Understanding Health Insurance

Health & Kinesiology

Quiz 6 :

ICD-10-Cm Coding

Quiz 6 :

ICD-10-Cm Coding

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ICD-10-PCS uses a __________ seven-character alphanumeric code structure (e.g., 047K04Z) that provides a unique code for all substantially different procedures, and it allows new procedures to be easily incorporated as new codes.
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C

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ICD-10-CM and ICD-10-PCS incorporate much greater specificity and clinical information, which results in __________.
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B

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Which of the following will best assist medical coding staff as ICD-10-CM and ICD-10-PCS classifications are implemented?
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C

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The International Classification of Diseases, published by the World Health Organization, is used to classify __________ data from death certificates.
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ICD-10-CM was developed in the United States and is used to classify __________ data from inpatient and outpatient records, including provider-based office records.
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ICD-10-CM codes require up to __________ characters, are entirely alphanumeric, and have unique coding conventions, such as Excludes1 and Excludes2.
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Physician office __________ codes are submitted for reimbursement purposes.
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ICD-10-PCS is an entirely new procedure classification system that was developed by CMS for use in __________ settings only, replacing Volume 3 of ICD-9-CM.
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Hospital outpatient __________ codes are submitted for reimbursement purposes.
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ICD-9-CM is a(n) __________ classification system because of ICD-10-CM and ICD-10-PCS implementation.
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General equivalency mappings are __________ of codes that can be used to roughly identify ICD-10-CM codes for their ICD-9-CM equivalent codes (and vice versa).
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In the following sample GEM table, ICD-9-CM codes 649.50, 649.51, and 649.53 __________ ICD-10-CM codes. img
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In the sample GEM table below, ICD-10-CM code A15.7 maps to __________ ICD-9-CM code(s). img
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ICD-10-CM far exceeds ICD-9-CM in the number of codes provided, having been expanded to __________.
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The ICD-10-CM and ICD-10-PCS classifications include updated medical terminology and classification of diseases, provide codes to allow for the comparison of mortality and morbidity data, and provide __________ for the purpose of conducting research, designing payment systems, identifying fraud and abuse, and more.
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In the sample GEM table below, ICD-9-CM code 003.21 maps to ICD-10-CM code(s) __________. img
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Hospital inpatient __________ codes are submitted for reimbursement purposes.
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Private companies publish __________, which automate the coding process so that computerized or web-based software is used instead of coding manuals.
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In the sample GEM table below, ICD-10-CM code C92.01 maps to ICD-9-CM code(s) __________, img
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When coders have questions about documented diagnoses or procedures/services, they should use a __________ process to contact the responsible physician to request clarification about documentation and the code(s) to be assigned.
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