ICD-10-cm final Exam Questions
with fully Solved Solutions
The category term used in healthcare to identify ICD-10-CM, CPT, ICD-10-
PCS, and HCPCS Level II code sets is referred to as - -Classification Systems
-What part of the ICD-10-CM code book do you use to confirm that a
diagnostic code is accurate? - -the Tabular List
-Coding is accurately interpreting health care terms and definitions into
___________ that specifically convey diagnoses and procedures. - -numbers or
number-letter combination
-Diagnostic descriptions are listed by - -Condition, Eponyms, Other
descriptors
-The Index to External Causes lists the cause of - -injuries and poisoning
-A procedure explains - -what the provider did for the patient
-What part o the ICD-10-CM code book do you use to confirm that a
diagnostic code is accurate? - -the Tabular List
-How many sections does the main body of the CPT book have? - -6
-When ICD-10-CM codes support medical necessity, this means that - -there
was a valid medical reason to provide care
-What kind of tests or procedures are performed to provide the physician
with additional information to support the determination of a confirmed
diagnosis? - -Diagnostic
-What is an example of an eponym - -infections
-Thy why justifies the - -what
-A diagnosis explains - -why the patient requires attention of the provider
-When you find missing or incomplete information in the physician's notes,
you should - -query the physician
-Before using an unspecified or NOS (not otherwise specified) code(s), you
should - -query the physician to gain the details needed to use a more
specific code.
, -Converting a meaning from one language to another is called - -
interpreting
-The first question you, as the professional coder, will need to ask is - -for
whom you are reporting
-What is abstracting? - -The process of identifying the key words or terms in
health care documentation in order to determine the best, most appropriate
code
-The abbreviation ECG stands for - -electrocardiography.
-The suffix -plasty means - -to repair
-The sequence of actions required to interpret physician documentation into
codes is known as the - -coding process
-There are _________blank specific actions that you should take to construct
your proper coding process. - -There are six specific actions that you should
take to construct your proper coding process.
Action 1. Abstract the documentation.
Action 2. Query, if necessary
Action 3. Code the Diagnosis or Diagnoses
Action 4. Code the Procedure or Procedures.
Action 5. Confirm Medical Necessity
Action 6. Double-Check Your Codes
-The most important factor in coding is - -accuracy of codes
-After abstracting the main terms, a coder will go next to the - -Alphabetic
index
-The Main Section and Tabular List of the code books all contain additional
_________blank and _________blank to help you determine the most accurate
code. - -symbols, notations
-The official guidelines for ICD-10-CM can usually be found in the - -front of
the code book.
-_________blank confirm(s) medical necessity by pairing at least one
diagnosis code to at least one procedure code. - -Linking
-When coding for SIRS in a patient who has not developed an infection, you
would code in which sequence? - -the code for the underlying condition, the
code for SIRS, the code for the acute organ dysfunction
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