Home Page Science Biology Anatomy Chapter 6 ICD-10-CM Coding Exercise Questions: 6-1, 6-2, 6-4, 6-6, 6-7, 6-8 - Flashcards

Chapter 6 ICD-10-CM Coding Exercise Questions: 6-1, 6-2, 6-4, 6-6, 6-7, 6-8 – Flashcards

Marvel Brown

7 July 2022

question

Implementation of ICD-10-CM and ICD-10-PCS resulted in the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) becoming a _________.

answer

legacy coding system (or legacy classification system)

question

The NCHS and CMS publish ___________ to facilitate the location of corresponding diagnosis codes between ICD-9-CM and ICD-10-CM.

answer

general equivalence mappings (GEMs)

question

ICD-9-CM was the classification (or coding) system used since _____ in the United States to classify inpatient and outpatient/provider-based office diagnoses (Volume 1 and 2) and inpatient procedures (Volume 3).

answer

1979

question

Because ICD-9-CM was over 30 years old, it contained ______, used outdated codes that produced inaccurate and limited data, and was inconsistent with current medical practice.

answer

outdated and obsolete terminolgoy

question

When an ICD-9-CM code maps to a single ICD-10-CM code, reviewing the tabular list to validate the code is optional. (True or False).

answer

False

question

ICD-10-CM code A88.1 maps to ICD-9-CM code ____.

answer

078.81

question

ICD-9-CM code 078.88 maps to ICD-10-CM code ___.

answer

A74.89

question

ICD-10-CM code A74.89 maps to ICD-9-CM code ____.

answer

078.88

question

ICD-10-CM code R11.11 maps to ICD-9-CM code ____.

answer

078.82

question

The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes and classifies

answer

disease data from inpatient and outpatient records

question

The International Classification of Diseases, 10th Revision, Procedure Classification System (ICD-10-PCS) codes and classifies

answer

procedure data from inpatient records only

question

The Centers for Medicare and Medicaid Services (CMS) abbreviates ICD-10-CM and ICD-10-PCS as ______.

answer

ICD-10-CM/PCS

question

ICD-10-CM includes many more codes and applies to more users than ICD-9-CM because it is designed to collect data on every type of health care encounter, which includes ______

answer

inpatient, outpatient, hospice, home health care, long term care

question

ICD-10-CM also enhances accurate payment for services rendered and facilitates ______.

answer

evaluation of medical processes & outcomes

question

The intent of ICD-10-CM is to describe the ________ of the patient, which means codes are more precise than those needed for ICD-9-CM's statistical groupings and trend analysis.

answer

clinical picture

question

ICD-10-CM codes require up to _______ characters, are entirely alphanumeric, and have unique coding conventions.

answer

seven characters

question

ICD-10-CM uses a disease index to initially locate codes for conditions and a ____ to verify codes.

answer

tabular list

question

ICD-10-CM and ICD-10-PCS incorporate much greater ______ (when compared with previous classification systems, such as ICD-9-CM).

answer

specificity & clinical information

question

ICD-10-CM and ICD-10-PCS provide codes to allow for the comparison of ______.

answer

mortality and morbidity data

question

The reporting of ICD-9-CM diagnosis codes on Medicare claims was originally mandated by the ________.

answer

Medicare Catastrophic Coverage Act of 1988

question

The reporting of ICD-10-CM/PCS codes was mandated by _______.

answer

HIPAA of 1996 (Administrative Simplification Title)

question

Reporting ICD-10-CM codes on submitted claims ensures the ______ of procedures and services provided to patients during an encounter, which is defined as "the determination that a service or procedure rendered is reasonable and necessary for the diagnosis or treatment of an illness or injury."

answer

medical necessity

question

The face-to-face contact between a patient and a health care provider who assesses and treats the patient's condition is a _______.

answer

encounter

question

The criteria used to determine medical necessity include ______, ______, _____, and ______.

answer

purpose, scope, evidence, value

question

For oat cell carcinoma of the right lung with spread to the brain, the primary site is _____, and the secondary site is _____.

answer

right lung, brain

question

For metastatic carcinoma from right breast (female), the primary site is _____, and the secondary site is ________.

answer

right breast, unknown site or unspecified (female)

question

For metastatic carcinoma from right kidney to bone, the primary site is ____, and the secondary site is _____.

answer

right kidney, bone

question

For metastatic malignant melanoma of bone, the primary site is ______, and the secondary site is _____.

answer

skin, bone

question

For frontal lobe brain cancer, the primary site is ______, and the secondary site _____.

answer

unknown site or unspecified, brain

question

The ICD-10-CM alphabetical listing of main terms or conditions printed in boldfaced type that may be expressed as nouns, adjectives, or eponyms is called the ____.

answer

Index of Diseases and Injuries (ICD-10-CM Alphabetic Index to Diseases and Injuries)

question

The ______ contains adverse effects and poisonings associated with medicinal, chemical, and biological substances.

answer

Table of Drugs and Chemicals

question

Main terms in the ICD-10-CM index are listed in alphabetical order,which means a single hyphen between words in a main term (is/is not) ______ ignored when locating main terms in the ICD-10-CM indexes, and a single space within a main term (is/is not) _____ ignored.

answer

is, is not

question

For the following list of main terms found in the ICD-10-CM Index to Diseases and Injuries, the main term ______ is not in alphabetical order. Lathyrism Launois-Cleret syndrome Launois' syndrome

answer

Launois-Cleret syndrome

question

When numerical characters and words appear under a main term, they are listed in _____ order.

answer

alphabetic

question

Main terms are printed in boldfaced type and followed by the ______ code.

answer

default

question

Qualifying words contained in parentheses after a main term, which do not have to be included in the diagnostic statement for the code number listed after the parentheses to be assigned, are called ____ modifiers.

answer

nonessential

question

Subterms that qualify the main term by listing alternative sites, etiology, or clinical status are called _____ modifiers.

answer

subterms (essential)

question

The priver documents "acute angina pectoris" The main term in the ICD-10-CM index is _____.

answer

angina

question

The provider documents "history of nutritional deficiency" The main term in the ICD-10-CM index is ___.

answer

history

question

The ICD-10-CM Tabular List of Diseases and Injuries is a chronological list of codes contained within _____, which are based on body system or condition.

answer

21 separate chapters

question

Intestinal Infectious Diseases (A00-A09) is an example of a(n) ______, which is printed in bold uppercase letters and followed by groups of three-character disease categories within a chapter.

answer

major topic headings (or code block)

question

ICD-10-CM categories, subcategories, and codes contain a combination of ______.

answer

letters and numbers

question

All of ICD-10-CM's categories contain _____ characters.

answer

question

A three-character ICD-10-CM category that has no further subdivision is a ____.

answer

valid code

question

ICD-10-CM subcategories contain either ____ or _____ characters.

answer

4,5, or 6

question

ICD-10-CM codes may contain _____ characters.

answer

3,4,5,6, or 7

question

The final level of an ICD-10-CM tabular list subdivision is an _______.

answer

code

question

All codes in the ICD-10-CM list are ______.

answer

boldfaced

question

Codes that have an applicable seventh character are referred to as _____.

answer

codes

question

Codes that have an applicable seventh character re considered ____ without the seventh character.

answer

invalid

question

The seventh character must always be located in the seventh-character data field, and if a code that requires a seventh character is not six characters in length, the placeholder _____ is entered to fill in the empty character(s).

answer

question

Factors Influencing Health Status and Contact with Health Services are incorporated into ICD-10-CM's Tabular List of Diseases and Injuries as ____.

answer

Chapter 21 (Z codes)

question

Morphology codes are abbreviated as ______.

answer

M codes

question

ICD-10-CM Chapter 2 classifies neoplasms primarily by site (topography), and morphology codes are classified using the _____.

answer

International Classification of Disease for Oncology, 3rd Revision (ICD-0-3)

question

The guidelines for coding and reporting using ICD-10-CM and ICD-10-PCS have been approved by the four organizations that comprise the ___.

answer

Cooperating Parties for ICD-10-CM/PCS

question

The abbreviations for the four organizations that develop and approve the coding guidelines are ____, ____, ____, and ____.

answer

CMS, NCHS, AHA, and AHIMA

question

Adherence to the coding guidelines when assigning ICD-10-CM and ICD-10-PCS diagnosis and procedure codes is required by ____ legislation.

answer

HIPAA

question

The guidelines use the term ___ to indicate all health care settings, including inpatient hospital admissions.

answer

encounter

question

The term ____ is used throughout the guidelines to refer to physicians or any qualified health care practitioners who are legally accountable for establishing the patient's diagnosis.

answer

provider

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question

Implementation of ICD-10-CM and ICD-10-PCS resulted in the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) becoming a _________.

answer

legacy coding system (or legacy classification system)

question

The NCHS and CMS publish ___________ to facilitate the location of corresponding diagnosis codes between ICD-9-CM and ICD-10-CM.

answer

general equivalence mappings (GEMs)

question

answer

1979

question

Because ICD-9-CM was over 30 years old, it contained ______, used outdated codes that produced inaccurate and limited data, and was inconsistent with current medical practice.

answer

outdated and obsolete terminolgoy

question

When an ICD-9-CM code maps to a single ICD-10-CM code, reviewing the tabular list to validate the code is optional. (True or False).

answer

False

question

ICD-10-CM code A88.1 maps to ICD-9-CM code ____.

answer

078.81

question

ICD-9-CM code 078.88 maps to ICD-10-CM code ___.

answer

A74.89

question

ICD-10-CM code A74.89 maps to ICD-9-CM code ____.

answer

078.88

question

ICD-10-CM code R11.11 maps to ICD-9-CM code ____.

answer

078.82

question

The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes and classifies

answer

disease data from inpatient and outpatient records

question

The International Classification of Diseases, 10th Revision, Procedure Classification System (ICD-10-PCS) codes and classifies

answer

procedure data from inpatient records only

question

The Centers for Medicare and Medicaid Services (CMS) abbreviates ICD-10-CM and ICD-10-PCS as ______.

answer

ICD-10-CM/PCS

question

ICD-10-CM includes many more codes and applies to more users than ICD-9-CM because it is designed to collect data on every type of health care encounter, which includes ______

answer

inpatient, outpatient, hospice, home health care, long term care

question

ICD-10-CM also enhances accurate payment for services rendered and facilitates ______.

answer

evaluation of medical processes & outcomes

question

The intent of ICD-10-CM is to describe the ________ of the patient, which means codes are more precise than those needed for ICD-9-CM's statistical groupings and trend analysis.

answer

clinical picture

question

ICD-10-CM codes require up to _______ characters, are entirely alphanumeric, and have unique coding conventions.

answer

seven characters

question

ICD-10-CM uses a disease index to initially locate codes for conditions and a ____ to verify codes.

answer

tabular list

question

ICD-10-CM and ICD-10-PCS incorporate much greater ______ (when compared with previous classification systems, such as ICD-9-CM).

answer

specificity & clinical information

question

ICD-10-CM and ICD-10-PCS provide codes to allow for the comparison of ______.

answer

mortality and morbidity data

question

The reporting of ICD-9-CM diagnosis codes on Medicare claims was originally mandated by the ________.

answer

Medicare Catastrophic Coverage Act of 1988

question

The reporting of ICD-10-CM/PCS codes was mandated by _______.

answer

HIPAA of 1996 (Administrative Simplification Title)

question

answer

medical necessity

question

The face-to-face contact between a patient and a health care provider who assesses and treats the patient's condition is a _______.

answer

encounter

question

The criteria used to determine medical necessity include ______, ______, _____, and ______.

answer

purpose, scope, evidence, value

question

For oat cell carcinoma of the right lung with spread to the brain, the primary site is _____, and the secondary site is _____.

answer

right lung, brain

question

For metastatic carcinoma from right breast (female), the primary site is _____, and the secondary site is ________.

answer

right breast, unknown site or unspecified (female)

question

For metastatic carcinoma from right kidney to bone, the primary site is ____, and the secondary site is _____.

answer

right kidney, bone

question

For metastatic malignant melanoma of bone, the primary site is ______, and the secondary site is _____.

answer

skin, bone

question

For frontal lobe brain cancer, the primary site is ______, and the secondary site _____.

answer

unknown site or unspecified, brain

question

The ICD-10-CM alphabetical listing of main terms or conditions printed in boldfaced type that may be expressed as nouns, adjectives, or eponyms is called the ____.

answer

Index of Diseases and Injuries (ICD-10-CM Alphabetic Index to Diseases and Injuries)

question

The ______ contains adverse effects and poisonings associated with medicinal, chemical, and biological substances.

answer

Table of Drugs and Chemicals

question

answer

is, is not

question

For the following list of main terms found in the ICD-10-CM Index to Diseases and Injuries, the main term ______ is not in alphabetical order. Lathyrism Launois-Cleret syndrome Launois' syndrome

answer

Launois-Cleret syndrome

question

When numerical characters and words appear under a main term, they are listed in _____ order.

answer

alphabetic

question

Main terms are printed in boldfaced type and followed by the ______ code.

answer

default

question

answer

nonessential

question

Subterms that qualify the main term by listing alternative sites, etiology, or clinical status are called _____ modifiers.

answer

subterms (essential)

question

The priver documents "acute angina pectoris" The main term in the ICD-10-CM index is _____.

answer

angina

question

The provider documents "history of nutritional deficiency" The main term in the ICD-10-CM index is ___.

answer

history

question

The ICD-10-CM Tabular List of Diseases and Injuries is a chronological list of codes contained within _____, which are based on body system or condition.

answer

21 separate chapters

question

Intestinal Infectious Diseases (A00-A09) is an example of a(n) ______, which is printed in bold uppercase letters and followed by groups of three-character disease categories within a chapter.

answer

major topic headings (or code block)

question

ICD-10-CM categories, subcategories, and codes contain a combination of ______.

answer

letters and numbers

question

All of ICD-10-CM's categories contain _____ characters.

answer

question

A three-character ICD-10-CM category that has no further subdivision is a ____.

answer

valid code

question

ICD-10-CM subcategories contain either ____ or _____ characters.

answer

4,5, or 6

question

ICD-10-CM codes may contain _____ characters.

answer

3,4,5,6, or 7

question

The final level of an ICD-10-CM tabular list subdivision is an _______.

answer

code

question

All codes in the ICD-10-CM list are ______.

answer

boldfaced

question

Codes that have an applicable seventh character are referred to as _____.

answer

codes

question

Codes that have an applicable seventh character re considered ____ without the seventh character.

answer

invalid

question

answer

question

Factors Influencing Health Status and Contact with Health Services are incorporated into ICD-10-CM's Tabular List of Diseases and Injuries as ____.

answer

Chapter 21 (Z codes)

question

Morphology codes are abbreviated as ______.

answer

M codes

question

ICD-10-CM Chapter 2 classifies neoplasms primarily by site (topography), and morphology codes are classified using the _____.

answer

International Classification of Disease for Oncology, 3rd Revision (ICD-0-3)

question

The guidelines for coding and reporting using ICD-10-CM and ICD-10-PCS have been approved by the four organizations that comprise the ___.

answer

Cooperating Parties for ICD-10-CM/PCS

question

The abbreviations for the four organizations that develop and approve the coding guidelines are ____, ____, ____, and ____.

answer

CMS, NCHS, AHA, and AHIMA

question

Adherence to the coding guidelines when assigning ICD-10-CM and ICD-10-PCS diagnosis and procedure codes is required by ____ legislation.

answer

HIPAA

question

The guidelines use the term ___ to indicate all health care settings, including inpatient hospital admissions.

answer

encounter

question

The term ____ is used throughout the guidelines to refer to physicians or any qualified health care practitioners who are legally accountable for establishing the patient's diagnosis.

answer

provider

Chapter 6 ICD-10-CM Coding Exercise Questions: 6-1, 6-2, 6-4, 6-6, 6-7, 6-8 – Flashcards

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