Deck 4: Diagnostic Coding

Question 1

_______ lists diseases and codes according to a system copyrighted by the World Health Organization of the United Nations.

A) International Classification of Diseases
B) Internal Disease Classification of Disorders
C) Intercontinental Clarification of Diseases
D) Internal Classification of Disorders

Answer 1

International Classification of Diseases

Question 2

___ is used to code and classify morbidity data from patient medical records, physician offices, and surveys conducted by the National Center for Health Statistics.

A) ICD-10-CM
B) Physicians' Desk Reference
C) CPT
D) Insurance Reference Guide

Answer 2

ICD-10-CM

Question 3

The acronym for general equivalence mappings, reference tables of related ICD- 10-CM and ICD-9-CM codes is _____.

A) GEM
B) MRT
C) GRT
D) GMRT

Answer 3

GEM

Question 4

___ is a condition or procedure named for a person who discovered or invented it.

A) Abridgement
B) Acronym
C) Explanation
D) Eponym

Question 5

_________ is the word that identifies a disease or condition in the Alphabetic index.

A) Supplement term
B) Main term
C) Eponym
D) Truncation

Question 6

____ is part of ICD-10-CM listing disease and injuries alphabetically with corresponding diagnosis codes.

A) Alphabetic Index
B) Table of Contents
C) Category
D) Heading

Question 7

________ contains all the medical terms in the Tabular List classifications.

A) Organized Index
B) Arranged Index
C) Alphabetic Index
D) Systematized Index

Question 8

Which type of term appears below main terms in the ICD-10-CM's Alphabetic Index?

A) supplementary term
B) V code
C) E code
D) subterm

Question 9

Which type of term often appears in parentheses or brackets in the ICD-10-CM's Alphabetic Index?

A) subterm
B) supplementary term
C) main term
D) cross-reference

Question 10

To find a code correctly in the ICD-10-CM, the first step is to locate the main term in the ___.

A) Tabular List
B) Alphabetic Index
C) Physician Desk Guide
D) Current Procedural Terminology

Question 11

What punctuation is used in the ICD-10-CM around alternative wordings or explanations?

A) colon
B) brace
C) brackets
D) semicolon

Question 12

_______ is an abbreviation that indicates the code to use when a disease or condition cannot be placed in any other category.

A) NEE
B) NCC
C) NNN
D) NEC

Question 13

What type of diagnosis represents the patient's major illness for a particular encounter?

A) secondary
B) primary
C) critical
D) prognosis

Question 14

If a patient with a history of breast cancer presents today at the office with a complicated open wound of the toe, the patient's primary diagnosis for today's visit is ___.

A) open wound of the toe
B) open wound of the toe and breast cancer
C) breast cancer
D) open wound

Question 15

To select correct codes from the ICD-10-CM one must first locate the term in the ___.

A) Tabular List
B) Alphabetic Index
C) E code
D) V code

Question 16

_______ are / is a typographic technique(s) that provide(s) visual guidance for understanding information.

A) Conventions
B) Bolded words
C) Highlighted text
D) Footnotes

Question 17

The main term in the diagnostic statement "cerebovascular accident" is___.

A) accident
B) cerebrovascular accident
C) cerebrovascular
D) More information is needed

Question 18

The main term in the diagnostic statement "actinomycosis with pneumonia" is__.

A) pneumonia
B) actinomycosis with pneumonia
C) actinomycosis
D) with

Question 19

ICD-10-CM has two major parts:

A) Tabular List of Diseases and Injuries and Alphabetic Index
B) Alphabetical List of Diseases and Index to Procedures
C) Physicians List of Diseases and Injuries and Index to Providers
D) Tabular List and an Tabular Index

Question 20

What is the main term in the diagnostic statement "malignant adenofibroma"?

A) malignant
B) adenofibroma
C) malignant adenofibroma
D) more information needed

Question 21

What is the main term in the diagnostic statement "parotid gland calculus"?

A) parotid
B) gland
C) parotid gland
D) calculus

Question 22

What is the main term in the diagnostic statement "preoperative fever"?

A) fever
B) preoperative fever
C) preoperative
D) more information is needed

Question 23

What is the main term in the diagnostic statement "noninfiltrating intraductal carcinoma"?

A) noninfiltrating
B) intraductal carcinoma
C) intraductal
D) carcinoma

Question 24

What is the main term in the diagnostic statement "benign Codman's tumor"?

A) benign
B) Codman's
C) tumor
D) benign tumor

Question 25

What is the main term in the diagnostic statement "cleansing of artificial opening"?

A) artificial
B) artificial opening
C) opening
D) cleansing

Question 26

What is the main term in the diagnostic statement, "Cockayne's syndrome"?

A) Cockayne's
B) syndrome
C) Cockayne's syndrome
D) more information is needed

Question 27

What is the main term in the diagnostic statement "pustular infectious exposure conjunctivitis"?

A) pustular
B) infectious
C) exposure
D) conjunctivitis

Question 28

What is the main term in the diagnostic statement "bilateral mixed conductive and sensorineural deafness"?

A) bilateral
B) conductive
C) deafness
D) sensorineural

Question 29

What is the main term in the diagnostic statement "Demerol dependence"?

A) dependence
B) Demerol dependence
C) Demerol
D) more information is needed

Question 30

What is the main term in the diagnostic statement "urinary incontinence without sensory awareness"?

A) incontinence
B) sensory
C) urinary
D) awareness

Question 31

What is the main term in the diagnostic statement "congenital severe diabetes"?

A) congenital
B) severe
C) diabetes
D) severe diabetes

Question 32

What is the main term in the diagnostic statement "posterior tibial nerve disorder"?

A) posterior
B) disorder
C) tibial
D) nerve

Question 33

What is the main term in the diagnostic statement "local wound infection"?

A) local
B) wound
C) infection
D) local wound

Question 34

What is the main term in the diagnostic statement "intracranial injury with skull fracture"?

A) intracranial
B) fracture
C) skull
D) injury

Question 35

Which type of term appears below main terms in the ICD-10-CM's Alphabetic Index?

A) supplementary term
B) V code
C) E code
D) subterm

Question 36

Which type of term often appears in parentheses or brackets in the ICD-10-CM's Alphabetic Index?

A) subterm
B) supplementary term
C) main term
D) cross-reference

Question 37

_____ provides code numbers for neoplasms by anatomical site and is divided by the description of the neoplasm.

A) The Neoplasm Table
B) The Cancer Table
C) The Disease Table
D) The Ailment Table

Question 38

______ provides an index in table format of drugs and chemicals that are listed in the Tabular List.

A) Table of Drugs and Chemicals
B) Index of Drugs and Chemical
C) Catalog of Drugs and Chemicals
D) Directory of Drugs and Chemicals

Question 39

________ provides an index of all the external causes of diseases and injuries that are listed in the related chapter of the Tabular List.

A) The Category to External Causes
B) The Directory to External Causes
C) The Guide to External Causes
D) The Index to External Causes

Question 40

A ______ contains the medical term describing the condition for which a patient is receiving care.

A) diagnostic statement
B) procedure statement
C) examine statement
D) evaluating statement

Question 41

Characteristic sign or symptom of a disease is called a (n) _______.

A) manifestation
B) indicator
C) exhibition
D) display

Question 42

A Supplementary word or phrase for main terms or subterms that helps define a code in ICD-10-CM is a (n) ____.

A) additional modifier
B) dispensable modifier
C) nonessential modifier
D) complementary modifier

Question 43

_______ help point to the correct term, but they do not have to appear in the physician's diagnostic statement for the coder to correctly select the code.

A) dispensable modifiers
B) complementary modifiers
C) additional modifiers
D) nonessential modifiers

Question 44

Single code describing both the etiology and the manifestation(s) of a particular condition is called ______.

A) index code
B) grouping code
C) merger code
D) combination code

Question 45

What is the cause or origin of a disease or condition called?

A) etiology
B) disorder
C) aliment
D) complaint

Question 46

A (n) _______ is a three-character alphanumeric code that covers a single disease or related condition.

A) category
B) class
C) classification
D) ordering

Question 47

A (n) _____ is a four- or five-character alphanumeric subdivision of a category that further breakdown a disease to show its etiology, site, or manifestation.

A) subdivision
B) subgroup
C) subsection
D) subcategory

Question 48

The first character in a code is always a (n) ____.

A) letter
B) number
C) character
D) Letter U

Question 49

Character "x" inserted in a code to fill a blank space is called a (n) ____.

A) placeholder character
B) special character
C) distinctive character
D) unique character

Question 50

ICD-10-CM codes are ______.

A) alphanumeric
B) start with the letter U
C) start with the letter D
D) start with a special character

Question 51

Necessary assignment of a seventh character to a code; often for the sequence of an encounter is called _______.

A) special character
B) seventh-character extension
C) seventh character allowance
D) stipend character

Question 52

A (n) ____ is a Tabular List entry addressing the applicability of certain codes to specified conditions.

A) inclusion note
B) exclusion note
C) addition note
D) enclosure note

Question 53

A (n) ______ is a Tabular List entry limiting applicability of particular codes to specified conditions.

A) exclusion note
B) addition note
C) enclosure note
D) inclusion note

Question 54

______ are headed by the word includes and refine the content of the category appearing above them.

A) Exclusion note
B) Addition note
C) Inclusion note
D) Enclosure note

Question 55

_____ are headed by the word excludes and indicate conditions that are not classifiable to the code above.

A) Addition notes
B) Exclusion notes
C) Enclosure notes
D) Inclusion notes

Question 56

What is used to indicate an incomplete term?

A) period
B) question mark
C) semicolon
D) colon

Question 57

When the colon is used, what must the diagnostic statement include to be assigned a code from the particular category?

A) one term
B) special character
C) letter X
D) letter U

Question 58

What are used around descriptions that do not affect the code?

A) semicolons
B) colons
C) brackets
D) parentheses

Question 59

What are used around synonyms, alternative wordings, or explanations?

A) brackets
B) parentheses
C) semicolons
D) colons

Question 60

_____ is the use of ICD-1 0-CM classification system to capture the side of the body that is documented; the fourth, fifth, or sixth characters of a code specify the affected side(s).

A) Laterality
B) Alignment
C) Configuration
D) Orientation

Question 61

_____ is the ICD 10-CM code type used to report the cause of injuries from various environmental events, such as transportation accidents, falls, and fires.

A) External cause code
B) Accident cause code
C) Internal cause code
D) Emergency cause code

Question 62

____ is the abbreviation for codes from the twentieth chapter of the ICD-10-CM that identify factors that influence health status and encounters that are not due to illness or injury.

A) E Code
B) V Code
C) Z code
D) E/M Code

Question 63

A patient who receives health care in a hospital setting without admission is called a (n) ___.

A) uninsured person
B) indigent person
C) outpatient
D) inpatient

Question 64

______ are general rules, inpatient (hospital) coding guidance, and outpatient (physician office/clinic) coding guidance from the four cooperating parties (CMS advisers and participants from the AHA, AHIMA, and NCHS).

A) Physician Guide for Coding and Reporting
B) ICD-10-CM Official Guidelines for Coding and Reporting
C) CPT Guide for Coding and Reporting
D) Insurance Guide for Coding and Reporting

Question 65

ICD-10-CM Official Guidelines for Coding and Reporting is also known as _____.

A) official Guidelines
B) authorized Guidelines
C) certified Guidelines
D) sanctioned Guidelines

Question 66

The ICD-10-CM code for the primary diagnosis is listed _____.

A) third
B) fifth
C) first
D) second

Question 67

What are conditions that remain after an acute illness or injury has been treated and resolved called?

A) sequelae
B) sequential
C) chronological
D) progressive

Question 68

A (n) _____ is an objective indication that can be evaluated by the physician, such as weight loss.

A) symptom
B) symbol
C) indication
D) sign

Question 69

A (n) ______ is a subjective statement by the patient that cannot be confirmed during an examination, such as pain.

A) symptom
B) ailment
C) indication
D) sign

Question 70

Surgery is coded _____.

A) according to the insurance codes
B) according to the surgeon that will be performing the procedure
C) according to the location of the procedure
D) according to the diagnosis that is listed as the reason for the procedure

Question 71

What is the patient's description of the symptoms or other reasons for seeking medical care called?

A) chief complaint
B) primary complaint
C) primary ailment
D) chief aliment

Question 72

Where is the chief complaint documented?

A) insurance forms
B) patient's medical record
C) front desk ledger
D) physician reference ledger

Question 73

What provides the main term to be coded first?

A) primary diagnosis
B) patient data form
C) physician desk reference
D) secondary diagnosis

Question 74

Which diagnosis code is listed first, followed by the current coexisting conditions, when the diagnosis codes are reported?

A) primary
B) secondary
C) tertiary
D) Z code

Question 75

What is the correct ICD-9-CM code for diabetes, type I, uncontrolled, with coma?

A) 250.33
B) 250
C) 242.5
D) 242.8

Question 76

What is the correct ICD-9-CM code for unspecified goiter?

A) 241.2
B) 241.6
C) 240.9
D) 240.1

Question 77

What is the correct ICD-9-CM code for lead poisoning (lead salts)?

A) 126.2
B) 984.0
C) 126.5
D) 126.25

Question 78

What is the correct ICD-9-CM code for acute osteomyelitis of the lower leg?

A) 730
B) 731.06
C) 730.1
D) 730.06

Question 79

What is the correct ICD-9-CM code for rabies (hydrophobia)?

A) 071
B) V71
C) 072.5
D) V72

Question 80

What is the correct ICD-9-CM code for ventricular premature contractions?

A) 426.70
B) 428.1
C) 427.9
D) 427.69