question

AHA

answer

American Hospital Association

question

AHIMA

answer

American Health Information Management Association

question

CAC

answer

computer assisted coding

question

CC

answer

chief complaint

question

CM

answer

clinical modification

question

CPT

answer

current procedural terminology

question

DM

answer

diabetes mellitus

question

GEM

answer

general equivalence mapping

question

ICD-9-CM

answer

International Classification of Diseases, Ninth Revision, Clinical Modification

question

ICD-10-CM

answer

International Classification of Diseases, Tenth Revision, Clinical Modification

question

ICD-10-PCS

answer

International Classification of Diseases, Tenth Revision, Procedural Coding System

question

ICD-11

answer

International Classification of Diseases, Eleventh Revision

question

MRI

answer

magnetic resonance imaging

question

NCHS

answer

National Center for Health Statistics

question

NEC

answer

not elsewhere classifiable

question

NOS

answer

not otherwise specified

question

WHO

answer

World Health Organization

question

When submitting insurance claims for patients seen in the physician's off or in an outpatient hospital setting, the __________ diagnosis is listed first, but in the inpatient hospital setting, the __________ diagnosis is used.

answer

primary principal

question

Claims to insurance carriers often are denied because of lack of __________ __________, which indicates that the procedure was not payable for the diagnosis submitted.

answer

medical necessity

question

Diagnosing coding for services provided by a physician are reported using ID-10-CM effective with dates of service __________.

answer

October , 2015

question

The abbreviation ICD-10-CM means ____________________________.

answer

International Classification of Disease, Tenth Revision, Clinical Modification

question

The official version of the International Classification of Disease (ICD) was developed by the ___________.

answer

WHO

question

ICD-10-CM requires __________ documentation in the medical record than the previous coding system, ICD-9-CM.

answer

greater

question

ICD-10-PCS is the coding system for reporting inpatient services by hospitals and replaces __________ of the ICD-9-CM coding system.

answer

Volume 3

question

ICD-10-CM is the standard code set required under __________ legislation and must be used by covered entities when assigning diagnostic codes.

answer

HIPAA

question

Volume 2, Diseases, is a/an __________ index or listing of code numbers.

answer

alphabetic

question

Volume 1, Diseases, is a/an _____________________listing of code numbers.

answer

tabular numeric

question

When using the ICD-10-CM coding system, the __________ is uses as a placeholder to save space for future code expansion.

answer

X

question

Conventions are __________ used I the diagnostic code books to assist in the selection of correct codes for the diagnosis encountered

answer

rules

question

The abbreviation NEC appearing in the ICD-10-CM code book means ____________________.

answer

not elsewhere classifiable

question

__________ are used to enclose synonyms in the Tabular List.

answer

Brackets

question

If a condition is documented in the medical record, but it is not specified as to whether the condition is acute or chronic, then the __________ code should be assigned.

answer

default

question

When selecting a code that corresponds with the condition stated in the medical record, the code should first locate the term in the __________ __________ and then confirm the code in the __________ __________.

answer

alphabetic index tabular list

question

The instructional note __________ listed in the Tabular List assists the coder as to when it is appropriate to report a secondary code/

answer

use additional code

question

A condition that is produced after the acute phase of an illness is listed as the main term __________ in the Alphabetic Index.

answer

sequelae

question

The Neoplasm Table has column heading for __________, __________,__________, and __________.

answer

malignant, benign, uncertain, and unspecified

question

In juvenile diabetes, the patient's _________ does not function and produce enough insulin.

answer

pancreas

question

When coding for diabetes in pregnancy, a code from category __________ is assigned as the primary diagnose.

answer

024.4 gestational DM

question

__________ hypertension is indicative of a life-threatening condition.

answer

Malignant

question

Full-term uncomplicated __________ deliveries are always reported with the code 080.

answer

vaginal

question

When reporting accidents and injuries, a seventh character of "A" identifies that the encounter is __________

answer

initial

question

Additional external cause codes are __________ __________ when reporting poisonings using combination codes from T36 through T65.

answer

not required

question

If documentation states that the incident related to a poisoning was a suspected suicide attempt, the code would be reported from the column titled __________.

answer

undetermined

question

If a patient falls and fractures his or her wrist, the fracture code is the primary code, followed by a/an __________ code to explain how the accident occurred.

answer

external cause

question

When a person encounters health services to receive a vaccination, the diagnosis is reported with a __________ code.

answer

Z

question

The consequences of inaccurate assignment of diagnostic codes include: a. delay in payment of claim, b. denial of claim, c. change in level of reimbursement, or d. all of the above

answer

d. all of the above

question

Diagnosis codes should be reported to the highest level of

answer

specificity

question

When a provider makes a hospital visit, the encounter should be reported with a diagnosis code that represents

answer

the conditioner the provider evaluated and treated during the encounter

question

To determine the diagnosis codes that would support medical necessity of a specific procedure, such as magnetic resonance imaging (MRI), under Medicare guidelines, the codes should consult

answer

local coverage determinations (LCDs) and national coverage determinations (NCDs)

question

Passage of which legislation, in 1988, placed requirements on physicians to report appropriate diagnosis codes on all claims to Medicare

answer

Medicare Catastrophic Coverage Act

question

General Equivalency Mappings (GEMs) is a common translation tool used to a. convert ICD-9-CM codes to ICD-10-CM codes, b. convert ICD-10-CM codes to ICD-10-PCS codes, c. convert ICD-10-CM codes to ICD-9-CM codes, d. a and c, or e. all of the above

answer

d. a and c

question

ICD-10-PCS (Procedure Coding System_ was developed by 3M Health Information Systems under contract with the

answer

Centers for Medicare and Medicaid Services

question

Annual updates to ICD-10-CM are published

answer

by the AHA, AHIMA, and U.S. Printing Office

question

The Alphabetic Index to Diseases and Injuries is placed

answer

first in the coding manual

question

How many chapters does the Tabular List contain?

answer

21

question

When two diagnoses are classified with a single code, it is referred to as

answer

a combination code

question

An essential modifier is also referred to as a

answer

subterm

question

The equivalent of unspecified is

answer

NOS

question

Signs and symptoms are acceptable for reporting purposes

answer

when a definitive diagnosis has not been determined

question

When conditions documented as "threatened" are referenced in the Alphabetic Index and there is no entry for the threatened condition, report

answer

the existing underlying condition

question

When reporting laterality, the final character"3" is reported to indicate

answer

bilateral

question

When reporting an encounter for testing of human immunodeficiency virus (HIV), the code should be assigned as

answer

Z11.4

question

When fractures are documented, but there is no indication of whether the fracture is open or closed,

answer

report it as closed

question

When identifying the total body surface area of a burn, the front torso is considered as

answer

9%

question

External cause codes are used to establish injury prevention programs

answer

establish injury prevention programs

question

Diagnoses that related to the patient's previous medical problem must always be reported. T or F

answer

False

question

The concept of "principal diagnosis" is applicable to outpatient and inpatient cases. T or F

answer

False

question

The diagnosis coding system is designed to provide statistical mortality rate data that include information about causes of diseases. T or F

answer

False

question

The process for looking up a diagnosis code in the ICD-9-CM coding system is the same as in the ICD-10-CM coding system. T or F

answer

True

question

ICD-10 was published to the World Health Organization (WHO) and clinically modified by the Centers for Medicare and Medicaid Services (CMS). T or F

answer

False

question

The Alphabetic Index contains the Table of Drugs and Chemicals. T or F

answer

True

question

ICD-10-CM codes can contain up to seven characters. T or F

answer

True

question

Signs and symptoms that are not typically associated with a disease process should be reported when documented. T or F

answer

True

question

When a person who is not currently sick encounters health services for some specific purpose, such as to receive a vaccination, a Z code is used T or F

answer

True

question

Code conventions are rules or principles for determining a diagnostic code when using a diagnostic code book T or F

answer

True

question

Because there are annual ICD-10-CM code revisions, there is a 3-month grace period to implement these changes and revisions T or F

answer

False

question

An external cause code may never be sequenced as the primary diagnosis in the first position T or F

answer

True

question

When billing for surgery you want to list the most expensive code first T or F

answer

True

question

What is the primary diagnosis?

answer

chief complaint

question

Secondary diagnosis is listed as secondary T or F

answer

True

question

Always code the underlying disease or the etiology first. T or F

answer

True

question

Diagnostic coding was created by WHO T or F

answer

True

question

Diagnostic coding is used for evaluation of hospital services, for tracking a disease, causes of mortality, and medical research T or F

answer

True

question

ICD 10 has been used in the rest of the world in 1993. We started using it in 2015 T or F

answer

True

question

There is new ICD every year T or F

answer

True

question

There are how many volumes of ICD-10?

answer

2

question

Volume 1 is ___________

answer

tabular

question

Volume 2 is ___________

answer

alphabetic

question

ICD-10-PCS is used for __________

answer

for the hospital inpatient billing

question

ICD-10 is updated every year and has 3 volumes T or F

answer

False

question

When the new ICD code book is released in October there is a grace period that will allow you to continue to use the old book T or F

answer

False

question

The Alphabetic Index (volume 2) contains

answer

Alpha, external cause, table of drugs, and neoplasms

question

What is the purpose of a modifier?

answer

specificity

question

What are examples of modifiers?

answer

left and right, bilateral, complicated

question

What is an eponym?

answer

The name of a disease that was derived from the person who discovered or described it first

question

Volume 1 of the ICD is

answer

tabular

question

How many chapters are in the tabular list of Alpha numeric codes?

answer

21

question

What is an X used for

answer

placeholder

question

A placeholder is used for

answer

a future code or it's telling you a 7th digit is needed

question

What are conventions?

answer

guidelines for coding and recording

question

What is a sequelae?

answer

a late affect; after the acute phase of an illness or injury has terminated

question

What is a combination code?

answer

a single code is used to classify two diagnoses

question

What is a neoplasm?

answer

spontaneous new growth of tissue forming an abnormal mass

question

A carcinoma is a malignant or benign tumor?

answer

malignant

question

Carcinoma in situ means

answer

it is still in the same place - hasn't yet metastasized

question

a primary malignancy is still in the same place t or f

answer

true

question

a secondary malignancy has metastasized t or f

answer

true

question

When coding you need to know if the carcinoma has metastasized from or to t or f

answer

true

question

From means that is the primary and to means

answer

it has gone to the secondary

question

Type 1 diabetes is juvenile and __________ dependent

answer

insulin

question

Type II diabetes is referred to as adult onset and is controlled how?

answer

with diet, if not oral meds, or possibly insulin

question

You will find hypertension, high blood pressure and diabetes as the underlying cause of many illnesses t or f

answer

true

question

what is a myocardia infarction?

answer

heart attack

question

Burns are coded by burn site and have a single code to describe the area burned t or f

answer

true

question

What is TBSA?

answer

total body surface area

question

External cause codes (V and Y) following a primary or secondary diagnosis help explain how the accident or injury occurred t or f

answer

true

question

What is a Z code?

answer

follow ups

question

Inpatient facility is ICD

answer

PCS

question

Malignant hypertension is ___________ with poor prognosis

answer

very high blood pressure

question

What is the abbreviation for hypertension?

answer

HTN

question

The first listed diagnosis is __________ and __________

answer

primary chief complaint

question

Poisoning is the condition resulting from an intentional overdose of drug or chemical substance, wrong drug or agent given in error T or F

answer

True

question

Adverse affect is when

answer

there is a state of poisoning overdose

question

V and Y codes are

answer

external cause codes are codes of the injury rather than the nature of the disease itself

question

When instruction following the main term in the index to indicate another main term may also be referenced as

answer

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