Question 1

Which position describes a patient lying on his or her back with a headrest bringing the head and torso up at a 45-degree angle?

Accepted Answer

A)  Sim's 
B)  Fowler's 
C)  Knee-elbow 
D)  Proctologic 
A)  Sim's 
B)  Fowler's 
C)  Knee-elbow 
D)  Proctologic

Question 2

The physician's notes state, "Chest congestion, possible pneumonia." The coder in the physician's office should:

Accepted Answer

A)  code for pneumonia. 
B)  code for chest congestion. 
C)  query the physician. 
D)  All of these 
A)  code for pneumonia. 
B)  code for chest congestion. 
C)  query the physician. 
D)  All of these

Question 3

Statistics show that for every $1 spent to pay for health care fraud and abuse investigations and prosecutions, the government actually brings in ___ in returned money.

Accepted Answer

A)  $1 
B)  $2 
C)  $4 
D)  $6 
A)  $1 
B)  $2 
C)  $4 
D)  $6

Question 4

A professional coder should not:

Accepted Answer

A)  code any condition that has not been documented. 
B)  send queries to the physician who cared for the patient. 
C)  read the physician's notes thoroughly. 
D)  code to the highest specificity. 
A)  code any condition that has not been documented. 
B)  send queries to the physician who cared for the patient. 
C)  read the physician's notes thoroughly. 
D)  code to the highest specificity.

Question 5

Which position describes a patient lying on her stomach face downward?

Accepted Answer

A)  Prone 
B)  Supine 
C)  Sitting 
D)  Lithotomy 
A)  Prone 
B)  Supine 
C)  Sitting 
D)  Lithotomy

Question 6

A patient complains of dizziness. The physician states that she has hypertension. You will:

Accepted Answer

A)  code for dizziness. 
B)  code for hypertension. 
C)  code for dizziness and hypertension. 
D)  query the physician. 
A)  code for dizziness. 
B)  code for hypertension. 
C)  code for dizziness and hypertension. 
D)  query the physician.

Question 7

A ___________ dictionary can help a coder find an alternate term that might be easier to find in the ICD-10-CM manual.

Accepted Answer

A)  medical 
B)  Latin 
C)  spelling 
D)  coding 
A)  medical 
B)  Latin 
C)  spelling 
D)  coding

Question 8

If there is unclear information in the documentation, the coder should:

Accepted Answer

A)  code the diagnosis as though it existed. 
B)  not code the diagnosis. 
C)  query the physician. 
D)  give the chart to the coding supervisor to code. 
A)  code the diagnosis as though it existed. 
B)  not code the diagnosis. 
C)  query the physician. 
D)  give the chart to the coding supervisor to code.

Question 9

The ________________ is a national organization for professional coding specialists.

Accepted Answer

A)  Centers for Medicare and Medicaid Services 
B)  Office of the Inspector General 
C)  Department of Health and Human Services 
D)  American Health Information Management Association 
A)  Centers for Medicare and Medicaid Services 
B)  Office of the Inspector General 
C)  Department of Health and Human Services 
D)  American Health Information Management Association

Question 10

Justifying a procedure code with a diagnosis code is known as:

Accepted Answer

A)  medical necessity. 
B)  the National Correct Coding Initiative. 
C)  unbundling. 
D)  upcoding. 
A)  medical necessity. 
B)  the National Correct Coding Initiative. 
C)  unbundling. 
D)  upcoding.

Question 11

ICD-10-CM contains codes for reporting ______________.

Accepted Answer

A)  diagnoses 
B)  payers 
C)  systems 
D)  treatments 
A)  diagnoses 
B)  payers 
C)  systems 
D)  treatments

Question 12

Jane complains of nausea. Dr. Mason orders her to go to the lab for a blood test to rule out pregnancy. You code:

Accepted Answer

A)  nausea. 
B)  unspecified. 
C)  pregnancy. 
D)  nausea and pregnancy. 
A)  nausea. 
B)  unspecified. 
C)  pregnancy. 
D)  nausea and pregnancy.

Question 13

The official guidelines for ICD-10-CM are divided into ___ sections.

Accepted Answer

A)  2 
B)  3 
C)  4 
D)  5 
A)  2 
B)  3 
C)  4 
D)  5

Question 14

What does AAPC stand for?

Accepted Answer

A)  American Academy of Professional Coders 
B)  American Association of Professional Coders 
C)  American Academy of Physician Coders 
D)  American Association of Physician Coders 
A)  American Academy of Professional Coders 
B)  American Association of Professional Coders 
C)  American Academy of Physician Coders 
D)  American Association of Physician Coders

Question 15

The directional term used to mean toward the bottom of the body is:

Accepted Answer

A)  superior. 
B)  cephalad. 
C)  inferior. 
D)  caudal. 
A)  superior. 
B)  cephalad. 
C)  inferior. 
D)  caudal.

Question 16

ICD-10-CM is an acronym for:

Accepted Answer

A)  International Classification of Diseases, Tenth Revision, Clinical Modification. 
B)  International Classification of Diseases, Tenth Revision, Current Modification. 
C)  International Classification of Diagnoses, Tenth Revision, Clinical Modification. 
D)  International Classification of Diagnoses, Tenth Revision, Current Modification. 
A)  International Classification of Diseases, Tenth Revision, Clinical Modification. 
B)  International Classification of Diseases, Tenth Revision, Current Modification. 
C)  International Classification of Diagnoses, Tenth Revision, Clinical Modification. 
D)  International Classification of Diagnoses, Tenth Revision, Current Modification.

Question 17

The ________________ can help a coder find the general or alternate name of a drug or an herbal remedy.

Accepted Answer

A)  Physicians' Desk Reference 
B)  Merck Manual 
C)  Coding Clinic 
D)  medical dictionary 
A)  Physicians' Desk Reference 
B)  Merck Manual 
C)  Coding Clinic 
D)  medical dictionary

Question 18

It is important that coders use credible resources, including:

Accepted Answer

A)  medical dictionaries. 
B)  the Merck Manual. 
C)  Wikipedia. 
D)  medical dictionaries and the Merck Manual. 
A)  medical dictionaries. 
B)  the Merck Manual. 
C)  Wikipedia. 
D)  medical dictionaries and the Merck Manual.

Question 19

___________ created the Health Care Fraud and Abuse Control Program (HCFACP).

Accepted Answer

A)  CMS 
B)  HIPAA 
C)  HHS 
D)  OIG 
A)  CMS 
B)  HIPAA 
C)  HHS 
D)  OIG

Question 20

Which of the following organ systems includes the brain and spinal cord?

Accepted Answer

A)  Cardiovascular 
B)  Digestive 
C)  Nervous 
D)  Urinary 
A)  Cardiovascular 
B)  Digestive 
C)  Nervous 
D)  Urinary

Exam 1: Introduction to Diagnostic Coding

Which position describes a patient lying on his or her back with a headrest bringing the head and torso up at a 45-degree angle?

The physician's notes state, "Chest congestion, possible pneumonia." The coder in the physician's office should:

Statistics show that for every $1 spent to pay for health care fraud and abuse investigations and prosecutions, the government actually brings in ___ in returned money.

A professional coder should not:

Which position describes a patient lying on her stomach face downward?

A patient complains of dizziness. The physician states that she has hypertension. You will:

A ___________ dictionary can help a coder find an alternate term that might be easier to find in the ICD-10-CM manual.

If there is unclear information in the documentation, the coder should:

The ________________ is a national organization for professional coding specialists.

Justifying a procedure code with a diagnosis code is known as:

ICD-10-CM contains codes for reporting ______________.

Jane complains of nausea. Dr. Mason orders her to go to the lab for a blood test to rule out pregnancy. You code:

The official guidelines for ICD-10-CM are divided into ___ sections.

What does AAPC stand for?

The directional term used to mean toward the bottom of the body is:

ICD-10-CM is an acronym for:

The ________________ can help a coder find the general or alternate name of a drug or an herbal remedy.

It is important that coders use credible resources, including:

___________ created the Health Care Fraud and Abuse Control Program (HCFACP).

Which of the following organ systems includes the brain and spinal cord?

Introduction to ICD-10-CM

General Guidelines and Notations

Coding Infectious Diseases

Coding Neoplasms

Coding Diseases of the Blood and Immune Mechanism

Coding Conditions of the Endocrine and Metabolic Systems

Coding Mental and Behavioral Disorders

Coding Nervous System Conditions

Coding Diseases of the Eye and Adnexa

Coding Diseases of the Auditory System Ears

Coding Circulatory Conditions

Coding Respiratory Conditions

Coding Diseases of the Digestive System

Coding Diseases of the Integumentary System

Coding Muscular Conditions

Coding Skeletal Conditions

Coding Diseases of the Urinary System

Coding for Obstetrics and Gynecology

Coding Congenital and Pediatric Conditions

Coding Injuries, Poisonings, and Certain Other Consequences of External Causes

Factors Influencing Health Status and Contact With Health Services

Hospital Inpatient Diagnosis Coding

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