COMPREHENSIVE MEDICAL CODING
EXAM REVIEW QUESTIONS AND
ANSWERS
The United States National Center for Health Statistics (NCHS) adapted and
expanded ICD-10 to focus on_____ in the United States. - Answer-morbidity
A code listed next to the Main Term in the ICD-10-CM Index is referred to as a: -
Answer-default code.
For physician reimbursement, each procedure code must be linked with one or
more______ that support the reason it is needed. - Answer-
Codes in square brackets [ ] should always be sequenced first. - Answer-False
For inpatient hospital reimbursement, if the wrong______ is listed, the claim could be
denied, or the case could be classified into a different DRG that pays an incorrect
amount. - Answer-
Which of the following is NOT true about the OGCR? - Answer-They are always
published on October 1st of each year, just like the updated coding manual.
The FIRST step in assigning ICD-10-CM diagnosis codes is to search the Tabular
List by the condition. - Answer-False
The conventions NOS and NEC are used interchangeably. - Answer-False
Codes in square brackets [ ] should always be sequenced first. - Answer-False
Approximately what percent of ICD-10-CM codes includes a designation for
laterality? - Answer-
When the first listed diagnosis is unclear, what should the coder do when
sequencing additional diagnoses? - Answer-List the additional diagnoses in order of
importance to the encounter.
The Main Term is the name of the condition or reason for the visit, usually presented
as a noun in the ICD-10-CM Index to Diseases and Injuries. - Answer-True
Which of the following statements about a key rule for abstracting outpatient
diagnoses is FALSE? - Answer-Code conditions that are cured.
Within in the ICD-10-CM chapters, a contiguous range of codes within a chapter is
known as a: - Answer-block.
, What should the coder do when there are diagnoses that relate to an earlier episode
of care but have no bearing on the current (inpatient) hospital stay? - Answer-Do not
code the diagnoses.
An eponym is: - Answer-named after a person.
Prior to assigning a default code, the coder should do which of the following? -
Answer-Review all subterms and locate a more specific code if available.
Which section of the OGCR contains the most commonly used conventions? -
Answer-Section 1.A.
When the following provider documents that a patient has both an acute and chronic
form of the same condition, the sequencing is determined by: - Answer-how the
Index presents the acute and chronic conditions.
What codes describe patient illnesses, diseases, conditions, injuries, or other
reasons for seeking healthcare services? - Answer-diagnosis
The three skills of an "ace" coder are to ____ information from the medical record,
____ the accurate code, and ____ the codes in proper order. - Answer-abstract,
assign, arrange
A/an _____ encounter is a physician interaction with a patient who has not been
formally admitted to a healthcare institution, such as an acute care hospital, long-
term facility, or rehabilitation facility. - Answer-outpatient
A/an _____ encounter is a physician interaction with a patient who has been formally
admitted to a healthcare facility, such as an acute care hospital, long-term care
facility, or rehabilitation facility. - Answer-inpatient
What services include laboratory, radiology, or physical therapy? - Answer-ancillary
The _____ physician oversees and coordinates all aspects of the patient's care. -
Answer-attending
A _____ is the progression of jobs and responsibilities throughout one's working life.
- Answer-career path
The _____ plan may include medication, surgery, lifestyle changes, or therapy. -
Answer-procedure
Which of the following type of healthcare employees will NOT use codes as part of
their jobs? - Answer-Human Resource generalists
A mid-level job allows coders to: - Answer--expand their skills.
-take on more responsibility.
-learn new specialties.
How many alphanumeric characters does each ICD-10-PCS code have? - Answer-7
EXAM REVIEW QUESTIONS AND
ANSWERS
The United States National Center for Health Statistics (NCHS) adapted and
expanded ICD-10 to focus on_____ in the United States. - Answer-morbidity
A code listed next to the Main Term in the ICD-10-CM Index is referred to as a: -
Answer-default code.
For physician reimbursement, each procedure code must be linked with one or
more______ that support the reason it is needed. - Answer-
Codes in square brackets [ ] should always be sequenced first. - Answer-False
For inpatient hospital reimbursement, if the wrong______ is listed, the claim could be
denied, or the case could be classified into a different DRG that pays an incorrect
amount. - Answer-
Which of the following is NOT true about the OGCR? - Answer-They are always
published on October 1st of each year, just like the updated coding manual.
The FIRST step in assigning ICD-10-CM diagnosis codes is to search the Tabular
List by the condition. - Answer-False
The conventions NOS and NEC are used interchangeably. - Answer-False
Codes in square brackets [ ] should always be sequenced first. - Answer-False
Approximately what percent of ICD-10-CM codes includes a designation for
laterality? - Answer-
When the first listed diagnosis is unclear, what should the coder do when
sequencing additional diagnoses? - Answer-List the additional diagnoses in order of
importance to the encounter.
The Main Term is the name of the condition or reason for the visit, usually presented
as a noun in the ICD-10-CM Index to Diseases and Injuries. - Answer-True
Which of the following statements about a key rule for abstracting outpatient
diagnoses is FALSE? - Answer-Code conditions that are cured.
Within in the ICD-10-CM chapters, a contiguous range of codes within a chapter is
known as a: - Answer-block.
, What should the coder do when there are diagnoses that relate to an earlier episode
of care but have no bearing on the current (inpatient) hospital stay? - Answer-Do not
code the diagnoses.
An eponym is: - Answer-named after a person.
Prior to assigning a default code, the coder should do which of the following? -
Answer-Review all subterms and locate a more specific code if available.
Which section of the OGCR contains the most commonly used conventions? -
Answer-Section 1.A.
When the following provider documents that a patient has both an acute and chronic
form of the same condition, the sequencing is determined by: - Answer-how the
Index presents the acute and chronic conditions.
What codes describe patient illnesses, diseases, conditions, injuries, or other
reasons for seeking healthcare services? - Answer-diagnosis
The three skills of an "ace" coder are to ____ information from the medical record,
____ the accurate code, and ____ the codes in proper order. - Answer-abstract,
assign, arrange
A/an _____ encounter is a physician interaction with a patient who has not been
formally admitted to a healthcare institution, such as an acute care hospital, long-
term facility, or rehabilitation facility. - Answer-outpatient
A/an _____ encounter is a physician interaction with a patient who has been formally
admitted to a healthcare facility, such as an acute care hospital, long-term care
facility, or rehabilitation facility. - Answer-inpatient
What services include laboratory, radiology, or physical therapy? - Answer-ancillary
The _____ physician oversees and coordinates all aspects of the patient's care. -
Answer-attending
A _____ is the progression of jobs and responsibilities throughout one's working life.
- Answer-career path
The _____ plan may include medication, surgery, lifestyle changes, or therapy. -
Answer-procedure
Which of the following type of healthcare employees will NOT use codes as part of
their jobs? - Answer-Human Resource generalists
A mid-level job allows coders to: - Answer--expand their skills.
-take on more responsibility.
-learn new specialties.
How many alphanumeric characters does each ICD-10-PCS code have? - Answer-7
