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MOD III
Basics of Coding B
| Question | Answer |
|---|---|
| Refer to the ICD-10-CM Official Guidelines Section II. What is section II’s title? | Section II= Selection of Principal Diagnosis |
| A code surrounded within italicized, or slanted, brackets | must be included. |
| The percutaneous approach would include all except: | EGD. |
| Once you have a suggested code from the Alphabetic Index, Neoplasm Table, Table of Drugs and Chemicals, and/or the Index to External Cause Codes, you will need to find that code in the | Tabular List of Diseases and Injuries. |
| ___ explains the category or type of procedure. | Root Operation |
| The Tabular List section of the ICD-10-CM book lists every code and its complete description in ______ order by code. | alphanumeric |
| Outpatient coders cannot assign a diagnosis code for a diagnosis documented as: | to be ruled out suspected All of these probable |
| Locate and identify the cpt code: 99283 | evaluation and management for an emergency department visit with an expanded problem focused history and examination with an MDM of moderate complexity. |
| The word or phrase _____ means the same thing as NEC: The physician specified additional information that the ICD-10-CM book doesn’t have in any of the other codes in the category. | unspecified with and other specified |
| How many approaches are identified by the fifth character in ICD-10-PCS? | 7 31 5 16 |
| What section of the ICD-10-CM code book would provide you with a suggested code to describe how a patient was injured? | Table of Drugs and Chemicals Neoplasm Table External Cause of Injuries Index - * Index to Diseases and Injuries |
| The gastrointestinal system includes all except the: | ilium. ileus. cecum. stomach. |
| The coder _____ report(s) a code directly from the Alphabetic Index without checking it in the Tabular List. | sometimes never - * is allowed to may |
| A non-face-to-face E/M service provided over the telephone is reported from which range of codes? | 99441–99443 99366–99368 99444–99448 |
| In ICD-10-PCS, The Alphabetic Index’s entries are primarily sorted by | the body system. the approach. root operation terms. - * the device. |
| In ICD-10-PCS, the initials PCS stand for | Procedure Coding System. - * Proper Coding System. Possible Coding Solutions. Popular Coding System. |
| A consultation requested by another physician is coded as a(n): | consultation. established patient visit. new patient visit. home service. |
| An endoscopic examination of the bladder would be indicated by the root operation: | inspection. - * cystoscopy. insertion. laparoscopy. |
| Preventive medicine visit codes are determined by the age of the patient and: | number of physicians involved. whether the patient is new or established. location of the visit. length of the exam. |
| The 17 sections of ICD-10-PCS are identified by | numbers 0–9, then letters B–H and X. - * alphabetic order by the name of the section. numbers 1–17. letters A–Z. |
| Often, finding the correct E/M code begins with knowing | what the patient does for an occupation. which credential is held by the provider. where the patient met with the physician. - * what type of insurance policy is held by the patient. |
| What is the root operation for implantation of a pacemaker? | Replacement Insertion Implantation Supplement |
| NEC means | the patient didn’t provide more details. the physician didn’t provide more details. the hospital didn’t provide more details. the ICD-10-CM book didn’t provide a code with more details. |
| A breakout section of the Alphabetic Index listing the suggested codes for benign and malignant neoplasms is known as the: | Index to Diseases and Injuries. Neoplasm Table. - * Tabular List of Diseases and Injuries. External cause of Injuries Index. Table of Drugs and Chemicals. |
| One disease that affects or encourages another condition is known as a: | sign. symptom. underlying condition. manifestation. - * |
| What is an example of a Root Operation? | Insertion Heart Digestive Percutaneous |
| ICD-10-CM code range J00-J99 identifies the Diseases of the | Genitourinary System. Nervous System. Respiratory System. Digestive System. |
| Preventive medicine visit codes are determined by the age of the patient and: | length of the exam. location of the visit. whether the patient is new or established. number of physicians involved. |
| Susan had a total mastectomy performed. What root operation character will be used? | F Fragmentation T Resection 7 Dilation S Reposition |
| The Table of Drugs and Chemicals’ first column shows a list of substances. Moving to the right, the sixth column identifies which of the following? | Poisoning, Assault Poisoning, Underdosing Adverse effect Poisoning, Intentional Self-Harm |
| Locate the CPT code for an evaulation and management for a new patient office visit of 37 minutes. | 99203 |
| A patient complains of dizziness. The physician states that she has hypertension. The coder should assign a code for: | hypertension. dizziness. query the physician. dizziness and hypertension. |
| A general multisystem examination is described as: | comprehensive. problem-focused. expanded problem-focused. detailed. |
| Locate the ICD-10-CM code for bilateral glaucoma, simple and chronic. | H40.113 |
| The structure of ICD-10-PCS codes includes | three numbers. five numbers. seven characters. up to nine characters. |
| Locate the ICD-10-CM code for Aneurysm of a coronary vein. | I25.89 |
| Which code range identifies the diseases of the digestive system? | G00-G99 E00-E89 K00-K95 R00-R99 |
| The ICD-10-CM Official Guidelines I.A.16 are guidelines with instructions concerning which word(s)? | “And” “Code Also” note “With” “See” and “See Also” |
| The 17 sections of ICD-10-PCS are identified by | numbers 0–9, then letters B–H and X. alphabetic order by the name of the section. numbers 1–17. letters A–Z. |
| What is the root operation for implantation of a pacemaker? | Replacement Insertion Implantation Supplement |
| When a diagnostic procedure was performed for the principal diagnosis and a procedure is performed for definitive treatment of a secondary diagnosis, the coder would _________blank. | sequence procedure performed for definitive treatment of secondary diagnosis as principal procedure, since there are no procedures (definitive or nondefinitive treatment) related to principal diagnosis The sequencing does not matter. sequence procedure performed for definitive treatment most related to principal diagnosis as principal procedure sequence diagnostic procedure as principal procedure, since the procedure most related to the principal diagnosis takes precedence - * |
| An endoscopic examination of the bladder would be indicated by the root operation: | laparoscopy. insertion. cystoscopy. inspection. |
| What two approaches are used when a CABG is done and greater saphenous vein grafts are harvested endoscopically from the left leg wherein the left internal mammary is anastomosed to one coronary artery and a vein is grafted to another artery? (These are two operations.) | Open; percutaneous endoscopic Open; percutaneous External; open Via natural or artificial opening; open |
| A patient had a diagnostic bronchoscopy, right upper lobe, with brushings and washings. How would this be coded? | 0B9G8ZX 08J08ZZ 0BSF8ZZ 0B9C8ZX - * |
| Refer to the ICD-10-PCS Official Guidelines for Coding and Reporting, Medical and Surgical Section Guidelines (Section 0), subhead Multiple Procedures. Which paragraph discusses multiple procedures? | B3.4 B3.3 B3.2 - * B3.1b |
| Refer to the ICD-10-PCS Official Guidelines for Coding and Reporting, Medical and Surgical Section Guidelines (Section 0), subhead Fusion Procedures of the Spine. Which paragraphs discuss fusion of vertebral joints? | B3.10b B3.10a, B3.10b, and B3.10c - * B3.10c B3.10a |
| What is the section character for radiation therapy? | 2 3 D - * C |
| What is the root operation for colonoscopy with polypectomy? | Removal Inspection Resection Excision - * |
| A patient suffered a severe head injury in an auto accident. He was rushed to the hospital and taken to surgery, where a craniotomy was done to remove a subdural hematoma from the brain. What is the correct code? | 00C40ZZ - * 00C03ZZ 00900ZZ 00F40ZZ |
| A patient was taken to the OR to have a bowel resection of the sigmoid colon and a permanent colostomy. What is the correct code for the colostomy? | 0D2DX0Z 0D1N3J4 0D1M0Z4 0D1N0Z4 - * |
| What characters are not used in the Medical and Surgical section of the code book? | I and O - * 0 and 1 1 and O Q and I |
| The patient comes in with a broken bone sticking out from his arm. The level of MDM for the physician to determine what to do next is: | high level. straightforward level. low level. - * moderate level. |
| What code would you assign for a total duration of 80 minutes of Prolonged services without direct Face-to-face Contact? | 99202 99358, 99359 - * 99358, 99359x2 99224 |
| A consultation is defined as when a physician _________blank at the request of another physician. | provides advice or an opinion on a patient’s treatment - * performs surgery assumes full care of the patient admits a patient |
| PFSH includes all of these components except: | social history. systems history. - * family history. past history. |
| A patient comes in with one or two possible minimal diagnoses, is on no medication, and has no other co-morbidities. The level of decision making would be: | straightforward. high level. moderate level. low level. - * |
| Initial Hospital Care E/M service codes range from: | 99218–99220. 99224–99226. 99221–99223. - * 99231–99233. |
| To assign a correct E/M code, you must know: | the diagnosis code. the location of the encounter. - * the patient's name. the physician's name |
| In the Evaluation and Management section there are many code categories. Which of the following is not a category within the Evaluation and Management section? | Emergency Department Services Consultation Hospital Inpatient and Observation Care Services Medicine - * |
| In what section of the CPT code book are the E/M codes listed? | Medicine Anesthesiology Evaluation and Management - * Surgery |
| What services do Evaluation and Management codes report? | Biopsy Physician encounter - * Chest x-ray Laboratory test |
| At the time a patient is released from a facility, such as a hospital, this document provides the conclusions and results of the patient’s stay in the facility in addition to follow-up advice. | Discharge Summary |
| _________blank details include the patient’s name, address, date of birth, and other personal details, not specifically related to health. | Demographic |
| The written plan of care should include which of the following? | treatments and medications, specifying frequency and dosage - * appropriate history and physical exam in relationship to the chief complaint the date the reason for the encounter |
| _________blank is to suppose to be the case, without proof; guess the intended details. | Assume - * Interpret Demographic Abstracting |
| A patient’s subjective description of feeling is known as a: | symptom. |
| A cause-and-effect relationship between an original condition that has been resolved with a current condition is known as a _________blank. | Sequela |
| An external cause code explains which of the following? | All of these - * The details of the accident Where How |
| If another physician or health care provider referred this patient for a consultation, you will need to have a _________blank to determine the correct evaluation and management code. | Referral Authorization Form |
| What letter or number represents the approach in code 0UWD3KZ? | 0 Z 9 3 - * |
| When coding an obstetrics case, what is your first character? | 3 2 0 1 - * |
| What character position represents the approach in the ICD-10-PCS code? | Seventh Sixth Fifth - * Second |
| The ICD-10-PCS official guideline, which states "It is not required to consult the Index first before proceeding to the Tables to complete the code. A valid code may be chosen directly from the Tables," is identified by _________blank. | A7 - * A4 A9 A1 |
| How many root operations are there in ICD-10-PCS? | 44 26 53 31 - * |
| What section number or letter represents a chiropractic service or procedure? | F H 9 - * 8 |
Created by:
CodeHead007