ICD-10-C General Coding, Guidelines
and Conventions Exam Question &
Answers ( LATEST 2025)
Define: medical necessity - Correct Answers ✅✅- Care that is
reasonable, necessary, and/or appropriate
- Evidence-based clinical standards of care
What does ICD-10-CM stand for? - Correct Answers ✅✅-
International Classification of Diseases - Tenth Revision - Clinical
Modification
What is the ICD-10-CM? - Correct Answers ✅✅- diagnosis code
set used to report diagnoses in all clinical settings
What does ICD-10-PCS stand for? - Correct Answers ✅✅-
International Classification of Diseases - Tenth Revision - Procedure
Classification System
What is the ICD-10-PCS? - Correct Answers ✅✅- Procedure code
set used to report hospital inpatient procedures only
What is the purpose of the ICD-10? - Correct Answers ✅✅-
Developed by the World Health Organization (WHO)
- A standard diagnostic tool for epidemiology, health management, and
clinical purposes
,ICD-10-C General Coding, Guidelines
and Conventions Exam Question &
Answers ( LATEST 2025)
- 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? - Correct Answers ✅✅-
ICD-10-CM/PCS is updated every year
- October 1st -> major updates
- April 1st -> updates
ICD-10 Codebook Layout - Correct Answers ✅✅- 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
, ICD-10-C General Coding, Guidelines
and Conventions Exam Question &
Answers ( LATEST 2025)
--- b. Table of Drugs and Chemicals
-- II. Index to External Causes of Injuries
- Tabular List of Diseases and Injuries
What is a Neoplasm? - Correct Answers ✅✅- 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? - Correct Answers ✅✅- growth not
spreading by metastases or infiltration of tissue
What is a Histoid Neoplasm? - Correct Answers ✅✅- a neoplasm
in which structure resembles the tissues and elements that surround it.
What is a Malignant Neoplasm? - Correct Answers ✅✅- growth
that infiltrates tissue, metastasizes, and often recurs after attempts at
surgical removal.
- SYN: cancer
and Conventions Exam Question &
Answers ( LATEST 2025)
Define: medical necessity - Correct Answers ✅✅- Care that is
reasonable, necessary, and/or appropriate
- Evidence-based clinical standards of care
What does ICD-10-CM stand for? - Correct Answers ✅✅-
International Classification of Diseases - Tenth Revision - Clinical
Modification
What is the ICD-10-CM? - Correct Answers ✅✅- diagnosis code
set used to report diagnoses in all clinical settings
What does ICD-10-PCS stand for? - Correct Answers ✅✅-
International Classification of Diseases - Tenth Revision - Procedure
Classification System
What is the ICD-10-PCS? - Correct Answers ✅✅- Procedure code
set used to report hospital inpatient procedures only
What is the purpose of the ICD-10? - Correct Answers ✅✅-
Developed by the World Health Organization (WHO)
- A standard diagnostic tool for epidemiology, health management, and
clinical purposes
,ICD-10-C General Coding, Guidelines
and Conventions Exam Question &
Answers ( LATEST 2025)
- 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? - Correct Answers ✅✅-
ICD-10-CM/PCS is updated every year
- October 1st -> major updates
- April 1st -> updates
ICD-10 Codebook Layout - Correct Answers ✅✅- 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
, ICD-10-C General Coding, Guidelines
and Conventions Exam Question &
Answers ( LATEST 2025)
--- b. Table of Drugs and Chemicals
-- II. Index to External Causes of Injuries
- Tabular List of Diseases and Injuries
What is a Neoplasm? - Correct Answers ✅✅- 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? - Correct Answers ✅✅- growth not
spreading by metastases or infiltration of tissue
What is a Histoid Neoplasm? - Correct Answers ✅✅- a neoplasm
in which structure resembles the tissues and elements that surround it.
What is a Malignant Neoplasm? - Correct Answers ✅✅- growth
that infiltrates tissue, metastasizes, and often recurs after attempts at
surgical removal.
- SYN: cancer
