Deck 12: Diagnostic Coding

Question 1

Which of the following modifies main terms describing different sites,etiology,and different clinical types?

A) adjectives
B) eponyms
C) essential modifiers
D) nonessential modifiers

Answer 1

essential modifiers

Question 2

The part of the ICD-9 coding manual found in Part II,Volume 2,Section 1,located in the front half of the manual,is the

A) Index to Diseases and Injuries
B) Tabular list of Diseases and Injuries
C) Appendix A
D) Appendix B

Answer 2

Index to Diseases and Injuries

Question 3

Most diagnostic coding manuals use a specific type of coding in Volume 1 to alert the coder to special edits and important issues,which is called _____ coding.

A) numeric
B) alphanumeric
C) color
D) E and V

Answer 3

color

Question 4

In ICD-10,codes longer than 3 characters always have a decimal point

A) between the 4th and 5th characters
B) between the 5th and 6th characters
C) after the first 3 characters
D) before the last character

Question 5

All of the following are contained in Part II of the Alphabetic Index (Vol.2)except the

A) Table of Neoplasms
B) Table of Drugs and Chemicals
C) External Cause Index
D) Tabular List of Diseases and Injuries

Question 6

Codes representing external causes of injury and poisoning are referred to as _____ codes.

A) E
B) V
C) section
D) stand-alone

Question 7

An eponym is

A) the cause or origin of a disease or condition
B) the terms in parentheses following main terms
C) a disease, procedure, or syndrome named for the individual who discovered it
D) the term used in place of another word that has the same meaning

Question 8

Nonessential modifiers are

A) the terms in parentheses following the main terms
B) diseases named for the person who discovered them
C) used to modify the main term describing the cause or origin of a disease
D) terms that affect the code choice

Question 9

Which of the following is not a reason for the proposed conversion from the ICD-9 to the ICD-10 coding system?

A) The ICD-9 system is running out of available code numbers in some chapters.
B) The ICD-10 system groups diagnostic codes with procedure codes.
C) In ICD-10, a single code can report a disease and its current manifestation.
D) ICD-10 codes identify laterality (side of the body affected) when applicable.

Question 10

The part of the ICD-9 manual that serves as a basic foundation for diagnostic coding and aids in assigning diagnostic codes correctly is the

A) introductory pages
B) alphabetic list (index)
C) last few pages of the book
D) appendix

Question 11

The first thing that the coder must do in the coding process is:

A) determine if a modifier is required
B) identify the main (lead) term
C) locate the diagnosis in the patient's health record
D) look up the applicable anatomic site

Question 12

In very basic language,a diagnosis is:

A) a third party's opinion of a patient's illness.
B) the reason that brought the patient to the healthcare facility.
C) the process of finding a patient's past medical history.
D) both b and c

Question 13

Main terms in both ICD-9 and ICD-0 include all of the following,except:

A) diseases
B) conditions
C) anatomic sites
D) eponyms

Question 14

Currently in the United States,the book used for coding diagnoses in physicians' offices is called the:

A) Diagnostic Guide for Medicare and Medicaid Services
B) Diagnostic Codes for Third Party Payers
C) International Classification of Diseases, Ninth Edition, Clinical Modifications (ICD-9-CM)
D) The AMA Manual of Essential Diagnostic Codes, Volume I

Question 15

Terms in parentheses following the main terms that are provided to assist the coder in locating the applicable main term are called:

A) essential modifiers.
B) nonessential modifiers.
C) eponyms.
D) conditions.

Question 16

Morbidity is the presence of illness or disease,whereas mortality is

A) the determination of the nature of a disease
B) the deaths that occur from a disease
C) classification of a disease
D) both a and c

Question 17

A patient's diagnosis can be taken from a variety of sources within the medical record,such as:

A) on his or her patient information form
B) on laboratory test results
C) in the clinical notes
D) both b and c

Question 18

The two departments within the United States federal government that provide guidelines for coding and reporting using the ICD-10-CM coding system are:

A) CMS and HIPAA
B) HIPAA and HHS
C) NCHS and CMS
D) AMA and NUCC

Question 19

The part of the ICD coding manual that serves as a basic foundation for diagnostic coding and aids in assigning diagnostic codes correctly is/are the

A) introductory pages
B) alphabetic list (index)
C) last few pages of the book
D) appendix

Question 20

Identify which of the following choices is not a valid use of coded data in healthcare.

A) Setting healthcare policies
B) Monitoring the use of resources
C) Detecting and preventing healthcare fraud and abuse
D) Assigning a specific healthcare plan to qualifying individuals

Question 21

Identify the table that distinguishes between malignant,benign,in situ,and uncertain behavior of tumors?

A) Table of Drugs and Chemicals
B) Table of Periodic Revisions
C) Table of Neoplasms
D) Table of Etiology and Manifestations

Question 22

Terms such as examination,vaccination,and problem with are indicators that what type of code is necessary?

A) color code
B) V code
C) E code
D) category code

Question 23

What would the instructions below indicate to the health insurance professional? Inflammation
- bone - see Osteomyelitis

A) That "inflammation" is an anatomical site
B) that the term "Inflammation, bone" is to be coded in the same way as the term "Osteomyelitis".
C) That an essential modifier is needed
D) Not enough information is given to answer correctly

Question 24

The ICD-10 coding system consists of ____ parts.

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

Question 25

The typeface used for main terms in the Alphabetic Index and all codes and titles in the tabular list is

A) all capital letters
B) underline
C) italics
D) boldface

Question 26

When the same condition is described as both acute (subacute)and chronic,and separate subentries exist in the alphabetic Index at the same indentation level

A) code both and sequence the acute (subacute) code first
B) code only the acute
C) code only the chronic
D) code both and sequence the chronic code first

Question 27

In ICD-10,care should be taken in the use of the letters __ and ___ so as not to confuse them with the numerals that look similar.

A) B; Z
B) I; O
C) C; E
D) L; P

Question 28

ICD-10-CM has three to seven characters;the first character is always a/an:

A) letter.
B) number.
C) symbol.
D) alphanumerical character.

Question 29

In the ICD-10-CM coding system,a lowercase "x" is used:

A) as a placeholder character within a code.
B) to denote an obsolete code.
C) as a cross-reference guide.
D) to indicate the external causes of morbidity.

Question 30

If the patient record shows a diagnosis of some type of tumor,the histology of the tumor is identified with a __________ code.

A) combination
B) morphology
C) manifestation
D) default

Question 31

In the Tabular List of both coding systems,what punctuation mark is used to indicate that the listed term is incomplete and needs one or more modifiers to make it assignable to a given category?

A) colon
B) apostrophe
C) forward slash
D) comma

Question 32

The residual effect (condition produced)after the acute phase of an illness or injury has terminated is called a:

A) late effect.
B) sequela
C) manifestation.
D) a or b

Question 33

In the ICD-10-CM Tabular section,synonyms,alternative terminology,and explanatory phrases are enclosed in:

A) colons
B) quotation marks
C) parentheses
D) brackets

Question 34

Certain ICD-10-CM categories require an extension to provide further specificity about the condition being coded that is referred to as the:

A) alpha extension.
B) specificity classification.
C) seventh character.
D) subsequent digit.

Question 35

Identify which of the following is an eponym.

A) Stomach
B) Kinked
C) Lou Gehrig's disease
D) Fatigue

Question 36

In ICD-9 the Tabular List (Vol.1),diagnostic codes are listed

A) In numerical order
B) In alphabetic order
C) By main term
D) Both b and c are correct

Question 37

A code listed next to a main term in the ICD-10-CM Index is referred to as a _____ code.

A) morphology
B) default
C) combination
D) manifestation

Question 38

In ICD-9,Supplementary Classification of Factors Influencing Health Status and Contact with Health Services are

A) E codes
B) V Codes
C) Combination codes
D) NOS codes

Question 39

Which of the following is not considered a symptom in coding?

A) headache
B) fracture
C) nausea
D) dizziness

Question 40

Identify the main term in the diagnosis acute depressive reaction.

A) reaction
B) depressive
C) acute
D) either a or c

Question 41

Transforming verbal descriptions of a diagnosis into numbers or a combination of alphanumerical characters is referred to as:

A) a diagnosis.
B) coding.
C) alphabetizing.
D) classifying.

Question 42

Accidental and intentional (self-harm)poisonings are found in:

A) the Table of Drugs and Chemicals.
B) the Neoplasm Table.
C) Appendix A.
D) the Alphabetic Index.

Question 43

For the abbreviation NEC (not elsewhere classifiable)in the Index,the coder is directed to:

A) the "other specified" code in the Tabular.
B) a combination code in the Tabular.
C) an appendix listing "other specified" codes.
D) a table listing anatomic sites.

Question 44

In medicine,the word used to refer to size,shape,and structure rather than the function of a given organ is:

A) etiology.
B) utility.
C) morphology.
D) laterality.

Question 45

When a code appears in ICD-10 with a type 1 Excludes note,it means

A) no seventh character.
B) excludes a manifestation.
C) not coded here.
D) laterality.

Question 46

Identify the kinds of codes that are used for both symptom and diagnosis,and etiology and manifestations?

A) Excludes codes
B) Combination codes
C) Laterality codes
D) Array codes

Question 47

What abbreviationin ICD-9 is the equivalent of unspecified,meaning that a more specific diagnosis is unavailable?

A) see
B) see also
C) NEC
D) NOS

Question 48

Diagnostic codes in ICD-9 consist of __________ to ___________ digits;codes in ICD-10 consist of anywhere from __________ to __________ characters.

Question 49

Conventions used in Volumes 1 of the ICD-9 manual include all of the following except

A) abbreviations.
B) punctuation.
C) parameters
D) footnotes.

Question 50

For bilateral sites,the last character of the six-character diagnostic code indicates:

A) etiology.
B) utility.
C) morphology.
D) laterality.

Question 51

The Tabular List contains a list of codes arranged ___________and divided into chapters based on __________ or condition.

A) alphabetically/anatomic sites
B) numerically/disease categories
C) alphanumerically/body systems
D) numerically/etiology

Question 52

A ____________ is the residual effect (condition produced)after the acute phase of an illness or injury has terminated.

Question 53

The purpose of the ICD system was to promote a way of comparing the collection,classification,processing,and presentation of _________________.

Question 54

There are ______ chapters in the Tabular List of the ICD-10-CM manual.

A) 10
B) 17
C) 21
D) 27

Question 55

In the diagnosis "heart failure (acute)," the nonessential modifier would be:

A) heart.
B) failure.
C) acute.
D) no nonessential modifier

Question 56

In the ICD-10 system,all letters of the alphabet are used,except:

A) the letter "U".
B) the letter "X".
C) the letters "X," "Y," and "Z".
D) the letter "O".

Question 57

In the outpatient setting,the term "____________" (reason for the encounter)is now used instead of the term "primary diagnosis" and takes precedence over the outpatient guidelines.

A) first-listed diagnosis
B) primary diagnosis
C) leading diagnosis
D) final diagnosis

Question 58

Sequelae are the ______________ of injury or illness.

A) anatomic sites
B) late effects
C) manifestations
D) signs and symptoms

Question 59

The coder should always begin the search for the correct code assignment in:

A) the Tabular section.
B) the Alphabetic Index.
C) section IV.
D) section V.

Question 60

The residual condition produced after the acute phase of an illness or injury has ended is referred to as a:

A) chronic effect.
B) late effect.
C) tangential effect.
D) both b and c

Question 61

Two parts that make up the ICD-10 coding system are _________________ and _________________________.

Question 62

In the outpatient setting,the term "_____________" (reason for the encounter)is now used instead of "principal diagnosis."

Question 63

In "benign adenoma of the colon," the main term would be ____________.

Question 64

The ICD-10 provides instructions and notations to further aid the coder in locating the appropriate code,commonly referred to as ______________________.

Question 65

In ICD-9,Volume 2 (Alphabetic List)is organized _____________ by medical terms and contains three separate sections or indexes.

Question 66

___________ modifiers must be a part of the diagnosis documented in the patient health record.

Question 67

The abbreviation ICD-10-CM stands for ____________________.

Question 68

The _______________ contains codes arranged alphanumerically and divided into chapters based on body system (anatomic site)or condition (etiology).

Question 69

In which coding system are the alpha characters case sensitive?

Question 70

Give a brief but accurate definition of "diagnosis" in your own words.

Question 71

The goal in diagnostic coding is to assign a code to the ____________________

Question 72

Diagnostic coding consists of several precise steps.The first step (after locating the diagnosis in the medical record)is to identify the ____________________.

Question 73

When more than one otherwise individually classified disease is combined with another disease and one code is assigned for both,a/an ____________________ is assigned.

Question 74

Historically,an updated version of the ICD manual is published approximately every __________.

Question 75

In obstetrical codes,the trimester is designated by the _________________ of the code.

Question 76

For the Injuries & External Causes section (S00 to S41),the appropriate seventh character to be added for an initial encounter would be ____________________.

Question 77

The first character in an ICD-10-CM diagnosis code is always a/an ___________,and all letters of the alphabet are used in ICD-10 coding,except the letter ______.

Question 78

What does the notation "see also" tell the coder?

Question 79

The first several pages of the ICD-10-CM manual typically contain the ______________________.

Question 80

One of the primary concerns with the current ICD-9 system is the lack of ___________of the information expressed in the codes.