Coding

Question 1

When is ICD updated?

A. April 1st

B. November 1st

C. October 1st

Answer 1

A. April 1st & C. October 1st

Question 2

CPT and ICD are updated when?

A. Weekly

B. Annually

C. Monthly

Answer 2

B. Annually

Question 3

Used to detail the patient’s diagnosis or reason for the service

A. ICD-10 codes

B. HCPCS codes

C. CPT codes

Answer 3

ICD-10 codes

Question 4

Used to describe the procedures and services provided to the patient

A. CPT and HCPCS

B. Procedural codes

C. CPT codes

Answer 4

CPT and HCPCS

Question 5

HCPCS is updated when?

A. Monthly

B. Weekly

C. Annually

Answer 5

C. Annually

Question 6

Alphanumeric codes that represent non physician services, equipment, and supplies not covered by CPT

A. HCPCS level II

B. HCPCS LEVEL l

C. HCPCS level lll

Answer 6

A. HCPCS level II

Question 7

Consists of AMA’s CPT codes

A. HCPCS level l

B. HCPCS level ll

C. CPT category ll

Answer 7

HCPCS level I

Question 8

Used in U.S. hospitals for inpatient procedures

For inpatient surgical and invasive diagnostic procedures

A. ICD-10-PCS (procedure coding system)

B. ICD-10-CM

C. CPT Codes

Answer 8

ICD-10-PCS (procedure coding system)

Question 9

Used in all U.S. healthcare settings to code and classify morbidity data

For diagnoses for conditions, illnesses, injuries, and health statuses

A. ICD-10-CM (clinical modification)

B. ICD-10-PCS (procedural coding system)

C. ICD codes

Answer 9

ICD-10-CM (clinical modification)

Question 10

CPT codes are updated when?

A. Annually

B. Monthly

C. Weekly

Answer 10

A. Annually

Question 11

Temporary codes for emerging technologies, services, and procedures

A. Temporary codes

B. HCPCS

C. CPT category II

Answer 11

CPT category II

Question 12

Supplemental tacking codes used for performance management

A. CPT category lll

B. CPT category l

C. CPT category ll

Answer 12

CPT category II

Question 13

Codes for widely used procedures and services, organized by body system or procedure type

A. CPT category l

B. ICD-10

C. CPT codes

Answer 13

CPT category I

Question 14

Include CPT codes

A. ICD-10 codes

B. HCPCS level l

C. HCPCS codes

Answer 14

HCPCS level I

Question 15

Codes cover services and procedures not included in CPT such as ambulance services and durable medical equipment. Plays a significant role in billing medicare and medicaid. For medications, supplies, and services not included in CPT

A. Healthcare common procedure coding system (HCPCS)

B. CPT

C. ICD

Answer 15

Healthcare common procedure coding system (HCPCS)

Question 16

Can be: diseases, conditions, eponyms.

Are not, however, parts of the body. For instance, if a patient has been diagnosed with a rash on the face, the main term will be rash, not face.

A. Essential modifiers

B. Nonessential modifiers

C. Main terms

Answer 16

Main terms

Question 17

Must be added to increase the level of specificity

Are found in volume 2 indented under the main term. They modify the main term by describing the site of a diagnosis, its cause, or its specific type. For instance, think again of the rash. Once rash is located as a main term, essential modifiers are, as the name suggests, required. If a main term has any essential modifiers underneath it, insurance carriers will not accept the code without a modifier.
The claim will be returned.

A. CPT

B. Essential modifiers

C. HCPCS

Answer 17

Essential modifiers

Question 18

Can provide alternate terms or further specificity are found in volume 2. They appear in parentheses directly after the main term. These modifiers may give alternate terminology or help to add specificity, but they are not necessary for code selection.

A. Modifiers

B. Essential modifiers

C. Nonessential modifiers

Answer 18

Nonessential modifiers

Question 19

The ICD-10-CM manual is divided into two volumes:

Volume 1 - Tabular Index: Volume 1 is a list of diagnostic codes in numeric order.

Volume 2 - Alphabetic Index: Volume 2 is an alphabetic listing of all known diagnoses.

There are two different sets of ICD-10 codes, CM and PCS. The PCS coding system is not used in the medical office as it is only used for reporting inpatient hospital procedures. Outpatient medical coding only requires the use of the first two volumes of ICD-10-CM.

A. Volumes of the ICD

B. ICD codes

C. Coding

Answer 19

Volumes of the ICD

Question 20

Is divided into 21 sections - by anatomic system or type of condition

A. ICD-10-CM volume ll

B. CPT category l

C. ICD-10-CM volume l

Answer 20

ICD-10-CM volume 1

Question 21

Can also be main terms - is a disease, procedure, or syndrome named after a person. - ex. Crohn’s Disease, diagnosed by Dr. Burrill Bernard Crohn in 1932

A. Main terms

B. Codes

C. Eponyms

Answer 21

Eponyms

Question 22

Can be added to increase the specificity of essential modifiers will appear indented underneath essential modifiers. Each qualifier increases specificity. They should be used if they more accurately describe the diagnosis. Before assigning a code, assistants should read through all qualifiers. They are not required if they do not apply.

A. Qualifiers

B. Main terms

C. Essential modifiers

Answer 22

Qualifiers

Question 23

Volume 2 of the ICD-10-CM lists all known diagnoses. The main term refers to the most general term in a diagnosis.

Divided into 3 sections

A. ICD-10-CM volume ll (comes first)

B. ICD-10-PCS

C. ICD-10- CM volume l

Answer 23

ICD-10-CM volume 2 (comes first)

Question 24

This system is used to code diagnoses, symptoms, and procedures related to patient care.

A. ICD

B. CPT

C. HCPCS

Answer 24

ICD

Question 25

Represent the specific actions, such as tests, surgeries, or treatments that were taken in response to diagnosis.

CPT (current procedural terminology) published by the AMA

HCPCS (healthcare common procedural coding system) published by the CMS

A. Procedural codes

B. CPT category ll

C. Qualifiers

Answer 25

Procedural codes

Question 26

Provides diagnostic, therapeutic, and surgical codes for all the services that medical staff may perform. For encounters, services, and procedures.

A. ICD-10-PCS

B. Current Procedural Terminology (CPT)

C. Main terms

Answer 26

Current Procedural Terminology (CPT)

Question 27

Are used to record patients’ diagnoses and treatments

Can be diagnostic or procedural

A. Codes

B. Qualifiers

C. CPT codes

Answer 27

Codes