Question 1

MATCHING
Match the following with the correct term or definition.
-Once a code has been selected from the Alphabetic Index,it must be verified in this

Accepted Answer

A) Tabular List 
B) See also 
C) Subterms 
D) Discharge summary 
E) Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers 
A) Tabular List 
B) See also 
C) Subterms 
D) Discharge summary 
E) Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers

Question 2

MATCHING
Match the following with the correct term or definition.
-The reason,in the patient's own words,for coming to the hospital

Accepted Answer

A) Tabular List 
B) See also 
C) Subterms 
D) Discharge summary 
E) Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers 
A) Tabular List 
B) See also 
C) Subterms 
D) Discharge summary 
E) Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers

Question 3

The __________,if available,is the first step in the process of record review for code selection.

Accepted Answer

The answer of The __________,if available,is the first step in...

Question 4

Which of the following is a basic step in coding?

Accepted Answer

A) Review the medical record. 
B) Identify main term(s)in the Alphabetic Index. 
C) Assign codes to the highest level of specificity by verifying in the Tabular List. 
D) All of the options are correct. 
A) Review the medical record. 
B) Identify main term(s)in the Alphabetic Index. 
C) Assign codes to the highest level of specificity by verifying in the Tabular List. 
D) All of the options are correct.

Question 5

MATCHING
Match the following with the correct term or definition.
-Have no effect on the main term

Accepted Answer

A) Tabular List 
B) See also 
C) Subterms 
D) Discharge summary 
E) Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers 
A) Tabular List 
B) See also 
C) Subterms 
D) Discharge summary 
E) Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers

Question 6

MATCHING
Match the following with the correct term or definition.
-Review the health record

Accepted Answer

A) Tabular List 
B) See also 
C) Subterms 
D) Discharge summary 
E) Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers 
A) Tabular List 
B) See also 
C) Subterms 
D) Discharge summary 
E) Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers

Question 7

MATCHING
Match the following with the correct term or definition.
-Synopsis of the events of a patient's hospital encounter

Accepted Answer

A) Tabular List 
B) See also 
C) Subterms 
D) Discharge summary 
E) Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers 
A) Tabular List 
B) See also 
C) Subterms 
D) Discharge summary 
E) Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers

Question 8

The admitting diagnosis is usually a sign or a symptom.

Accepted Answer

A) True 
 B)False

Question 9

In the discharge summary a physician lists the __________ that were evaluated and treated and any procedures that were performed.

Accepted Answer

The answer of In the discharge summary a physician lists...

Question 10

Once a code has been selected from the Alphabetic Index to Diseases,what is the next step?

Accepted Answer

It must be

Question 11

The coder should rely solely on the discharge summary to capture all of the diagnoses and procedures that were treated and performed.

Accepted Answer

A) True 
 B)False

Question 12

MATCHING
Match the following with the correct term or definition.
-A cross-reference instruction in the code book

Accepted Answer

A) Tabular List 
B) See also 
C) Subterms 
D) Discharge summary 
E) Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers 
A) Tabular List 
B) See also 
C) Subterms 
D) Discharge summary 
E) Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers

Question 13

What is the main term in "infantile eczema"?

Accepted Answer

The answer of What is the main term in "infantile...

Question 14

MATCHING
Match the following with the correct term or definition.
-Provides advice on how to correctly code specific diagnoses

Accepted Answer

A) Tabular List 
B) See also 
C) Subterms 
D) Discharge summary 
E) Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers 
A) Tabular List 
B) See also 
C) Subterms 
D) Discharge summary 
E) Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers

Question 15

The main terms usually are nouns and/or disease conditions.

Accepted Answer

A) True 
 B)False

Exam 4: Basic Steps of Coding

MATCHING Match the following with the correct term or definition. -Once a code has been selected from the Alphabetic Index,it must be verified in this

MATCHING Match the following with the correct term or definition. -The reason,in the patient's own words,for coming to the hospital

The __________,if available,is the first step in the process of record review for code selection.

Which of the following is a basic step in coding?

MATCHING Match the following with the correct term or definition. -Have no effect on the main term

MATCHING Match the following with the correct term or definition. -Review the health record

MATCHING Match the following with the correct term or definition. -Synopsis of the events of a patient's hospital encounter

The admitting diagnosis is usually a sign or a symptom.

In the discharge summary a physician lists the __________ that were evaluated and treated and any procedures that were performed.

Once a code has been selected from the Alphabetic Index to Diseases,what is the next step?

The coder should rely solely on the discharge summary to capture all of the diagnoses and procedures that were treated and performed.

MATCHING Match the following with the correct term or definition. -A cross-reference instruction in the code book

What is the main term in "infantile eczema"?

MATCHING Match the following with the correct term or definition. -Provides advice on how to correctly code specific diagnoses

The main terms usually are nouns and/or disease conditions.

The Rationale for and History of Coding

The Health Record As the Foundation of Coding

ICD-10-Cm Format and Conventions

General Coding Guidelines for Diagnosis

Introduction to ICD-10-PCS

General Coding Guidelines for Other Medical- and Surgical-Related Procedures and Ancillary Procedures

Coding Medical and Surgical Procedures

Symptoms, signs, and Abnormal Clinical and Laboratory Findings Not Elsewhere Classified, and Z Codes

Certain Infectious and Parasitic Diseases

Neoplasms

Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism

Endocrine, nutritional, and Metabolic Diseases

Mental, behavioral, and Neuro developmental Disorders

Diseases of the Nervous System, diseases of the Eye and Adnexa, and Diseases of the Ear and Mastoid Process

Diseases of the Circulatory System

Diseases of the Respiratory System

Diseases of the Digestive System

Diseases of the Skin and Subcutaneous Tissue

Diseases of the Musculoskeletal System and Connective Tissue

Diseases of the Genitourinary System

Pregnancy, childbirth, and the Puerperium

Certain Conditions Originating in the Perinatal Period and Congenital Malformations, deformations, and Chromosomal Abnormalities

Injuries and Certain Other Consequences of External Cases and External Causes of Morbidity

Burns, Adverse Effects, and Poisonings

Complications of Surgical and Medical Care

Filters