ICD-10-CM: General Coding, Guidelines
and Conventions Test Questions Fully
Solved.
Define: medical necessity - Answer - Care that is reasonable, necessary, and/or appropriate
- Evidence-based clinical standards of care
What does ICD-10-CM stand for? - Answer - International Classification of Diseases - Tenth Revision -
Clinical Modification
What is the ICD-10-CM? - Answer - diagnosis code set used to report diagnoses in all clinical settings
What does ICD-10-PCS stand for? - Answer - International Classification of Diseases - Tenth Revision -
Procedure Classification System
What is the ICD-10-PCS? - Answer - Procedure code set used to report hospital inpatient procedures
only
What is the purpose of the ICD-10? - Answer - Developed by the World Health Organization (WHO)
- A standard diagnostic tool for epidemiology, health management, and clinical purposes
- Designed to compile and present statistical data on morbidity (the rate or frequency of disease) and
mortality (the rate or frequency of deaths)
- Classification system use to identify and record health conditions
-Key storyteller to insurance companies (see medical necessity)
How often is the ICD-10 updated? Dates? - Answer - ICD-10-CM/PCS is updated every year
- October 1st -> major updates
- April 1st -> updates
, ICD-10 Codebook Layout - Answer - A. Official ICD-10-CM guidelines for Coding and Reporting
-- I.Coding Conventions
-- II. General Coding Guidelines
-- III. Chapter Specific Coding Guidelines
- B. Alphabetic Index
-- I. Index to Diseases and Injuries
--- a. Table of Neoplasms
--- b. Table of Drugs and Chemicals
-- II. Index to External Causes of Injuries
- Tabular List of Diseases and Injuries
What is a Neoplasm? - Answer - a tumor or an abnormal clump of tissue that may be benign or
malignant. It serves no useful function but grows at the expense of the healthy organism.
What is a Benign Neoplasm? - Answer - growth not spreading by metastases or infiltration of tissue
What is a Histoid Neoplasm? - Answer - a neoplasm in which structure resembles the tissues and
elements that surround it.
What is a Malignant Neoplasm? - Answer - growth that infiltrates tissue, metastasizes, and often recurs
after attempts at surgical removal.
- SYN: cancer
What are the four types of Coding Conventions? - Answer 1. Instructional Notes
2. Punctuation Marks
3. Abbreviations
4. Symbols
and Conventions Test Questions Fully
Solved.
Define: medical necessity - Answer - Care that is reasonable, necessary, and/or appropriate
- Evidence-based clinical standards of care
What does ICD-10-CM stand for? - Answer - International Classification of Diseases - Tenth Revision -
Clinical Modification
What is the ICD-10-CM? - Answer - diagnosis code set used to report diagnoses in all clinical settings
What does ICD-10-PCS stand for? - Answer - International Classification of Diseases - Tenth Revision -
Procedure Classification System
What is the ICD-10-PCS? - Answer - Procedure code set used to report hospital inpatient procedures
only
What is the purpose of the ICD-10? - Answer - Developed by the World Health Organization (WHO)
- A standard diagnostic tool for epidemiology, health management, and clinical purposes
- Designed to compile and present statistical data on morbidity (the rate or frequency of disease) and
mortality (the rate or frequency of deaths)
- Classification system use to identify and record health conditions
-Key storyteller to insurance companies (see medical necessity)
How often is the ICD-10 updated? Dates? - Answer - ICD-10-CM/PCS is updated every year
- October 1st -> major updates
- April 1st -> updates
, ICD-10 Codebook Layout - Answer - A. Official ICD-10-CM guidelines for Coding and Reporting
-- I.Coding Conventions
-- II. General Coding Guidelines
-- III. Chapter Specific Coding Guidelines
- B. Alphabetic Index
-- I. Index to Diseases and Injuries
--- a. Table of Neoplasms
--- b. Table of Drugs and Chemicals
-- II. Index to External Causes of Injuries
- Tabular List of Diseases and Injuries
What is a Neoplasm? - Answer - a tumor or an abnormal clump of tissue that may be benign or
malignant. It serves no useful function but grows at the expense of the healthy organism.
What is a Benign Neoplasm? - Answer - growth not spreading by metastases or infiltration of tissue
What is a Histoid Neoplasm? - Answer - a neoplasm in which structure resembles the tissues and
elements that surround it.
What is a Malignant Neoplasm? - Answer - growth that infiltrates tissue, metastasizes, and often recurs
after attempts at surgical removal.
- SYN: cancer
What are the four types of Coding Conventions? - Answer 1. Instructional Notes
2. Punctuation Marks
3. Abbreviations
4. Symbols
