Question 1

Who publishes Current Procedural Terminology (CPT)?

Accepted Answer

A)   World Health Organization
B)   American Public Health Association
C)   American Medical Association
D)   Department of Health and Human Services C

Question 2

​The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once.
-​Is an alphabetic index organized into three main sections

Accepted Answer

A)  ​Volume I
B)  ​Volume II
C)  ​Volume III B

Question 3

​ICD-10-CM will enhance coding.Benefits include:

Accepted Answer

A)   ​greater coding accuracy and specificity
B)   ​improvement in tracking and responding to international public health threats
C)   ​higher-quality information for assessing quality,safety,and efficiency
D)   ​all of the above D

Question 4

​Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once.
-​Code the minimum number of diagnoses that fully describe the patient's care received on that visit

Accepted Answer

A)  ​CPT
B)  ​ICD

Question 5

​The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once.
-​Hospital codes use this volume to code procedures

Accepted Answer

A)  ​Volume I
B)  ​Volume II
C)  ​Volume III

Question 6

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. )
-Evaluation and Management (E/M)

Accepted Answer

A)  99201–99499
B)  00100–01999,99100–99140
C)  10021–69990
D)  70010–79999
E)  80047–89398F) 90281–99199,99500–99607

Question 7

​Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once.
-​Never code directly from the index

Accepted Answer

A)  ​CPT
B)  ​ICD

Question 8

​Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once.
-​Analyze the provider's statement or description for the service provided and isolate the main term

Accepted Answer

A)  ​CPT
B)  ​ICD

Question 9

When coding,you isolate the main term from the provider's statement and then look it up in the:

Accepted Answer

A)   table of contents
B)   index
C)   subterm directory
D)   explanation of abbreviations

Question 10

​Four major objectives guided the development of ICD-10-PCS.Match the objective to its definition.
-​Each character within a code should have the same meaning within the same procedure section and across other procedure sections

Accepted Answer

A)  ​completeness
B)  ​expandability
C)  ​multiaxial
D)  ​standardized terminology

Question 11

​HCPCS Level I codes are known as:

Accepted Answer

A)   ​National codes
B)   ​ICD-10-CM
C)   ​Current Procedural Terminology
D)   ​all of the above

Question 12

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. )
-Always at least 3 characters

Accepted Answer

A)  ICD-9-PCS
B)  ICD-10-PCS

Question 13

​Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once.
-​Code each problem to the highest level of specificity (third,fourth,or fifth digit)available in the classification

Accepted Answer

A)  ​CPT
B)  ​ICD

Question 14

​A payer practice in which a reported evaluation and management service is reduced to a lower level based strictly on the diagnosis code reported is known as:

Accepted Answer

A)   ​upcoding
B)   ​bundling
C)   ​downcoding
D)   ​unbundling

Question 15

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. )
-Total of 3-7 characters

Accepted Answer

A)  ICD-9-CM
B)  ICD-10-CM
C)  both ICD-9-CM and ICD-10-CM

Question 16

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. )
-Characters 2-5 are numeric

Accepted Answer

A)  ICD-9-CM
B)  ICD-10-CM
C)  both ICD-9-CM and ICD-10-CM

Question 17

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. )
-Amount of time the provider spent

Accepted Answer

A)  key component
B)  contributory factor

Question 18

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. )
-Total of 3-5 characters

Accepted Answer

A)  ICD-9-CM
B)  ICD-10-CM
C)  both ICD-9-CM and ICD-10-CM

Question 19

​Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once.
-​The codes have to be sequenced in relation to the intensity and level of service provided

Accepted Answer

A)  ​CPT
B)  ​ICD

Question 20

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. )
-No decimal is used

Accepted Answer

A)  ICD-9-PCS
B)  ICD-10-PCS

Exam 29: Procedural and Diagnostic Coding

Who publishes Current Procedural Terminology (CPT) ?

The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once. -Is an alphabetic index organized into three main sections

ICD-10-CM will enhance coding.Benefits include:

Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -Code the minimum number of diagnoses that fully describe the patient's care received on that visit

The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once. -Hospital codes use this volume to code procedures

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Evaluation and Management (E/M)

Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -Never code directly from the index

Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -Analyze the provider's statement or description for the service provided and isolate the main term

When coding,you isolate the main term from the provider's statement and then look it up in the:

Four major objectives guided the development of ICD-10-PCS.Match the objective to its definition. -Each character within a code should have the same meaning within the same procedure section and across other procedure sections

HCPCS Level I codes are known as:

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Always at least 3 characters

Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -Code each problem to the highest level of specificity (third,fourth,or fifth digit) available in the classification

A payer practice in which a reported evaluation and management service is reduced to a lower level based strictly on the diagnosis code reported is known as:

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Total of 3-7 characters

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Characters 2-5 are numeric

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Amount of time the provider spent

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Total of 3-5 characters

Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -The codes have to be sequenced in relation to the intensity and level of service provided

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -No decimal is used

Exam 29: Procedural and Diagnostic Coding

Who publishes Current Procedural Terminology (CPT) ?

​The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once. -​Is an alphabetic index organized into three main sections

​ICD-10-CM will enhance coding.Benefits include:

​Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -​Code the minimum number of diagnoses that fully describe the patient's care received on that visit

​The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once. -​Hospital codes use this volume to code procedures

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Evaluation and Management (E/M)

​Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -​Never code directly from the index

​Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -​Analyze the provider's statement or description for the service provided and isolate the main term

When coding,you isolate the main term from the provider's statement and then look it up in the:

​Four major objectives guided the development of ICD-10-PCS.Match the objective to its definition. -​Each character within a code should have the same meaning within the same procedure section and across other procedure sections

​HCPCS Level I codes are known as:

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Always at least 3 characters

​Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -​Code each problem to the highest level of specificity (third,fourth,or fifth digit) available in the classification

​A payer practice in which a reported evaluation and management service is reduced to a lower level based strictly on the diagnosis code reported is known as:

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Total of 3-7 characters

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Characters 2-5 are numeric

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Amount of time the provider spent

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Total of 3-5 characters

​Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -​The codes have to be sequenced in relation to the intensity and level of service provided

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -No decimal is used

The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once. -Is an alphabetic index organized into three main sections

ICD-10-CM will enhance coding.Benefits include:

Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -Code the minimum number of diagnoses that fully describe the patient's care received on that visit

The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once. -Hospital codes use this volume to code procedures

Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -Never code directly from the index

Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -Analyze the provider's statement or description for the service provided and isolate the main term

Four major objectives guided the development of ICD-10-PCS.Match the objective to its definition. -Each character within a code should have the same meaning within the same procedure section and across other procedure sections

HCPCS Level I codes are known as:

Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -Code each problem to the highest level of specificity (third,fourth,or fifth digit) available in the classification

A payer practice in which a reported evaluation and management service is reduced to a lower level based strictly on the diagnosis code reported is known as:

Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -The codes have to be sequenced in relation to the intensity and level of service provided