Deck 3: The Coding Process

Question 1

There are six specific actions that you should take as part of the coding process. What is action 1?

A) Abstract the documentation
B) Query
C) Code the diagnosis or diagnoses
D) Code the procedure or procedures

Answer 1

A

Question 2

If you see use additional code in the Tabular List, this is known as a/an:

A) excludes note.
B) includes note.
C) notation.
D) suggestion.

Answer 2

C

Question 3

The six actions of accurate coding include:

A) coding only documented conditions.
B) coding the problems told to you by the nurse.
C) coding only the chief complaint.
D) coding the patient's history.

Answer 3

A

Question 4

The section of a code book showing all codes, from A to Z, by the short code descriptions is known as the:

A) Tabular List.
B) coding process.
C) Alphabetic Index.
D) main section.

Question 5

The sequence of actions required to interpret physician documentation into the codes that accurately report what occurred during a specific encounter between health care professional and patient is known as:

A) the Tabular List.
B) the coding process.
C) identifying medical necessity.
D) the Main Section.

Question 6

Alerts and warnings that support more accurate use of codes in a specific code set are known as:

A) notations.
B) symbols.
C) alphanumerics.
D) tables.

Question 7

Alphanumeric content contains:

A) letters.
B) numbers.
C) both letters and numbers.
D) neither letter nor numbers.

Question 8

Confirming medical necessity by pairing at least one diagnosis code to at least one procedure code is known as:

A) linking.
B) bundling.
C) coding for coverage.
D) upcoding.

Question 9

A listing of rules and regulations instructing how to use a specific code set accurately is known as:

A) Tables.
B) Alphabetic Index.
C) Official Guidelines.
D) Main section.

Question 10

The section of the ICD-10-CM code book listing all of the codes in alphanumeric order is known as the:

A) tables.
B) Alphabetic Index.
C) Tabular List.
D) main section.

Question 11

Which of the following is an example of a HCPCS Level II code?

A) 43653
B) K65.1
C) A7014
D) 0NQS3ZZ

Question 12

Where are the ICD-10-CM Official Guidelines for Coding and Reporting published?

A) In Appendix A of the ICD-10-CM manual
B) In the front of the ICD-10-CM manual
C) In Section III of the ICD-10-CM manual
D) In Section IV of the ICD-10-CM manual

Question 13

What is the most important factor to consider when coding?

A) Accuracy
B) Productivity
C) Timeliness
D) All of these

Question 14

Asthma is an example of a(n) ________.

A) diagnosis
B) procedure
C) indication
D) opinion

Question 15

The section of the CPT code book listing all of the codes in numeric order is known as the:

A) tables.
B) Alphabetic Index.
C) Tabular List.
D) main section.

Question 16

There are six specific actions that you should take as part of the coding process. What is action 2?

A) Abstract the documentation
B) Query
C) Code the diagnosis or diagnoses
D) Code the procedure or procedures

Question 17

The section of the ICD-10-PCS code book listing all of the codes in alphanumeric order based on the first three characters of the code is known as the:

A) tables.
B) Alphabetic Index.
C) Tabular List.
D) main section.

Question 18

Where are the ICD-10-PCS Official Guidelines for Coding and Reporting published?

A) In Appendix A of the ICD-10-PCS manual
B) In Section III of the ICD-10-PCS manual
C) In Section IV of the ICD-10-PCS manual
D) In the front of the ICD-10-PCS manual

Question 19

There are six specific actions that you should take as part of the coding process. What is action 5?

A) Query
B) Code the diagnosis or diagnoses
C) Code the procedure or procedures
D) Confirm medical necessity

Question 20

Marks, similar to emojis, that provide additional direction to use codes correctly and accurately are known as:

A) notations.
B) symbols.
C) alphanumerics.
D) tables.

Question 21

In ICD-10-PCS's Alphabetic Index which term will you see?

A) Carcinoma
B) Psychotherapy
C) Extraction
D) Pump

Question 22

In ICD-10-CM's Alphabetic Index, you will see all the following terms except:

A) Pneumonia.
B) Carcinoma.
C) Hyperemia.
D) Insertion.

Question 23

In the ICD-10-CM Tabular List below code G01 there is a notation. What is the notation?

A) Code first underlying diseases
B) Code also, if applicable, viral hepatitis
C) Use additional code to identify alcohol abuse and dependence
D) Code first poisoning due to drug or toxin, if applicable

Question 24

In HCPCS Level II's Alphabetic Index you will see all the following except:

A) Clamp.
B) Hearing aid.
C) Laryngoplasty.
D) Implant.

Question 25

Which code set is used to determine a diagnosis code?

A) ICD-10-PCS
B) ICD-10-CM
C) CPT
D) HCPCS Level II

Question 26

In the ICD-10-CM Tabular List above code E00.0 there is a notation. What is the notation?

A) Code first underlying diseases
B) Code also, if applicable, viral hepatitis
C) Use additional code (F70-F79) to identify associated intellectual disabilities
D) Code first poisoning due to drug or toxin, if applicable

Question 27

Which code set is used to report inpatient facility services?

A) ICD-10-PCS
B) ICD-10-CM
C) CPT
D) HCPCS Level II

Question 28

In CPT's Alphabetic Index you will see all the following except:

A) Angioplasty.
B) Commode.
C) Discography.
D) Psychotherapy.

Question 29

Which code set is used to determine outpatient facility services?

A) ICD-10-PCS
B) ICD-10-CM
C) CPT
D) HCPCS Level II

Question 30

Which code set is used to determine transportation, equipment, and drugs?

A) ICD-10-PCS
B) ICD-10-CM
C) CPT
D) HCPCS Level II

Question 31

Which of the following HCPCS Level II codes indicates the highest level of specificity available for filter, disposable, used with aerosol compressor or ultrasonic generator?

A) A701
B) A7013
C) A70132
D) 7013

Question 32

In HCPCS Level II's Alphabetic Index, which term will you see?

A) History
B) Insertion
C) Crutches
D) Abscess

Question 33

The star symbol next to a CPT code indicates:

A) a code whose description has been changed since the last edition of CPT.
B) that the code may be used to report telemedicine services when modifier 95 is appended.
C) identifies codes that are not permitted to be appended with modifier 52 Multiple Procedures.
D) identifies a new code, one that is in the CPT book for the first time.

Question 34

In ICD-10-CM Alphabetic Index, which term will you see as the main term?

A) Angioplasty
B) Detachment
C) Abscess
D) Nebulizer

Question 35

Which of the following CPT codes indicates the highest level of specificity available for an esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube?

A) 43246
B) 4324
C) 432468
D) 432

Question 36

In CPT's Alphabetic Index, which term will you see?

A) Ventilator
B) Shoes
C) Bypass
D) Pembrolizumab

Question 37

Which of the following ICD-10-PCS codes indicates the highest level of specificity available for a repair of maxilla, left side, open approach?

A) 0NQR0
B) 0NQRXZZ
C) 0NQR0Z
D) 0NQR0ZZZ

Question 38

In ICD-10-PCS's Alphabetic Index you will see all the following except:

A) Shock.
B) Cannulation.
C) Detachment.
D) Supplement.

Question 39

Which of the following ICD-10-CM codes indicates the highest level of specificity available for a dislocation of a sacroiliac and sacrococcygeal joint, initial encounter?

A) S33.A
B) S33.2A
C) S33.2XXA
D) S33.01XA

Question 40

Which code set is used to determine the physician's services?

A) ICD-10-PCS
B) ICD-10-CM
C) CPT
D) HCPCS Level II

Question 41

According to the ICD-10-CM Official Guidelines, section ________ corresponds to Diagnostic Coding and Reporting Guidelines for Outpatient Services guidelines.

A) I
B) II
C) III
D) IV

Question 42

The determination that the health care professional was acting according to standard practices in providing a particular procedure for an individual with a particular diagnosis is known as:

A) medical necessity.
B) reimbursement.
C) services.
D) treatments.

Question 43

According to the ICD-10-CM Official Guidelines, section ________ corresponds to Reporting Additional Diagnoses guidelines.

A) I
B) II
C) III
D) IV

Question 44

Refer to the ICD-10-CM Official Guidelines Section IV.K. This guideline concerns:

A) patients receiving diagnostic services only.
B) patients receiving therapeutic services only.
C) patients receiving preoperative services only.
D) patients receiving postoperative services only.

Question 45

Refer to the ICD-10-CM Official Guidelines Section III.C. This guideline concerns:

A) Format and Structure.
B) uncertain diagnosis.
C) previous conditions.
D) abnormal finding.

Question 46

In an inpatient setting, the diagnosis code(s) reported must support the ________ for the patient to require acute care in a hospital setting.

A) nonessential modifiers
B) external cause
C) classification systems
D) medical necessity

Question 47

According to the ICD-10-CM Official Guidelines, section ________ corresponds to Selection of Principal Diagnosis guidelines.

A) I
B) II
C) III
D) IV

Question 48

According to the ICD-10-CM Official Guidelines, section ________ corresponds to Conventions, general coding guidelines and chapter specific guidelines.

A) I
B) II
C) III
D) IV

Question 49

Refer to the ICD-10-CM Official Guidelines Section I.A.5. This guideline concerns:

A) the Alphabetic Index and Tabular List.
B) use of codes for reporting purposes.
C) placeholder character.
D) 7^th Character.

Question 50

Refer to the ICD-10-CM Official Guidelines Section I.C.1.d This guideline concerns:

A) laterality.
B) sepsis, severe sepsis, and septic shock.
C) infections resistant to antibiotics.
D) HIV.

Question 51

Refer to the ICD-10-CM Official Guidelines Section II.D. This guideline concerns:

A) codes for symptoms, signs, and ill-defined conditions.
B) two or more interrelated conditions, each potentially meeting the definition for principle diagnosis.
C) two or more diagnoses that equally meet the definition for principal diagnosis.
D) uncertain diagnosis.