Question 1

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.
A) clinical
B) logical
C) multiaxial
D) relational

Accepted Answer

ICD-10-PCS uses a multiaxial code structure, meaning each character in the code has a specific meaning and contributes to the overall definition of the procedure. This structure allows for a comprehensive and flexible coding system.

Question 2

ICD-10-CM and ICD-10-PCS incorporate much greater specificity and clinical information, which results in __________.
A) decreased sensitivity when refining grouping and reimbursement methodologies.
B) enhanced ability to conduct public health surveillance
C) increased need to include supporting documentation with claims
D) reduced ability to measure health care services

Accepted Answer

The greater specificity and clinical information in ICD-10-CM and ICD-10-PCS enhance the ability to conduct public health surveillance by providing more detailed data for analysis.

Question 3

Which of the following will best assist medical coding staff as ICD-10-CM and ICD-10-PCS classifications are implemented?
A) ability to document information in patient records
B) basic knowledge of anatomy and physiology
C) effective communication with medical staff
D) reporting ICD-10-CM/PCS codes from indexes

Accepted Answer

C

Question 4

The International Classification of Diseases, published by the World Health Organization, is used to classify __________ data from death certificates.
A) moratory
B) morbidity
C) morphology
D) mortality

Accepted Answer

The International Classification of Diseases (ICD) is used to classify mortality data from death certificates, which refers to data related to death rates and causes of death.

Question 5

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.
A) moratory
B) morbidity
C) morphology
D) mortality

Accepted Answer

ICD-10-CM is used to classify morbidity data, which refers to the incidence and prevalence of diseases and health conditions.

Question 6

ICD-10-CM codes require up to __________ characters, are entirely alphanumeric, and have unique coding conventions, such as Excludes1 and Excludes2.
A) five
B) six
C) seven
D) eight

Accepted Answer

ICD-10-CM codes can be up to seven characters long, are alphanumeric, and include conventions like Excludes1 and Excludes2.

Question 7

Physician office __________ codes are submitted for reimbursement purposes.
A) ICD-10-CM, CPT, and HCPCS level II
B) ICD-10-PCS, CPT, and HCPCS level II

Accepted Answer

ICD-10-CM, CPT, and HCPCS level II codes are used in physician offices for billing and reimbursement. ICD-10-CM codes are for diagnoses, CPT codes are for procedures and services, and HCPCS level II codes are for products, supplies, and services not included in CPT. ICD-10-PCS is used for inpatient hospital procedures, not in physician offices.

Question 8

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.
A) inpatient hospital
B) outpatient hospital
C) provider office
D) skilled nursing facility

Accepted Answer

ICD-10-PCS was developed by CMS specifically for use in inpatient hospital settings, replacing Volume 3 of ICD-9-CM.

Question 9

Hospital outpatient __________ codes are submitted for reimbursement purposes.
A) CPT and HCPCS level II
B) ICD-10-CM, CPT, and HCPCS level II
C) ICD-10-CM and ICD-10-PCS
D) ICD-10-PCS, CPT, and HCPCS level II

Accepted Answer

Hospital outpatient codes for reimbursement include ICD-10-CM for diagnoses, CPT for procedures, and HCPCS level II for additional services and supplies.

Question 10

ICD-9-CM is a(n) __________ classification system because of ICD-10-CM and ICD-10-PCS implementation.
A) contemporary
B) legacy
C) optional
D) updated

Accepted Answer

ICD-9-CM is considered a legacy classification system because it has been replaced by ICD-10-CM and ICD-10-PCS for coding diagnoses and procedures.

Question 11

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).
A) crosswalks
B) details
C) indexes
D) registers

Accepted Answer

General equivalency mappings (GEMs) are known as crosswalks, which are used to translate ICD-9-CM codes to ICD-10-CM codes and vice versa.

Question 12

In the following sample GEM table, ICD-9-CM codes 649.50, 649.51, and 649.53 __________ ICD-10-CM codes.

A) cannot be mapped at all to
B) do not map exactly to
C) must be reported instead of
D) require the payer to select

Accepted Answer

The answer of In the following sample GEM table, ICD-9-CM...

Question 13

In the sample GEM table below, ICD-10-CM code A15.7 maps to __________ ICD-9-CM code(s).

A) 1
B) 5
C) 6
D) 7

Accepted Answer

The answer of In the sample GEM table below, ICD-10-CM...

Question 14

ICD-10-CM far exceeds ICD-9-CM in the number of codes provided, having been expanded to __________.
A) delete fifth digits for some codes
B) include health-related conditions
C) mandate assignment of just three characters
D) reduce specificity at the sixth-digit level

Accepted Answer

ICD-10-CM includes a broader range of health-related conditions compared to ICD-9-CM, allowing for more detailed and specific coding.

Question 15

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.
A) clinical decisions
B) improved data
C) measurement of care
D) public health tracing

Accepted Answer

ICD-10-CM and ICD-10-PCS provide improved data, which is essential for conducting research, designing payment systems, identifying fraud and abuse, and other purposes.

Question 16

In the sample GEM table below, ICD-9-CM code 003.21 maps to ICD-10-CM code(s) __________.

A) A02.21
B) A15.7
C) C92.01
D) O26.851 through O26.859

Accepted Answer

The answer of In the sample GEM table below, ICD-9-CM...

Question 17

Hospital inpatient __________ codes are submitted for reimbursement purposes.
A) CPT, and HCPCS level II
B) ICD-10-CM, CPT, and HCPCS level II
C) ICD-10-CM and ICD-10-PCS
D) ICD-10-CM, ICD-10-PCS, CPT, and HCPCS level II

Accepted Answer

ICD-10-CM and ICD-10-PCS codes are used for hospital inpatient coding for diagnosis and procedures, respectively, and are submitted for reimbursement purposes.

Question 18

Private companies publish __________, which automate the coding process so that computerized or web-based software is used instead of coding manuals.
A) converters
B) encoders
C) multiplexers
D) transducers

Accepted Answer

Encoders are software tools that automate the coding process, replacing the need for manual coding using coding manuals.

Question 19

In the sample GEM table below, ICD-10-CM code C92.01 maps to ICD-9-CM code(s) __________,

A) 003.21
B) 205.01
C) 649.50
D) 649.53

Accepted Answer

The answer of In the sample GEM table below, ICD-10-CM...

Question 20

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.
A) medical coordination
B) physician query
C) quality assurance
D) utilization management

Accepted Answer

The physician query process is used by coders to request clarification from physicians about documentation and coding issues.

Quiz 6: ICD-10-Cm Coding

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.

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

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

The International Classification of Diseases, published by the World Health Organization, is used to classify __________ data from death certificates.

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.

ICD-10-CM codes require up to __________ characters, are entirely alphanumeric, and have unique coding conventions, such as Excludes1 and Excludes2.

Physician office __________ codes are submitted for reimbursement purposes.

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.

Hospital outpatient __________ codes are submitted for reimbursement purposes.

ICD-9-CM is a(n) __________ classification system because of ICD-10-CM and ICD-10-PCS implementation.

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) .

In the following sample GEM table, ICD-9-CM codes 649.50, 649.51, and 649.53 __________ ICD-10-CM codes.

In the sample GEM table below, ICD-10-CM code A15.7 maps to __________ ICD-9-CM code(s) .

ICD-10-CM far exceeds ICD-9-CM in the number of codes provided, having been expanded to __________.

In the sample GEM table below, ICD-9-CM code 003.21 maps to ICD-10-CM code(s) __________.

Hospital inpatient __________ codes are submitted for reimbursement purposes.

Private companies publish __________, which automate the coding process so that computerized or web-based software is used instead of coding manuals.

In the sample GEM table below, ICD-10-CM code C92.01 maps to ICD-9-CM code(s) __________,

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.