Demystifying The Icd-10-Cm Coding System Ch.2 Exam Questions

Chapter 2. Demystifying the ICD-10-CM Coding System

Multiple Choice

1. What are the components of the International Classification of Functioning, Disability, and Health (ICF)?

A. Body structure, activities and participation, and personal factors

B. Body structure and function, activities and participation, and environmental factors

C. Body function, activities and participation, personal, and environmental factors

D. Body function and structure, personal and environmental factors

2. When was the ICD-10-CM coding system implemented in the United States?

A. July 1, 2015

B. September 1, 2015

C. October 1, 2015

D. October 21, 2015

3. What year did most other countries implement the ICD-10-CM coding system?

A. 2014

B. 2012

C. 2010

D. 2008

4. What was the main reason for the transition from the ICD-9 coding system to the ICD-10-CM coding system?

A. The ICD-10-CM coding system adds more numbers for billing.

B. The ICD-10-CM coding system provides a higher number to be used for functional outcomes.

C. The ICD-10-CM coding system provides specificity to delineate functional outcomes.

D. The ICD-10-CM coding system is no different from the ICD-9 coding system, just a higher number.

5. Identify the characteristics that are consistent with the ICD-10-CM coding system.

A. Contains 3 to 5 characters; uses 2 to 5 numeric digits; identifies laterality of affected side

B. Contains 2 to 5 numeric digits; supports health exchange with other countries; digit 1 is alpha

C. Contains 4 to 7 alphanumeric digits; is flexible to accommodate new codes; has approximately 17,000 diagnostic codes

D. Contains digit 1, which may be alpha or numeric; has limited spacing for new codes; is very specific

6. What are some of the common chapters used by PTs in the ICD-10-CM coding system?

A. Chapter 2: Diseases of the Urinary Tract System

B. Chapter 6: Diseases of the Nervous System

C. Chapter 12: Diseases of the Reproductive System

D. Chapter 16: Diseases of the Hand

7. Under the Merit Based Incentive Payment System (MIPS), clinics that meet one of the criteria listed below, must participate in MIPS, unless otherwise exempt with:

A. bills more than $50,000 for Part B covered professional services and sees more than 150 Part B patients and provides 200 or more covered professional services to Part B services.

B. bills more than $200,000 for Part B covered professional services and sees more than 150 Part B patients and provides 150 or more covered professional services to Part B services.

C. bills more than $90,000 for Part B covered professional services and sees more than 200 Part B patients and provides 200 or more covered professional services to Part B services.

D. bills more than $200,000 for Part B covered professional services and sees more than 150 Part B patients and provides 150 or more covered professional services to Part B services.

8. What is the purpose of the 7th character in the ICD-10-CM coding system?

A. Identifies how many episodes of care the patient has received treatment

B. Identifies when the patient entered into the treatment process

C. Shows how many times the patient has been given therapy

D. Identifies what portion of the evaluation process has been completed

9. What letter identifies the patient is receiving active medical care for an injury from a new medical professional in the ICD-10-CM coding system?

A. A

B. I

C. S

D. D

10. What letter identifies the patient is receiving routine care for an injury during the healing or recovery process?

A. A

B. I

C. S

D. D

11. What letter identifies the patient is receiving medical care for an initial injury that has caused an additional deficit for which the patient may seek treatment?

A. A

B. I

C. S

D. D

12. In the ICD-10-CM coding system, which encounter denotes the patient is receiving active care for an injury by a new medical professional?

A. Beginning encounter

B. Initial encounter

C. Previous encounter

D. Sequela encounter

13. In the ICD-10-CM coding system, which encounter denotes the patient is receiving routine care for an injury during the healing or recovery phase of treatment?

A. Beginning encounter

B. Initial encounter

C. Subsequent encounter

D. Sequela encounter

14. In the ICD-10-CM coding system, what code identifies where the injury happened?

A. Activity code

B. Place of occurrence code

C. Excluded code

D. Environmental code

15. Identify the functional outcomes that are used when evaluating a patient with Medicare coverage under the ICD-10-CM coding system that include, but are not limited to:

A. Mobility, changing and maintaining body position and self-care

B. Mobility, carrying objects, and moving in different directions

C. Mobility, self-care, and ADL functions

D. Mobility, walking, and maintaining body position

16. When using a functional outcome for a patient receiving Medicare coverage, which impairment, limitation, or restriction is identified with the modifier “CK”?

A. At least 1% but less than 20% impaired, limited, or restricted

B. At least 20% but less than 40% impaired, limited, or restricted

C. At least 40% but less than 60% impaired, limited, or restricted

D. At least 60% but less than 80% impaired, limited, or restricted

17. Under the ICD-10-CM coding system, which acronym identifies specific quality measures used when treating a patent with Medicare coverage?

A. PQRT

B. PQIT

C. PSET

D. MIPS

18. For a patient with Medicare coverage receiving physical therapy treatments 3x/week, when must the reassessment of progress be performed?

A. 5th visit

B. 10th visit

C. 25th visit

D. 30th visit

19. CMS requires patients to be billed using specific time periods that can be divided into units. What is the collective name used for such units?

A. 8-minute rule

B. 10-day rule

C. 30-day rule

D. 60-day rule

20. Specific units for the 8-minute rule that would equate with 4 units would equal how many minutes of direct treatment time?

A. 8 to 22 minutes

B. 23 to 37 minutes

C. 38 to 52 minutes

D. 53 to 67 minutes