Question 1

On what date did the final implementation of ICD-10-CM take place?

Accepted Answer

The final implementation of ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) took place on October 1, 2015.

Question 2

Providers will sometimes confuse impending or threatened conditions with:

Accepted Answer

The answer of Providers will sometimes confuse impending or threatened...

Question 3

Guidelines including information about hypertension and hypertensive heart and kidney disease, cerebral infarction, stroke, cerebral vascular accident, late effects, and myocardial infarction are included in this chapter's specific guidelines:

Accepted Answer

These conditions are all related to the circulatory system, thus the guidelines for coding them are found in the chapter dedicated to Diseases of the Circulatory System.

Question 4

When a more specific code is not provided in the ICD manual, the abbreviation _______ is used.

Accepted Answer

NEC is used when a more specific code is not provided in the ICD manual.

Question 5

In the index, what provides further clarification of the patient's condition?

Accepted Answer

Subterms in an index provide additional details and clarification about the main term, helping to specify the patient's condition more precisely.

Question 6

An unspecified code would be assigned to a code known as a ___________ code.

Accepted Answer

"Not otherwise specified" is the correct term used when a specific code cannot be assigned due to lack of detail in the documentation. This term is commonly used in medical coding and billing to indicate that the available information is insufficient to assign a more specific code.

Question 7

What is the primary reason why coders should understand the format of the ICD-10-CM manual?

Accepted Answer

Understanding the format of the ICD-10-CM manual is crucial for coders to achieve accuracy and consistency in coding of the medical record, ensuring that diagnoses are correctly identified and recorded.

Question 8

The following are true of the 2018 edition of the CPC exam except:

Accepted Answer

The CPC (Certified Professional Coder) exam is based on the current year's CPT, ICD-10, and HCPCS manuals, not the previous year's manuals. This ensures that the exam reflects the most up-to-date coding standards and guidelines.

Question 9

The nomenclature "Open wound of elbow, forearm, and wrist with tendon involvement" may be selected when:

Accepted Answer

The nomenclature specifies that the wound must involve the elbow, forearm, or wrist with tendon involvement, not necessarily all three locations.

Question 10

A "with" statement connecting the subterms acute and chronic indicates:

Accepted Answer

A "with" statement in medical coding typically indicates that a combination code is provided for the conditions mentioned, allowing them to be coded together.

Question 11

A placeholder character is:

Accepted Answer

A placeholder character, often represented as "x," is used in certain coding systems (like ICD-10) to maintain the structure of the code, ensuring that characters are placed in their correct positions, especially when the code requires a specific length.

Question 12

A facility coder notes that a provider has documented a salpingo-oophorectomy was performed on a male patient. The coder relied on her knowledge of __________ to determine this is an impossible coding scenario.

Accepted Answer

Salpingo-oophorectomy refers to the surgical removal of an ovary and its fallopian tube, which is a procedure applicable only to females. The coder's knowledge of medical terminology would indicate that this procedure cannot be performed on a male patient.

Question 13

A condition with sudden onset, usually without warning, and of brief duration is a(n) ___________ condition.

Accepted Answer

An acute condition is one that starts suddenly and has a short duration, unlike chronic conditions which are long-lasting.

Question 14

The ICD-10-CM code A04.8 "Other specified bacterial intestinal infections" would be appropriate to assign when the cause of a patient's enteritis is not specifically described in a more specific ICD-10-CM code. This is an example of a:

Accepted Answer

"Not elsewhere classified" (NEC) codes, like A04.8, are used when the information in the medical record provides detail for which a specific code does not exist. This is different from "Not otherwise specified" (NOS) codes, which are used when the medical record lacks the detail for a more specific code.

Question 15

The provider's diagnostic statement, the term that identifies the patient's condition, injury, or disease, is known as the:

Accepted Answer

The main term in a provider's diagnostic statement is the term that identifies the patient's condition, injury, or disease. It is the primary focus when coding medical diagnoses and is used to locate the appropriate code in the coding manual.

Question 16

Guidelines for coding pressure ulcer stages are in this chapter:

Accepted Answer

Pressure ulcers are classified under "Diseases of the Skin and Subcutaneous Tissue" because they primarily affect these areas of the body.

Question 17

When a definitive diagnosis has not been made:

Accepted Answer

Providers should use codes for signs and symptoms when a definitive diagnosis has not been made, as these codes reflect the patient's condition and justify the medical services provided.

Question 18

The ICD-10-CM manual provides the ___________ for the patient's service or procedure.

Accepted Answer

The ICD-10-CM manual is used to code and classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. It provides the "Why" - the reason or diagnosis for the patient's service or procedure.

Question 19

What is another name for the full description of an ICD-10-CM code?

Accepted Answer

Nomenclature is the correct term for the full description of an ICD-10-CM code, as it refers to the system of names used in a particular field, in this case, medical coding.

Question 20

In ICD-10-CM, alphabetic seventh characters used to complete the description of many codes by conveying additional information are the:

Accepted Answer

Seventh characters, often referred to as extenders in ICD-10-CM, are used to provide additional information about the encounter, such as episode of care or the stage of healing of the condition being coded.

Quiz 2: Foundations of ICD-10-CM