Question 1

______________ are notes included in the Tabular Index to provide additional guidance for selected diagnosis codes.

Accepted Answer

Instructional notations
Instructional notations are notes included in the Tabular Index to provide additional guidance for selected diagnosis codes.

Question 2

Which of the following instructions in the Alphabetic Index indicates that another main term may reference additional useful index entries?

Accepted Answer

A)  See 
B)  See also 
C)  See category 
D)  And 
E)  Due to 
A)  See 
B)  See also 
C)  See category 
D)  And 
E)  Due to B

Question 3

The "code first" notation can usually be ignored.

Accepted Answer

A) True 
 B)False  FALSE

Question 4

The medical assistant should never code a patient as having __________ unless it is clearly documented as confirmed in the medical record.

Accepted Answer

HIV
The medical assistant shou

Question 5

Which of the following codes will be used for a patient with a history of myocardial infarction with no symptoms but diagnosed by means of an electrocardiogram?

Accepted Answer

A)  Category I21 
B)  Code I25.2 
C)  Code I21.3 
D)  None of the above 
A)  Category I21 
B)  Code I25.2 
C)  Code I21.3 
D)  None of the above

Question 6

Burns are coded by

Accepted Answer

A)  site and degree. 
B)  the body surface involved. 
C)  Both A and B 
D)  None of the above 
A)  site and degree. 
B)  the body surface involved. 
C)  Both A and B 
D)  None of the above

Question 7

The signs and symptoms of a disease are its __________.

Accepted Answer

manifestations
The s

Question 8

Which of the following terms defines a malignant neoplasm site as the absence of invasion of surrounding tissues?

Accepted Answer

A)  Primary 
B)  Secondary 
C)  In situ 
D)  Benign 
A)  Primary 
B)  Secondary 
C)  In situ 
D)  Benign

Question 9

Babies are considered newborn or perinatal for the first ______ days.

Accepted Answer

A)  30 
B)  29 
C)  28 
D)  27 
A)  30 
B)  29 
C)  28 
D)  27

Question 10

When coding for drug toxicity, which of the following refers to a condition when a patient takes less of a medication than is prescribed by his or her provider or by the manufacturer's instructions?

Accepted Answer

A)  Adverse effect 
B)  Poisoning 
C)  Underdosing 
D)  Toxic effect 
A)  Adverse effect 
B)  Poisoning 
C)  Underdosing 
D)  Toxic effect

Question 11

At times, the medical assistant must code a(n) __________ if the physician is not yet sure of the diagnosis.

Accepted Answer

symptom
At times, the medical

Question 12

All conditions that occur during or following medical care or surgery are classified as complications. There must be a cause-and-effect relationship between the care provided and the condition, and an indication in the documentation that it is a complication.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true.

Question 13

The coder should always refer to the Tabular Index first.

Accepted Answer

A) True 
 B)False

Question 14

Medical assistants have the trust of the physician and practice that employs them. A medical assistant must

Accepted Answer

A)  adhere to ethical standards concerning assigning and reporting codes clearly. 
B)  be responsible and knowledgeable to ensure that no fraud takes place in coding. 
C)  be responsible and knowledgeable to ensure that no fraud takes place in claim submission. 
D)  All of the above 
A)  adhere to ethical standards concerning assigning and reporting codes clearly. 
B)  be responsible and knowledgeable to ensure that no fraud takes place in coding. 
C)  be responsible and knowledgeable to ensure that no fraud takes place in claim submission. 
D)  All of the above

Question 15

When a Code First Note is present and the patient has an underlying condition, the underlying condition should be sequenced first. Wherever such a combination exists, a Use Additional Code Note is found with the etiology code, and a Code First Note is found with the manifestation code.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true.

Question 16

The __________ table describes malignancies.

Accepted Answer

neoplasm
The neoplas

Question 17

Main terms appear in bold type.

Accepted Answer

A) True 
 B)False

Question 18

A neoplasm or new growth is coded by the site or location of the neoplasm and its behavior.

Accepted Answer

A) True 
 B)False

Question 19

Which volume(s) of ICD-9-CM is/are used for diagnostic coding?

Accepted Answer

A)  Volume 1 
B)  Volume 2 
C)  Volume 3 
D)  Both A and B 
A)  Volume 1 
B)  Volume 2 
C)  Volume 3 
D)  Both A and B

Question 20

Which of the following is the second most common medical document from which diagnostic statements can be extracted?

Accepted Answer

A)  Encounter form 
B)  Treatment notes 
C)  Discharge summary 
D)  Radiology, laboratory, or pathology report 
A)  Encounter form 
B)  Treatment notes 
C)  Discharge summary 
D)  Radiology, laboratory, or pathology report

Exam 12: Basics of Diagnostic Coding

______________ are notes included in the Tabular Index to provide additional guidance for selected diagnosis codes.

Which of the following instructions in the Alphabetic Index indicates that another main term may reference additional useful index entries?

The "code first" notation can usually be ignored.

The medical assistant should never code a patient as having __________ unless it is clearly documented as confirmed in the medical record.

Which of the following codes will be used for a patient with a history of myocardial infarction with no symptoms but diagnosed by means of an electrocardiogram?

Burns are coded by

The signs and symptoms of a disease are its __________.

Which of the following terms defines a malignant neoplasm site as the absence of invasion of surrounding tissues?

Babies are considered newborn or perinatal for the first ______ days.

When coding for drug toxicity, which of the following refers to a condition when a patient takes less of a medication than is prescribed by his or her provider or by the manufacturer's instructions?

At times, the medical assistant must code a(n) __________ if the physician is not yet sure of the diagnosis.

All conditions that occur during or following medical care or surgery are classified as complications. There must be a cause-and-effect relationship between the care provided and the condition, and an indication in the documentation that it is a complication.

The coder should always refer to the Tabular Index first.

Medical assistants have the trust of the physician and practice that employs them. A medical assistant must

When a Code First Note is present and the patient has an underlying condition, the underlying condition should be sequenced first. Wherever such a combination exists, a Use Additional Code Note is found with the etiology code, and a Code First Note is found with the manifestation code.

The __________ table describes malignancies.

Main terms appear in bold type.

A neoplasm or new growth is coded by the site or location of the neoplasm and its behavior.

Which volume(s) of ICD-9-CM is/are used for diagnostic coding?

Which of the following is the second most common medical document from which diagnostic statements can be extracted?

Competency-Based Education and the Medical Assistant Student

The Medical Assistant and the Healthcare Team

Professional Behavior in the Workplace

Therapeutic Communications

Medicine and Law

Medicine and Ethics

Technology and Written Communication in the Medical Office

Telephone Techniques

Scheduling Appointments and Patient Processing

Daily Operations in the Ambulatory Care Setting

The Health Record

Basics of Procedural Coding

Basics of Health Insurance

Medical Billing and Reimbursement

Patient Accounts, Collections, and Practice Management

Banking Services and Procedures

Supervision and Human Resources Management

Medical Practice Marketing and Customer Service

Infection Control

Patient Assessment

Patient Education

Nutrition and Health Promotion

Vital Signs

Assisting with the Primary Physical Examination

Principles of Pharmacology

Pharmacology Math

Administering Medications

Safety and Emergency Practices

Assisting in Ophthalmology and Otolaryngology

Assisting in Dermatology

Assisting in Gastroenterology

Assisting in Urology and Male Reproduction

Assisting in Obstetrics and Gynecology

Assisting in Pediatrics

Assisting in Orthopedic Medicine

Assisting in Neurology and Mental Health

Assisting in Endocrinology

Assisting in Pulmonary Medicine

Assisting in Cardiology

Assisting in Geriatrics

Principles of Electrocardiography

Assisting with Diagnostic Imaging

Assisting in the Clinical Laboratory

Assisting in the Analysis of Urine

Assisting in Blood Collection

Assisting in the Analysis of Blood

Assisting in Microbiology and Immunology

Surgical Supplies and Instruments

Surgical Asepsis and Assisting with Surgical Procedures

Career Development and Life Skills

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