Chapter 3 The Coding Process Exam Questions

Let’s Code It!, 1e (Safian)

Chapter 3 The Coding Process

1) What is the most important factor to consider when coding?

A) Accuracy

B) Productivity

C) Timeliness

D) All of these

2) Asthma is an example of a(n) ________.

A) diagnosis

B) procedure

C) indication

D) opinion

3) The six actions of accurate coding include:

A) coding only documented conditions.

B) coding the problems told to you by the nurse.

C) coding only the chief complaint.

D) coding the patient's history.

4) If you see use additional code in the Tabular List, this is known as a/an:

A) excludes note.

B) includes note.

C) notation.

D) suggestion.

5) There are six specific actions that you should take as part of the coding process. What is action 2?

A) Abstract the documentation

B) Query

C) Code the diagnosis or diagnoses

D) Code the procedure or procedures

6) There are six specific actions that you should take as part of the coding process. What is action 5?

A) Query

B) Code the diagnosis or diagnoses

C) Code the procedure or procedures

D) Confirm medical necessity

7) There are six specific actions that you should take as part of the coding process. What is action 1?

A) Abstract the documentation

B) Query

C) Code the diagnosis or diagnoses

D) Code the procedure or procedures

8) The sequence of actions required to interpret physician documentation into the codes that accurately report what occurred during a specific encounter between health care professional and patient is known as:

A) the Tabular List.

B) the coding process.

C) identifying medical necessity.

D) the Main Section.

9) The section of a code book showing all codes, from A to Z, by the short code descriptions is known as the:

A) Tabular List.

B) coding process.

C) Alphabetic Index.

D) main section.

10) Marks, similar to emojis, that provide additional direction to use codes correctly and accurately are known as:

A) notations.

B) symbols.

C) alphanumerics.

D) tables.

11) Alerts and warnings that support more accurate use of codes in a specific code set are known as:

A) notations.

B) symbols.

C) alphanumerics.

D) tables.

12) The section of the ICD-10-CM code book listing all of the codes in alphanumeric order is known as the:

A) tables.

B) Alphabetic Index.

C) Tabular List.

D) main section.

13) The section of the CPT code book listing all of the codes in numeric order is known as the:

A) tables.

B) Alphabetic Index.

C) Tabular List.

D) main section.

14) The section of the ICD-10-PCS code book listing all of the codes in alphanumeric order based on the first three characters of the code is known as the:

A) tables.

B) Alphabetic Index.

C) Tabular List.

D) main section.

15) Alphanumeric content contains:

A) letters.

B) numbers.

C) both letters and numbers.

D) neither letter nor numbers.

16) Which of the following is an example of a HCPCS Level II code?

A) 43653

B) K65.1

C) A7014

D) 0NQS3ZZ

17) In the Main Section of the CPT book there are symbols such as 97803. The star symbol means this service was:

A) a mandated service.

B) provided using audio/video synchronous equipment.

C) performed by a surgical team.

D) performed by postoperative management only.

18) In the HCPCS Level II book the  symbol alerts the coder that the code description includes a specific:

A) time.

B) quality.

C) quantity.

D) route.

19) A listing of rules and regulations instructing how to use a specific code set accurately is known as:

A) Tables.

B) Alphabetic Index.

C) Official Guidelines.

D) Main section.

20) Where are the ICD-10-CM Official Guidelines for Coding and Reporting published?

A) In Appendix A of the ICD-10-CM manual

B) In the front of the ICD-10-CM manual

C) In Section III of the ICD-10-CM manual

D) In Section IV of the ICD-10-CM manual

21) Where are the ICD-10-PCS Official Guidelines for Coding and Reporting published?

A) In Appendix A of the ICD-10-PCS manual

B) In Section III of the ICD-10-PCS manual

C) In Section IV of the ICD-10-PCS manual

D) In the front of the ICD-10-PCS manual

22) Confirming medical necessity by pairing at least one diagnosis code to at least one procedure code is known as:

A) linking.

B) bundling.

C) coding for coverage.

D) upcoding.

23) In ICD-10-CM Alphabetic Index, which term will you see as the main term?

A) Angioplasty

B) Detachment

C) Abscess

D) Nebulizer

24) In ICD-10-CM's Alphabetic Index, you will see all the following terms except:

A) Pneumonia.

B) Carcinoma.

C) Hyperemia.

D) Insertion.

25) In CPT's Alphabetic Index, which term will you see?

A) Ventilator

B) Shoes

C) Bypass

D) Pembrolizumab

26) In CPT's Alphabetic Index you will see all the following except:

A) Angioplasty.

B) Commode.

C) Discography.

D) Psychotherapy.

27) In ICD-10-PCS's Alphabetic Index which term will you see?

A) Carcinoma

B) Psychotherapy

C) Extraction

D) Pump

28) In ICD-10-PCS's Alphabetic Index you will see all the following except:

A) Shock.

B) Cannulation.

C) Detachment.

D) Supplement.

29) In HCPCS Level II's Alphabetic Index, which term will you see?

A) History

B) Insertion

C) Crutches

D) Abscess

30) In HCPCS Level II's Alphabetic Index you will see all the following except:

A) Clamp.

B) Hearing aid.

C) Laryngoplasty.

D) Implant.

31) Which code set is used to determine a diagnosis code?

A) ICD-10-PCS

B) ICD-10-CM

C) CPT

D) HCPCS Level II

32) Which code set is used to determine the physician's services?

A) ICD-10-PCS

B) ICD-10-CM

C) CPT

D) HCPCS Level II

33) Which code set is used to report inpatient facility services?

A) ICD-10-PCS

B) ICD-10-CM

C) CPT

D) HCPCS Level II

34) Which code set is used to determine outpatient facility services?

A) ICD-10-PCS

B) ICD-10-CM

C) CPT

D) HCPCS Level II

35) Which code set is used to determine transportation, equipment, and drugs?

A) ICD-10-PCS

B) ICD-10-CM

C) CPT

D) HCPCS Level II

36) Which of the following ICD-10-CM codes indicates the highest level of specificity available for a dislocation of a sacroiliac and sacrococcygeal joint, initial encounter?

A) S33.A

B) S33.2A

C) S33.2XXA

D) S33.01XA

37) Which of the following CPT codes indicates the highest level of specificity available for an esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube?

A) 43246

B) 4324

C) 432468

D) 432

38) The star symbol next to a CPT code indicates:

A) a code whose description has been changed since the last edition of CPT.

B) that the code may be used to report telemedicine services when modifier 95 is appended.

C) identifies codes that are not permitted to be appended with modifier 52 Multiple Procedures.

D) identifies a new code, one that is in the CPT book for the first time.

39) Which of the following ICD-10-PCS codes indicates the highest level of specificity available for a repair of maxilla, left side, open approach?

A) 0NQR0

B) 0NQRXZZ

C) 0NQR0Z

D) 0NQR0ZZZ

40) Which of the following HCPCS Level II codes indicates the highest level of specificity available for filter, disposable, used with aerosol compressor or ultrasonic generator?

A) A701

B) A7013

C) A70132

D) 7013

41) In the ICD-10-CM Tabular List above code E00.0 there is a notation. What is the notation?

A) Code first underlying diseases

B) Code also, if applicable, viral hepatitis

C) Use additional code (F70-F79) to identify associated intellectual disabilities

D) Code first poisoning due to drug or toxin, if applicable

42) In the ICD-10-CM Tabular List below code G01 there is a notation. What is the notation?

A) Code first underlying diseases

B) Code also, if applicable, viral hepatitis

C) Use additional code to identify alcohol abuse and dependence

D) Code first poisoning due to drug or toxin, if applicable

43) According to the ICD-10-CM Official Guidelines, section ________ corresponds to Diagnostic Coding and Reporting Guidelines for Outpatient Services guidelines.

A) I

B) II

C) III

D) IV

44) According to the ICD-10-CM Official Guidelines, section ________ corresponds to Selection of Principal Diagnosis guidelines.

A) I

B) II

C) III

D) IV

45) According to the ICD-10-CM Official Guidelines, section ________ corresponds to Conventions, general coding guidelines and chapter specific guidelines.

A) I

B) II

C) III

D) IV

46) According to the ICD-10-CM Official Guidelines, section ________ corresponds to Reporting Additional Diagnoses guidelines.

A) I

B) II

C) III

D) IV

47) Refer to the ICD-10-CM Official Guidelines Section I.A.5. This guideline concerns:

A) the Alphabetic Index and Tabular List.

B) use of codes for reporting purposes.

C) placeholder character.

D) 7th Character.

48) Refer to the ICD-10-CM Official Guidelines Section III.C. This guideline concerns:

A) Format and Structure.

B) uncertain diagnosis.

C) previous conditions.

D) abnormal finding.

49) Refer to the ICD-10-CM Official Guidelines Section I.C.1.d This guideline concerns:

A) laterality.

B) sepsis, severe sepsis, and septic shock.

C) infections resistant to antibiotics.

D) HIV.

50) Refer to the ICD-10-CM Official Guidelines Section II.D. This guideline concerns:

A) codes for symptoms, signs, and ill-defined conditions.

B) two or more interrelated conditions, each potentially meeting the definition for principle diagnosis.

C) two or more diagnoses that equally meet the definition for principal diagnosis.

D) uncertain diagnosis.

51) Refer to the ICD-10-CM Official Guidelines Section IV.K. This guideline concerns:

A) patients receiving diagnostic services only.

B) patients receiving therapeutic services only.

C) patients receiving preoperative services only.

D) patients receiving postoperative services only.

52) The determination that the health care professional was acting according to standard practices in providing a particular procedure for an individual with a particular diagnosis is known as:

A) medical necessity.

B) reimbursement.

C) services.

D) treatments.

53) In an inpatient setting, the diagnosis code(s) reported must support the ________ for the patient to require acute care in a hospital setting.

A) nonessential modifiers

B) external cause

C) classification systems

D) medical necessity