Ch 12: Review Test

Question 1

A recognized process of transforming descriptions of a patient’s disease process, disorder, or injury into universal numerical or alphanumerical formats is referred to as what?

Answer 1

Coding

Question 2

The reason (sore throat or chest pain) that brings a patient to the healthcare facility is commonly referred to as a(n) ____?

Answer 2

Diagnosis

Question 3

In what year was the first ICD system (ICD-1) put into use?

Answer 3

1900

Question 4

Diagnosis codes in the outdated ICD-9-CM system consisted of ____ digits or characters?

Answer 4

3 to 5

Question 5

Diagnosis codes in the ICD-10-CM system consist of how many digits or characters?

Answer 5

3 to 7

Question 6

The Alphabetic Index in ICD-10 lists all diagnostic terms in what order?

Answer 6

Alphabetic order

Question 7

Part III (Tabular List of Diseases and Injuries) of the ICD-10-CM coding manual is composed of ____ chapters?

Answer 7

21

Question 8

What are three common uses of coding?

Answer 8

• Setting health policy
• Monitoring resource utilization
• Preventing healthcare fraud and abuse

Question 9

What are three valid reasons for converting to ICD-10-CM?

Answer 9

• Lack of specificity in ICD-9 codes
• Lack of available code numbers in ICD-9
• ICD-10-CM uses full code titles, reflecting advances in medical technology

Question 10

In the current diagnostic coding system, what is the manual used for coding inpatient procedures?

Answer 10

ICD-10-PCS

Question 11

Where are diagnosis codes in ICD-10-CM used?

Answer 11

• All physicians’ offices

- Outpatient clinics

Question 12

In fracture care, a seventh character A indicates what?

Answer 12

An initial encounter

Question 13

After the diagnosis has been determined, the ____ in the diagnosis should be identified

Answer 13

Main term or Lead term

Question 14

When diseases, procedures, or syndromes are named after the individual who discovered or first used them, they are commonly referred to as what?

Answer 14

Eponyms

Question 15

What is the main term in the diagnosis of premature atrial contraction (PAC)?

Answer 15

Premature

Question 16

Some categories, mainly those subject to notes linking them with other categories, require multiple indexing steps. To avoid repeating multiple steps for each of the additional terms involved, a ____ is used.

Answer 16

Cross-reference

Question 17

After the provisional code is located in the ____, the coder should verify the code by locating it in the ____ to ensure that the diagnosis has been coded to the optimal specificity

Answer 17

Alphabetic Index / Tabular List

Question 18

Codes are arranged in the Tabular and divided into chapters based on ____

Answer 18

• Anatomical site
• Body system
• Etiology

Question 19

In ICD-10 diagnostic codes, the letter “x” means what?

Answer 19

• Allows for future expansion of the code

- Is used to fill out empty characters when a code contains fewer than six characters and a seventh character applies

Question 20

How is the Index to Diseases in the ICD-10-CM coding manual organized?

Answer 20

Alphabetically by main terms

Question 21

What do essential modifiers describe?

Answer 21

• Various anatomical sites
• The cause or origin of a disease or condition
• Clinical types

Question 22

Terms enclosed in parentheses after main terms are called what?

Answer 22

Nonessential modifiers

Question 23

If a patient’s condition has not been specifically diagnosed, the health insurance professional must code what?

Answer 23

Signs or symptoms

Question 24

The ____ code represents the condition that is most commonly associated with the main term or is the unspecified code for the condition

Answer 24

Default

Question 25

What is the main term for “acute depressive reaction”?

Answer 25

Reaction

Question 26

When a term has many modifiers that might be listed beneath more than one term; what cross-reference is used?

Answer 26

See also

Question 27

In most ICD-10-CM manuals, main terms in the index appear in ____?

Answer 27

Bold type

Question 28

What is the “placeholder character” in ICD-10-CM?

Answer 28

The letter “x”

Question 29

In ICD, rules and guidelines used in coding are commonly referred to as what?

Answer 29

Conventions

Question 30

Identify the symbol that typically is used in the Tabular List when an addition digit (or digits) is needed to code a diagnosis to its greatest specificity

Answer 30

Bullet

Question 31

NEC in the ICD-10-CM system represents what?

Answer 31

Not elsewhere classified

Question 32

In ICD-10, when a code appears with a Type 1 Excludes note, it means what?

Answer 32

Not coded here

Question 33

In medicine, ____ is a sign or symptom of a disease

Answer 33

A manifestation

Question 34

A ____ code is a single code used to classify two diagnosis with an associated secondary process (manifestation)

Answer 34

Combination

Question 35

In medicine, the study of the form and structure of organisms and their specific structural features is called ____?

Answer 35

Morphology

Question 36

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

Answer 36

Default code

Question 37

Sequelae are the ____ or injury or illness

Answer 37

Late effects

Question 38

Which character in an ICD-10-CM code indicates laterality for bilateral sites?

Answer 38

The last character in a six-character code

Question 39

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

Answer 39

Alphabetic Index

Question 40

Under HIPAA, a ____ is any set of codes used for encoding data elements, such as tables of terms, medical concepts, or medical diagnosis codes

Answer 40

Code set

Question 41

What must be coded if a patient’s condition has not been specifically diagnosed?

Answer 41

Signs or symptoms

Question 42

How should you code a patient that has both scarlet fever and strep throat?

Answer 42

Two separate codes must be used

Question 43

Identify what must be coded first if a patient’s diagnosis is “diabetic ulcer of the heel”

Answer 43

Diabetes