HIT 221 Mod 1-3 Questions and Answers
1 - answer section
2 - answer body system
3 - answer root operation
4 - answer body part
5 - answer approach
6 - answer device
7 - answer qualifier
Completeness - answer characteristics of each code provide a complete, significant,
unique code
Unique Definitions - answer the process of custom building codes to define each
unique procedure
Expandability - answer this ensures that there is sufficient room for adding new
values for characters as new procedures and technology are develped
Mutli-axial codes - answer creates a code structure whose characters are
independent, yet maintain consistency within defined sections.
Standardized Terminology - answer establishing terms for use in ICD 10 PCS with
unique meaning not ambiguous meaning
Structural integrity - answer provides for expansion to occur without disrupting the
structure of the system
How many characters are in an ICD-10-PCS code? - answer 7
Which of the following is NOT found in the ICD-10-PCS index? - answer eponym
names of procedures
What is the proper order for building an ICD-10-PCS code? - answer Find index
main term, find index subterm, locate first three characters in tables section, and identify
values for characters 4-7.
What is represented by the first digit of an ICD-10-PCS code? - answer section
,Which of the following is not found in ICD-10-PCS? - answer Eponym
If the term "cubital nerve" is documented in the patient chart, the coder would know to
use the ICD-10-PCS term ______ to locate the procedure. - answer Ulnar Nerve
[The coder would need to know that cubital nerve in ICD-10-PCS would mean the coder
would need to refer to Ulnar nerve. This information is found in the alphabetical index
under Cubital nerve.]
ICD-10-PCS was developed for: - answer inpatient medical and surgical procedures
ICD-10-PCS will replace which volume of ICD-9-CM? - answer Volume 3
[Volume 3 in ICD-9-CM includes the Alphabetic Index to Procedures as well as the
Tabular Listing. ICD-10-PCS was developed to replace ICD-9-CM Volume 3 to provide
more specificity for inpatients medical and surgical procedures.]
ICD-10-PCS has six major attributes in the coding system, including: (choose all that
apply) - answer Completeness, Expandability, Multi-axial Codes, Unique Definitions,
Standardized terminology, Structural Integrity
[ICD10PCS has six major attributes in the coding system completeness, expandability,
Multiaxial codes, unique definitions, standardized terminology and structural integrity.]
The attribute of completeness means: - answer The attribute of completeness
means:
How many characters are needed to build a code in ICD-10-PCS? - answer 7
[Always 7 - not sometimes 7 - always 7 - no more, no less]
Values for each character in ICD-10-PCS are _________ and may consist of numeric
digit values of _______. - answer Alpha numeric, 0-9
[Values for each character in ICD-10-PCS are alphanumeric and may consist of
numeric digits 0-9 and the letters A-H, J-N and P-Z. Letters I and O are not used to
avoid confusion with the numbers 0 and 1.]
What is the general meaning of the characters 1-7 in ICD-10-PCS? - answer
Section, body system, root operation, body part, approach, device and qualifier
The third character of an ICD-10-PCS code is called the _________. - answer Root
operation
The character ___ in the value section denotes that it is an Obstetrics Procedure. -
answer 1
The seventh character is called a ________. - answer Qualifier
, Look in the Table section of your PCS book - Choose the correct answer for 021 found
in the index of the codebook. (it is just the first three digits) - answer Medical and
Surgical, Heart and Great Vessels, Bypass
[ICD-10-PCS correct answer for a patient having a coronary artery bypass the first three
values of the code would be Medical and Surgical (0), Heart and Great Vessels (2),
Bypass (1)]
Sigmoidoscopy, no polyps or any complications done via endoscopic procedure, is
assigned the code ______ in ICD-10-PCS. - answer 0DJD8ZZ
[The correct ICD-10-PCS code for this is 0DJD822, Medical and Surgical (0),
Gastrointestinal System (D), Inspection (J), Lower Intestinal Tract (D), via natural or
artificial opening endoscope (8), No device (Z) and No qualifier (Z).]
dentify the correct ICD-10-PCS code for amputation at right elbow level: - answer
0X6B0ZZ
[The correct procedure code for an amputation at right elbow level is Medical and
Surgical (0),Anatomical regions, upper extremities (X), detachment (6), approach (0),
device (Z) and qualifier (Z), 0X6B0ZZ.]
The ICD-10-PCS coding system emphasizes how important it is for a coder to have
strong knowledge in _____ - answer Medical terminology
Anatomy and Physiology
Pathophysiology
[It is very important that a coder have a strong knowledge in medical terminology,
anatomy and physiology and pathophysiology in order to use ICD-10-PCS correctly,
because of the way ICD-10-PCS relies on knowledge of body parts to build codes.]
The purpose of the ICD-10-PCS index is to ________________. - answer Direct the
coder to the appropriate table to finish the code [ICD-10-PCS index directs the coder to
the appropriate table so the code can be completed.]
Does the coder always have to go to the ICD-10-PCS Index to locate the appropriate
table? - answer Not always, as the coder may begin to learn the first three
characters and be able to go straight to the tables and find the correct code.
[The coder will eventually become familiar with the first three characters and may be
able to go directly to the table and finish the code.]
When looking up a lumbar puncture performed for diagnostic purposes in the index,
what does it instruct the coder to do? - answer Look under drainage
[Lumbar puncture performed for diagnostic purposes. Coders would normally go to the
word puncture to locate this code, in ICD-10-PCS however, it instructs the coder when
looking at the term puncture to go to drainage.]
The word fragmentation refers to ___________. - answer Breaking apart
[The term fragmentation refers to "breaking apart solid matter into pieces" such as a
patient receiving a lithotripsy.]
