC: CAAHEP: IX.C.2 | ABHES: 1.d
3. The code for HIV indicates which of the following?
a. The HIV virus is present
b. The manifestation of symptoms that occur as a result of HIV infection
c. Probable case of HIV
d. Suspected case of HIV
ANS: A
The code for human immunodeficiency virus (HIV) indicates only that the virus is present.
Acquired immunodeficiency syndrome (AIDS) is the manifestation (or manifestations) of
and/or symptoms that can occur as a result of HIV infection. Never code a patient as
having HIV unless it is clearly documented as confirmed. Probable and suspected cases
are never coded; instead, the signs and symptoms present should be coded.
REF: p. 270 OBJ: 9 TOP: Insurance: Diagnostic Coding
MSC: CAAHEP: IX.C.2 | ABHES: 1.d
4. The cause of a disorder is its __________.
, a. manifestation
b. symptoms
c. prognosis
d. etiology
ANS: D
The cause of a disorder is its etiology.
REF: p. 269 OBJ: 9 TOP: Insurance: Diagnostic Coding
MSC: CAAHEP: IX.C.2 | ABHES: 1.d
5. The signs and symptoms of a disease are its __________.
a. manifestations
b. symptoms
c. prognosis
d. etiology
ANS: A
The signs and symptoms of a disease are its manifestations.
REF: p. 269 OBJ: 9 TOP: Insurance: Diagnostic Coding
MSC: CAAHEP: IX.C.2 | ABHES: 1.d
6. The abbreviation that is the equivalent of “unspecified” is __________.
a. NEC
b. POS
c. NOS
d. DOS
ANS: C
The abbreviation that is the equivalent of “unspecified” is NOS.
REF: p. 263 OBJ: 4 TOP: Insurance: Diagnostic Coding
MSC: CAAHEP: IX.C.2 | ABHES: 1.d
7. At times, the medical assistant must code a(n) __________ if the physician is not yet sure
of the diagnosis.
a. manifestation
b. symptoms
c. prognosis
d. etiology
ANS: B
At times, the medical assistant must code a symptom if the physician is not yet sure of the
diagnosis.
REF: p. 268 OBJ: 9 TOP: Insurance: Diagnostic Coding
MSC: CAAHEP: IX.C.2 | ABHES: 1.d
8. The medical assistant should never code a patient as having __________ unless it is
clearly documented as confirmed in the medical record.
a. human immunodeficiency virus
Niedzwiecki: Kinn’s The Clinical Medical Assistant, 14th Edition
MULTIPLE CHOICE
1. Burns are coded by:
a. site and degree.
b. the body surface involved.
c. site and degree and the body surface involved.
d. None are correct
ANS: C
Burns are coded by both the site and degree as well as the body surface involved.
REF: p. 274 OBJ: 9 TOP: Insurance: Diagnostic Coding
MSC: CAAHEP: IX.P.2 | ABHES: 1.d
2. Which of the following letters in the ICD-10-CM is reserved by the World Health
Organization to assign new diseases with uncertain etiology?
a. U
b. X
c. Y
d. Z
ANS: A
All of the letters in the English language alphabet are used except for the letter “U,” which
has been reserved by the World Health Organization to assign new diseases with uncertain
etiology.
REF: p. 260
OBJ: 2. Identify the structure and format of the International Classification of Diseases | 10th
revision | Clinical Modification (ICD-10-CM).
TOP: Insurance: Diagnostic Coding MSC: CAAHEP: IX.C.2 | ABHES: 1.d
3. The code for HIV indicates which of the following?
a. The HIV virus is present
b. The manifestation of symptoms that occur as a result of HIV infection
c. Probable case of HIV
d. Suspected case of HIV
ANS: A
The code for human immunodeficiency virus (HIV) indicates only that the virus is present.
Acquired immunodeficiency syndrome (AIDS) is the manifestation (or manifestations) of
and/or symptoms that can occur as a result of HIV infection. Never code a patient as
having HIV unless it is clearly documented as confirmed. Probable and suspected cases
are never coded; instead, the signs and symptoms present should be coded.
REF: p. 270 OBJ: 9 TOP: Insurance: Diagnostic Coding
MSC: CAAHEP: IX.C.2 | ABHES: 1.d
4. The cause of a disorder is its __________.
, a. manifestation
b. symptoms
c. prognosis
d. etiology
ANS: D
The cause of a disorder is its etiology.
REF: p. 269 OBJ: 9 TOP: Insurance: Diagnostic Coding
MSC: CAAHEP: IX.C.2 | ABHES: 1.d
5. The signs and symptoms of a disease are its __________.
a. manifestations
b. symptoms
c. prognosis
d. etiology
ANS: A
The signs and symptoms of a disease are its manifestations.
REF: p. 269 OBJ: 9 TOP: Insurance: Diagnostic Coding
MSC: CAAHEP: IX.C.2 | ABHES: 1.d
6. The abbreviation that is the equivalent of “unspecified” is __________.
a. NEC
b. POS
c. NOS
d. DOS
ANS: C
The abbreviation that is the equivalent of “unspecified” is NOS.
REF: p. 263 OBJ: 4 TOP: Insurance: Diagnostic Coding
MSC: CAAHEP: IX.C.2 | ABHES: 1.d
7. At times, the medical assistant must code a(n) __________ if the physician is not yet sure
of the diagnosis.
a. manifestation
b. symptoms
c. prognosis
d. etiology
ANS: B
At times, the medical assistant must code a symptom if the physician is not yet sure of the
diagnosis.
REF: p. 268 OBJ: 9 TOP: Insurance: Diagnostic Coding
MSC: CAAHEP: IX.C.2 | ABHES: 1.d
8. The medical assistant should never code a patient as having __________ unless it is
clearly documented as confirmed in the medical record.
a. human immunodeficiency virus
