Question 1

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 _________.

Accepted Answer

legacy coding system (or legacy classification system)

Question 2

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

Accepted Answer

general equivalence mappings (GEMs)

Question 3

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).

Accepted Answer

1979

Question 4

Because ICD-9-CM was over 30 years old, it contained ______, used outdated codes that produced inaccurate and limited data, and was inconsistent with current medical practice.

Accepted Answer

outdated and obsolete terminolgoy

Question 5

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).

Accepted Answer

False

Question 6

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

Accepted Answer

078.81

Question 7

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

Accepted Answer

A74.89

Question 8

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

Accepted Answer

078.88

Question 9

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

Accepted Answer

078.82

Question 10

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

Accepted Answer

disease data from inpatient and outpatient records

Question 11

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

Accepted Answer

procedure data from inpatient records only

Question 12

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

Accepted Answer

ICD-10-CM/PCS

Question 13

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 ______

Accepted Answer

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

Question 14

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

Accepted Answer

evaluation of medical processes & outcomes

Question 15

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.

Accepted Answer

clinical picture

Question 16

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

Accepted Answer

seven characters

Question 17

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

Accepted Answer

tabular list

Question 18

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

Accepted Answer

specificity & clinical information

Question 19

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

Accepted Answer

mortality and morbidity data

Question 20

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

Accepted Answer

Medicare Catastrophic Coverage Act of 1988

Question 21

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

Accepted Answer

HIPAA of 1996 (Administrative Simplification Title)

Question 22

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.\"

Accepted Answer

medical necessity

Question 23

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

Accepted Answer

encounter

Question 24

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

Accepted Answer

purpose, scope, evidence, value

Question 25

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

Accepted Answer

right lung, brain

Question 26

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

Accepted Answer

right breast, unknown site or unspecified (female)

Question 27

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

Accepted Answer

right kidney, bone

Question 28

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

Accepted Answer

skin, bone

Question 29

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

Accepted Answer

unknown site or unspecified, brain

Question 30

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 ____.

Accepted Answer

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

Question 31

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

Accepted Answer

Table of Drugs and Chemicals

Question 32

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.

Accepted Answer

is, is not

Question 33

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

Accepted Answer

Launois-Cleret syndrome

Question 34

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

Accepted Answer

alphabetic

Question 35

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

Accepted Answer

default

Question 36

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.

Accepted Answer

nonessential

Question 37

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

Accepted Answer

subterms (essential)

Question 38

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

Accepted Answer

angina

Question 39

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

Accepted Answer

history

Question 40

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.

Accepted Answer

21 separate chapters

Question 41

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.

Accepted Answer

major topic headings (or code block)

Question 42

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

Accepted Answer

letters and numbers

Question 43

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

Accepted Answer

3

Question 44

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

Accepted Answer

valid code

Question 45

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

Accepted Answer

4,5, or 6

Question 46

ICD-10-CM codes may contain _____ characters.

Accepted Answer

3,4,5,6, or 7

Question 47

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

Accepted Answer

code

Question 48

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

Accepted Answer

boldfaced

Question 49

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

Accepted Answer

codes

Question 50

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

Accepted Answer

invalid

Question 51

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).

Accepted Answer

X

Question 52

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

Accepted Answer

Chapter 21 (Z codes)

Question 53

Morphology codes are abbreviated as ______.

Accepted Answer

M codes

Question 54

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

Accepted Answer

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

Question 55

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

Accepted Answer

Cooperating Parties for ICD-10-CM/PCS

Question 56

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

Accepted Answer

CMS, NCHS, AHA, and AHIMA

Question 57

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

Accepted Answer

HIPAA

Question 58

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

Accepted Answer

encounter

Question 59

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.

Accepted 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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