Deck 6: ICD-10-CM Medical Coding

Question 1

Areas in ICD-10 in which major modifications were made for greater specificity are:

A)pregnancy-related codes.
B)diabetes mellitus codes.
C)injury codes.
D)all of the above.

Answer 1

all of the above.

Question 2

Which current coding system will ICD-10 replace?

A)ICD-9-CM Volume 1
B)ICD-9-CM Volume 2
C)ICD-9-CM Volumes 1 and 2
D)HCPCS

Answer 2

ICD-9-CM Volumes 1 and 2

Question 3

ICD-10-PCS will replace:

A)CPT-4 procedure codes.
B)ICD-9-CM codes.
C)ICD-9 hospital inpatient procedure codes.
D)HCPCS procedure codes.

Answer 3

ICD-9 hospital inpatient procedure codes.

Question 4

Most of the developed nations in the world use which coding system to report disease, morbidity, and mortality data?

A)ICD-9-CM
B)ICD-10-CM
C)CPT-4
D)HCPCS

Question 5

What was the original date established by the U.S. Department of Health and Human Services for the implementation of ICD-10-CM in the United States?

A)October 1, 2013
B)January 1, 2014
C)October 1, 2014
D)July 1, 2015

Question 6

To assist with the conversion from ICD-9 to ICD-10, what policy was put in place in regard to both code sets?

A)A partial freeze on coding changes
B)A complete freeze on coding changes
C)Elimination of 20% of existing codes
D)Elimination of 30% of existing codes

Question 7

Which group is responsible for the partial freeze on changes to ICD-9 and ICD-10 codes?

A)National Center for Health Statistics
B)Coordination and Maintenance Committee
C)Centers for Medicare and Medicaid Services
D)World Health Organization Transition Committee

Question 8

A conversion tool is used to:

A)transfer data from a paper to electronic format.
B)provide the means for file encryption for data security purposes.
C)assist in transitioning data from one format or system to another.
D)perform higher mathematical functions.

Question 9

Which of the following are types of conversion tools?

A)Encryption and crosswalks
B)Crosswalks and mapping
C)Mapping and transcription
D)Crosswalks and coding

Question 10

ICD-10 contains how many more categories than ICD-9?

A)Twice as many
B)3 times as many
C)5 times as many
D)Nearly 10 times as many

Question 11

A simplified type of conversion tool that provides a one-to-one match of codes is a(n):

A)crosswalk.
B)translation.
C)map.
D)editor.

Question 12

ICD-10-CM contains a total of more than:

A)55,000 codes.
B)68,000 codes.
C)73, 000 codes.
D)78,000 codes.

Question 13

ICD-10-CM will be used to report diagnoses in which of the following settings?

A)Physician offices
B)Hospital inpatient and outpatient departments
C)Clinics and ambulatory surgical centers
D)All of the above

Question 14

On which agency's website can the most recent information on the updated ICD-10-CM required implementation date be found?

A)Food and Drug Administration
B)National Center for Health Statistics
C)Centers for Medicare and Medicaid Services
D)World Health Organization

Question 15

A conversion tool that takes into consideration the complexity of the code sets and demonstrates hierarchical relationships is:

A)translating.
B)mapping.
C)transcribing.
D)editing.

Question 16

Which agency maintains the ICD-10-CM?

A)World Health Organization
B)Centers for Medicare and Medicaid Services
C)National Center for Health Statistics
D)Consumer Protection Agency

Question 17

The reason that there are so many more codes in ICD-10 than in ICD-9 is because ICD-10 codes:

A)describe hundreds of recently discovered diseases.
B)define the diagnosis in greater detail.
C)are broken down into more parts.
D)will be used by more providers than ICD-9.

Question 18

How long ago was the ICD-9-CM published?

A)More than 5 years ago
B)More than 10 years ago
C)More than 20 years ago
D)More than 30 years ago

Question 19

Which of the following results is expected from the implementation of ICD-10?

A)More accurate information for measuring healthcare quality and efficiency
B)Ability to track and respond to international public health threats
C)Enhanced ability to meet HIPAA transaction and code set requirements
D)All of the above

Question 20

One of the main goals of the transition to ICD-10 is to:

A)improve physicians' diagnostic skills.
B)bring the United States into step with coding systems used worldwide.
C)create an additional administrative burden on providers and facilities.
D)force providers to implement more accurate reporting procedures.

Question 21

In ICD-10, the notation "Excludes 1" means that the code excluded:

A)may be reported with the listed code as a second condition.
B)should never be used with the listed code.
C)is rarely used with the listed code.
D)is always used with the listed code.

Question 22

In regard to ICD conversion tools, GEM stands for:

A)Geographical Equivalence Mappings.
B)General Evaluation Mappings.
C)General Equivalence Mappings.
D)Greatest Equivalence Mappings.

Question 23

One professional organization that is offering a free online conversion tool for students and healthcare professionals is the:

A)Centers for Disease Control and Prevention.
B)World Health Organization.
C)3M.
D)American Academy of Professional Coders.

Question 24

The hierarchical structure of ICD-10 is:

A)completely different from ICD-9.
B)very different from ICD-9.
C)very similar to ICD-9.
D)exactly the same as ICD-9.

Question 25

The higher level of specificity of ICD-10 codes allows for:

A)faster claims payment.
B)greater richness of data for analysis.
C)limited use for medical research.
D)more automated claims processing.

Question 26

General Equivalence Mappings are files published by the Centers for Medicare and Medicaid Services (CMS) to be used as:

A)reference mappings.
B)direct one-to-one mappings.
C)expanded crosswalks.
D)translation tables.

Question 27

With the implementation of ICD-10, which coding systems will remain in place as the official procedure codes for outpatient reporting?

A)CPT and HCPCS
B)CPT and NDC
C)HCPCS and ICD-9
D)NDC and HCPCS

Question 28

Which character(s) in an ICD-10 code may be alpha or numeric?

A)1
B)1 through 3
C)7
D)4 through 7

Question 29

When an ICD-9 code does not map directly to an ICD-10 code, what process must take place to determine the correct code?

A)Conduct a clinical analysis based on the medical record.
B)First use a crosswalk and then check the result using an expanded mapping system.
C)Speak with the physician to ask for further clarification of the diagnosis.
D)Review the available ICD-10 codes and select one that is used for a similar diagnosis.

Question 30

When a 7th character is part of an ICD-10 code, it:

A)will always have the same meaning.
B)may have a different meaning depending on the chapter in which it is listed.
C)may have a different meaning depending on how modifiers are used.
D)ICD-10 codes do not use seven characters.

Question 31

Which of the following is a new feature of ICD-10?

A)Limited means for the addition of new codes
B)Obstetric codes by episode of care
C)Combination codes for poisonings and their associate external cause
D)One type of "excludes" note

Question 32

The first character in an ICD-10 code:

A)is always alpha.
B)is always numeric.
C)is always 0.
D)can be alpha or numeric

Question 33

Some accounts payable software already in use in the United States has the ability to:

A)delete all ICD-9 codes from the database.
B)do a direct translation to ICD-10 codes.
C)accept and implement ICD-10 codes.
D)generate claims faster using both ICD-9 and ICD-10 codes.

Question 34

The initial steps to locate an ICD-10 code are:

A)more involved than ICD-9.
B)less involved than ICD-9.
C)the same as the steps used for ICD-9.
D)different from the steps used for ICD-9.

Question 35

What is a placeholder?

A)A character or digit in a certain position that allows for future expansion
B)A temporary code used until the final code is approved
C)A medical coder who has not received certification
D)A crosswalk listing directly linking one code to another

Question 36

General Equivalence Mappings files are available:

A)only to association members.
B)to be purchased for a fee.
C)to institutions but not to individual providers.
D)on a public domain basis.

Question 37

ICD-10 codes encompass location, as in right side, left side, or bilateral (both sides), a new feature referred to as:

A)generality.
B)specificity.
C)laterality.
D)directionality.

Question 38

How many characters are used in ICD-10 codes?

A)2 to 4
B)3 to 5
C)2 to 8
D)3 to 7

Question 39

The value of a coding system with the capability to easily expand and add new codes is that the codes:

A)will reflect advances in medicine and technology.
B)will allow for billing higher charges.
C)can be done by employees with less training.
D)have more flexibility for physicians who want to describe conditions differently.

Question 40

In ICD-10, the notation "Excludes 2" means that the code excluded:

A)may be reported with the listed code as a second condition.
B)should never be used with the listed code.
C)is rarely used with the listed code.
D)is always used with the listed code.

Question 41

The first step in locating an ICD-10 code is to:

A)locate the term in the alphabetic index.
B)verify the term in the tabular listing.
C)read all relevant notations that appear in the alphabetic index.
D)read all relevant notations that appear in the tabular listing.

Question 42

The Coordination and Maintenance Committee imposed a partial freeze on changes in ICD-10 codes but not on ICD-9 codes.

Question 43

ICD-10-CM includes thousands more codes than ICD-9, and in using the new system some coding rules will change.

Question 44

In ICD-10, a 7th character is:

A)never required.
B)always required.
C)sometimes required.
D)required only to report skin conditions.

Question 45

One of the major changes in ICD-10 is that code extensions were added for injuries and external causes of injuries.

Question 46

Mapping is a more limited form of conversion tool than a crosswalk.

Question 47

A key feature of ICD-10-PCS is that:

A)all substantially different procedures have a unique code.
B)limited options exist for adding new codes as procedures evolve.
C)multiple meanings can apply to the same term.
D)it uses generic terms for body parts.

Question 48

In ICD-10, the selection of the final code must in some cases include which character found only in the tabular list?

A)5th
B)6th
C)7th
D)8th

Question 49

The implementation of ICD-10-CM in the United States is expected to improve the accuracy of diagnosis coding and provide additional information that will be useful in medical research and healthcare quality measurement.

Question 50

The purpose of the General Equivalence Mappings published by CMS is to provide a reference tool to help users navigate the complexity of translating between ICD-9 and ICD-10.

Question 51

The second step in locating an ICD-10 code is to:

A)locate the term in the alphabetic index.
B)verify the term in the tabular listing.
C)read all relevant notations that appear in the alphabetic index.
D)read all relevant notations that appear in the tabular listing.

Question 52

Which of the following attributes were incorporated into the goals for ICD-10-PCS?

A)Completeness
B)Expandability
C)Multiaxial
D)Standardized terminology

Question 53

Every ICD-9 code corresponds directly with an ICD-10 code.

Question 54

In ICD-10, a three-character code should only be used:

A)if the physician wants to be brief in documentation.
B)if it is not further subdivided.
C)for simple or minor diagnoses or conditions.
D)when a symbol appears next to it.

Question 55

In the ICD-10 alphabetic index, which symbol at the end of an entry will indicate that additional characters are required?

A)Circle
B)Dash
C)Triangle
D)Backslash

Question 56

Most of the countries in the developed world are currently using ICD-9-CM diagnosis codes.

Question 57

ICD-10-PCS codes replace the codes in:

A)ICD-9 Volume 1.
B)ICD-9 Volume 2.
C)ICD-9 Volume 3.
D)CPT.

Question 58

ICD-10-CM and ICD-10-PCS will be implemented at the same time.

Question 59

Every covered entity and software vendor must determine the appropriate mapping from ICD-9 to ICD-10 and from ICD-10 to ICD-9.

Question 60

The ICD-10-PCS is maintained by the:

A)World Health Organization.
B)Centers for Medicare and Medicaid Services.
C)National Center for Health Statistics.
D)Consumer Protection Agency.

Question 61

A new feature of ICD-10 is the introduction of __________ category classifications.

Question 62

A crosswalk is an example of a(n) __________ tool.

Question 63

ICD-10-PCS codes are used to report outpatient services and procedures.

Question 64

General Equivalence Mappings are a type of crosswalk.

Question 65

Health __________ is the professional field that involves the creation and maintenance of medical and health records.

Question 66

The primary benefit to be gained from using ICD-10 codes is the increased level of detail, also known as a higher level of __________ .

Question 67

ICD-10-PCS procedure codes contain seven alphanumeric characters.

Question 68

The ICD-10-PCS is a system of __________ codes used to report hospital inpatient services.

Question 69

ICD-10 is designed to be in compliance with __________ transaction and code set rules.

Question 70

ICD-10 includes __________ codes, which are codes that describe certain conditions and associated symptoms that previously required separate codes.

Question 71

The first character of an ICD-10 code can be alpha or numeric.

Question 72

ICD-10 codes can include two more characters than the maximum number of characters in ICD-9 codes.

Question 73

ICD-10 codes must be assigned at their __________ number of __________ available.

Question 74

The free online conversion tool offered by the American Academy of Professional Coders is a comprehensive mapping that includes all ICD-10 codes.

Question 75

A change in ICD-10 is that obstetric codes identify the trimester of pregnancy instead of the episode of care.

Question 76

Mapping between ICD-9 and ICD-10 is an extensive process that reflects the __________ of the code sets rather than oversimplifying.

Question 77

In assigning ICD-10 codes, there is no longer a need to use an alphabetic index to locate a term.

Question 78

ICD-10-CM has approximately __________ total available codes.

Question 79

A new feature in ICD-10 is that the character "x" is used as a 5th character placeholder in certain 6-character codes.

Question 80

The ICD-10-PCS coding system includes a unique code for each variation of a procedure that can be performed.