Ch18 Diagnostic Coding Complete Test Bank

Student name:__________

1) The __________ Index is organized by the condition, not by the body part in which it occurs.

2) In ICD-10, three-digit categories known as __________ are used for diseases, injuries, and symptoms.

3) The list of abbreviations, punctuation, symbols, typefaces, and instructional notes that appears at the beginning of the ICD and provides guidelines for using the code set are called __________.

4) When "see" appears after a main term, you must look up the term that follows the word “see” in the index. This is an example of a __________.

5) The primary condition for which a patient is receiving care is communicated to the third-party payer through a(n) __________ code on the healthcare claim.

6) The diseases and injuries in the __________ List of the ICD are organized into chapters according to the source or body system.

7) The ICD coding system was originally created for the classification of patient __________ (sickness) and mortality statistics and to provide access for medical research, education, and administration.

8) Patients' description of their medical problem is called their __________ complaint and is documented at each visit.

9) In ICD-10, each category in the Tabular List has 3 characters, and each __________ has 4 or 5 characters, with the final code consisting of up to 7 characters.

10) Unlike outpatient coding, which uses the patient's primary diagnosis, hospital coding uses the __________ diagnosis, which is the condition that was chiefly responsible for the patient's admission to the hospital.

11) Payment for inpatient claims are based on a system known as __________.

12) All ICD-10 codes begin with a(n) __________ character.

13) ICD-10 contains many more __________ codes than ICD-9, which cuts down the need to use multiple codes for a single diagnosis.

14) To assign a proper code for a neoplasm in ICD-10, the documentation must state whether it is benign, __________, in situ, or of uncertain behavior.

15) When hypertension is caused by an underlying condition, two codes are required. The first identifies the underlying __________, or cause, and the second codes the hypertension.

16) After listening to the patient's statements, performing an examination, and evaluating the information received from these sources, the physician establishes a(n) __________ that describes the primary condition for which a patient is receiving care.

17) ICD stands for "International __________ of Diseases."

18) One of the original reasons for the ICD coding system was to classify patient morbidity (sickness) and __________ (death) statistics.

19) Additional terms that are needed to select correct codes are indented after the main term in the Alphabetic Index. These terms are called __________.

20) When a practitioner does not document an exact diagnosis, outpatient coding rules require that unclear diagnosis be coded using the __________ that led the patient to seek care, until an absolute diagnosis is made.

21) A(n) __________ diagnosis is used in addition to the primary diagnosis to describe another condition that also is affecting the patient at the time of the visit.

22) Implementing ICD-10 is meant to allow greater __________ for diagnosis classifications.

23) The use of ICD codes is mandated by __________.

A) HIPAA
B) HMOs
C) CDC
D) NIH
E) AMA

24) A patient’s diagnosis for a visit, as established by the practitioner, __________.

A) includes all of the conditions the patient is treated for
B) describes the primary condition for which the patient is receiving treatment
C) is the chief complaint of the patient
D) must comply with WHO terminology guidelines to be accepted by third-party payers
E) can be coded directly from the Alphabetic Index

25) How often are the ICD codes updated?

A) weekly
B) monthly
C) yearly
D) every two years
E) every five years

26) The Alphabetic Index is organized by __________.

A) the part of the body involved
B) the symptoms displayed by the patient
C) codes found in the Tabular List
D) diseases, conditions, and related terms
E) the severity of the disease or condition

27) When you encounter the word see in the Alphabetic Index, you know that __________.

A) the term you found is the correct one for the patient's condition
B) you must look in another category to find the correct term
C) there is more information about the patient's condition somewhere else
D) you need to turn to another research source
E) the term is considered "not otherwise specified"

28) The Tabular List is mainly organized by __________.

A) the patient's condition
B) the codes found in the Alphabetic Index
C) the patient's symptoms
D) the body system involved
E) the severity of the disease or condition

29) Which of the following ICD-10-CM conventions is used around synonyms, alternative wordings, or explanations?

A) ( )
B) [ ]
C) : :
D) { }
E) ; ;

30) Which of the following ICD-10-CM conventions is used in the Tabular List after an incomplete term that needs one of the terms that follow to make it assignable to a given category?

A) Includes
B) Excludes
C) }
D) :
E) NOS

31) Which of the following conventions, which will always be surrounded by a box, is used in ICD-10 to indicate that the entries following it further define the content of a preceding entry?

A) NOS
B) Includes
C) Excludes
D) NEC
E) Code Also

32) Which of the following ICD-10 conventions encloses a series of terms, each of which is modified by the statement that appears to the right of it?

A) ]
B) )
C) }
D) :
E) (

33) Which convention is used in ICD-10 to indicate that an entry is not classified as part of the preceding code?

A) NOS
B) Includes
C) Excludes
D) NEC
E) Code Also

34) Which convention is used in ICD-10 to set off nonessential or supplementary terms that do not affect the code?

A) [ ]
B) ( )
C) { }
D) : :
E) ; ;

35) In the ICD-10, the convention code first underlying disease means __________.

A) the code may not be used as the first code
B) the disease is not otherwise specified
C) alternative wording must be used
D) two codes are required separately to code the diagnosis
E) ICD does not provide a code specific enough for the patient's condition

36) What does the ICD convention NEC indicate?

A) may not be used as the first code
B) not otherwise specified
C) not elsewhere classified
D) alternative wording
E) two codes must be used together

37) Jenni is a healthy 24-year-old patient who is in the office today for routine obstetric care. Which chapter of the ICD-10 is used to code for pregnancy, childbirth, and the puerperium?

A) Chapter 5
B) Chapter 10
C) Chapter 15
D) Chapter 19

38) Mary was excited at her last visit to find that she is pregnant. She came in for a prenatal checkup today because she wants to take excellent care of herself and her baby. Everything seems fine, and the physician told her to keep up the good work. The ICD-10 code for routine obstetric care will be found in which of the following series of codes?

A) C00–D49
B) H00–H59
C) O00–O9A
D) P00–P96
E) Z00–Z99

39) Jeremy is a 44-year-old patient who has been diagnosed with mitral regurgitation. He has been having some shortness of breath lately, so today he is having an echocardiogram to evaluate whether the condition has worsened. The ICD-10 code for Jeremy's procedure today is found in which of the following series of codes?

A) I00–I99
B) G00–G99
C) P00–P96
D) E00–E89
E) F01–F99

40) Kevin is a 63-year-old patient who was diagnosed with congestive heart failure two years ago. He is having an echocardiogram today so his practitioner can monitor the progression of the disease. The ICD-10 code for Kevin’s procedure today is found in which of the following series of codes?

A) A00–B99
B) E00–E89
C) G00–G99
D) H00–H59
E) I00–I99

41) Ellie was playing softball and was accidentally hit on the nose with a bat. After examining her nose, the practitioner tells her that her nose is broken and orders a complete radiologic examination of the nasal bones. What is the ICD code range for the condition mentioned in this scenario?

A) C00–D49
B) G00–G99
C) L00–L99
D) S00–T88
E) V01–Y99

42) Eight-year-old Geri climbed the oak tree in her back yard to rescue her cat, who had climbed the tree but could not get back down. Unfortunately, Geri slipped and fell out of the tree and hurt her left arm. The lower arm is bent at an odd angle and the radius bone is visible. The physician diagnoses an open fracture and orders X-rays of the lower arm. Where will you locate the ICD-10 code for this?

A) C00–D49
B) E00–E89
C) H60–H95
D) M00–M99
E) S00–T88

43) Barry is a healthy 32-year-old established patient who has come in for his annual physical exam. When asked if he has any current problems or complaints, he says no. The ICD-10 code for his visit will be found in which of the following code ranges?

A) 290–319
B) 460–519
C) 760–779
D) Z00–Z99
E) E800–E999

44) Mrs. Evans has brought her child in for surgery to correct a cleft palate. Which code range in ICD-10 applies to this procedure?

A) A00–B99
B) D50–D89
C) Q00–Q99
D) V01–Y99
E) Z00–Z99

45) Phillip is in the office today for a pre-employment physical that includes a drug test. In which ICD-10 series will you locate the code for this?

A) 390–459
B) 460–519
C) 760–779
D) 800–999
E) Z00–Z99

46) Teresa is being seen today in the urgent care center after spilling a pot of boiling water over her stomach and legs, which resulted in second-degree burns. In which ICD-10 series will you locate the code for her treatment?

A) C00–D49
B) G00–G99
C) L00–L99
D) S00–T88
E) V01–Y99

47) To find the ICD-10 code for anesthesia for surgery to correct a benign prostatic hypertrophy (BPH), you will look in which series?

A) N00–N99
B) 630–679
C) 760–799
D) 800–999
E) V01–V83

48) Which of these is used only in the hospital inpatient setting?

A) CPT codes
B) HCPCS codes
C) ICD-10-CM
D) ICD-10-PCS
E) ICD-9-CM Volume I

49) A code in which two diagnoses are included in one code is known as a(n) __________.

A) preliminary code
B) mixed code
C) multiple code
D) dual code
E) combination code

50) A condition that is of sudden onset or that suddenly becomes much worse is considered a(n) __________.

A) chronic condition
B) subchronic condition
C) acute condition
D) intermittent condition
E) erratic condition

51) A condition that is long-standing is considered a(n) __________.

A) chronic condition
B) subchronic condition
C) acute condition
D) intermittent condition
E) erratic condition

52) Denise is being seen today because of blurry vision and pain in both eyes. The physician documents that diabetes has damaged the blood vessels in Denise's eyes, resulting in diabetic retinopathy. How will this diagnosis be coded?

A) The retinopathy is coded first, followed by the diabetes.
B) The diabetes is coded first, followed by the retinopathy.
C) Only the diabetes should be coded.
D) Only the retinopathy should be coded.
E) The symptoms of blurry vision and pain should be coded.

53) Diagnosis-related groups, or DRGs, are based on all of the following except __________.

A) significant procedures performed
B) principal diagnosis
C) secondary diagnoses
D) length of hospital stay
E) age, sex, and discharge status of the patient

54) About how many codes does the ICD-10-CM contain?

A) 14,200
B) 38,700
C) 56,900
D) 62,400
E) 70,000

55) How many characters are present in ICD-10 codes?

A) 1 to 3
B) 3 to 5
C) 3 to 7
D) 5 to 7
E) 7 to 10

56) What character is used as a placeholder for a nonexistent digit in ICD-10 when a 6th or 7th digit is required for code specificity?

A) 0
B) 9
C) x
D) y
E) z

57) The _______ note indicates that the excluded condition is not part of the condition represented by the code, but if documented, the patient may have both conditions at the same time.

A) Includes
B) Excludes1
C) Excludes2
D) Code Also
E) See Also

58) Which of the following statements is not correct about coding HIV positivity?

A) Requesting a confirmatory serology or culture for HIV is sufficient to code HIV positivity.
B) When HIV symptoms are not present and serology is inconclusive, code R75 is assigned.
C) Patients who are HIV positive but are currently asymptomatic are assigned code Z21.
D) The provider must state "known HIV" or "positive HIV" in order to code HIV positivity.
E) Patients who have developed an HIV-related illness should be assigned code B20.

59) The first step in the process of assigning a proper code for a neoplasm in ICD-10 is to consult which of the following?

A) Appendix C of ICD-10-CM
B) The Tabular List
C) The Table of Neoplasms
D) Chapter 2, "Neoplasms"
E) Chapter 20, "External causes of morbidity"

60) In ICD-10, which has combination codes that include the type of diabetes, what code is used if the type of diabetes is not documented in the medical record and the practitioner cannot be questioned?

A) Use the ICD-10 code for diabetes instead
B) Use the code for type 1 diabetes mellitus
C) Use the code for type 2 diabetes mellitus
D) Use a code that specifies insulin use
E) Use add-on codes to show unspecified diabetes

61) In ICD-10, which chapter contains codes to identify who, what, when, and where an accident or injury occurred?

A) Chapter 17: Congenital malformations, deformations, and chromosomal abnormalities
B) Chapter 18: Symptoms, signs, and abnormal clinical and laboratory findings; not elsewhere classified
C) Chapter 19: Injury, poisoning, and certain other consequences of external causes
D) Chapter 20: External causes of morbidity
E) Chapter 21: Factors influencing health status and contact with health services

62) In ICD-10, in which chapter would a code for an injury diagnosis be found?

A) Chapter 17
B) Chapter 18
C) Chapter 19
D) Chapter 20
E) Chapter 21

63) How many chapters are contained in the ICD-10 coding book?

A) 18
B) 19
C) 20
D) 21
E) 22

64) In ICD-10, which chapter would include the diagnosis codes for congenital malformations, deformations, and chromosomal abnormalities?

A) 17
B) 18
C) 20
D) 21
E) 22