Deck 3: ICD-10-Cm Format and Conventions

Question 1

The bolded subterm in the diagnostic statement aspiration pneumonia is a(n) ____ modifier.

A)essential
B)nonessential

Answer 1

A

Question 2

The bolded subterm in the diagnostic statement bacterial pneumonia is a(n) ____ modifier.

A)essential
B)nonessential

Answer 2

A

Question 3

The word(s) "____" should be interpreted to mean either "and" or "or" when it appears in the title.

A)with
B)see
C)omit code
D)and

Answer 3

D

Question 4

The bolded subterm in the diagnostic statement purulent pneumonia is a(n) ____ modifier.

A)essential
B)nonessential

Question 5

In ICD-10-CM the final character of a code assignment can never be a letter.

Question 6

There are manifestation codes that DO NOT have "in diseases classified elsewhere" in the title. For such codes, a "use additional code" note will still be present at the etiology code and a "code first" note at the manifestation code, and the rules for sequencing still apply.

Question 7

"Diseases of the skin and subcutaneous tissue (L00-L99)" represents a ____.

A)chapter
B)section
C)category
D)subcategory

Question 8

What does CPT stand for?

A)Coding Principals Together
B)Current Practice Theory
C)Chapter Procedure Theory
D)Current Procedural Terminology

Question 9

"____" is used in the Alphabetic Index to provide guidance when two conditions are related or have a causal relationship.

A)With
B)See condition
C)See category
D)And

Question 10

Which statement is NOT true of inclusion terms?

A)An "inclusion note" under a code indicates that the terms excluded from the code are to be coded elsewhere.
B)The terms may be included under some codes.
C)These terms are the conditions for which that code number is to be used.
D)The inclusion terms are not necessarily exhaustive.

Question 11

"____" is a reference that instructs coders to look up another term to locate a code for a particular condition.

A)See category
B)And
C)See condition
D)Eponym

Question 12

The bolded subterm in the diagnostic statement poorly controlled diabetes is a(n) ____ modifier.

A)essential
B)nonessential

Question 13

An "Excludes1 note" under a code indicates that the terms excluded from the code are to be coded elsewhere.

Question 14

The code "L01 impetigo" represents a ____.

A)chapter
B)section
C)category
D)subcategory

Question 15

The code "L05.0 pilonidal cyst and sinus with abscess" represents a ____.

A)chapter
B)section
C)category
D)subcategory

Question 16

In ICD-10-CM, there is an additional index called the External Causes of Injury.

Question 17

A block in ICD-10-CM is a range of categories.

Question 18

The bolded subterm in the diagnostic statement cortical cataract is a(n) ____ modifier.

A)essential
B)nonessential

Question 19

"Infections of skin and subcutaneous tissue (L00-L08)" represents a ____.

A)chapter
B)section
C)category
D)subcategory

Question 20

____ is/are used in both the Index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code assignment.

A)Excludes
B)Brackets
C)Includes
D)Parentheses

Question 21

Match each definition to one of the following items.
a.Used in the Tabular List to enclose synonyms, alternative wordings, or explanatory phrase
b.Instruction following a main term in the Index that instructs the user that another main term may also be referenced that may provide additional index entries that may be useful
c.Codes that are used when the information in the medical record is insufficient to assign a more specific code
d.Abbreviation in the Index that represents "not elsewhere classifiable" when a specific code is not available in the Alphabetic Index
e.A cross-reference that gives directions to go to a specific code category in the Tabular List
f.Used when the information in the medical record provides detail for which a specific code does not exist
g.Used in both the Index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code number to which it was assigned
h.Used in the Tabular List after an incomplete term that needs one or more of the modifiers following the punctuation to make it assignable to a given category
i.An instruction to code the causal condition if it is known
See category

Question 22

__________, a form of punctuation, are used in the index to identify manifestation codes in the Alphabetic Index.

Question 23

Why is it important for the coder to understand coding conventions?

Question 24

The word "__________" in the Alphabetic Index is sequenced immediately after the main term, not in alphabetic order.

Question 25

Match each definition to one of the following items.
a.Used in the Tabular List to enclose synonyms, alternative wordings, or explanatory phrase
b.Instruction following a main term in the Index that instructs the user that another main term may also be referenced that may provide additional index entries that may be useful
c.Codes that are used when the information in the medical record is insufficient to assign a more specific code
d.Abbreviation in the Index that represents "not elsewhere classifiable" when a specific code is not available in the Alphabetic Index
e.A cross-reference that gives directions to go to a specific code category in the Tabular List
f.Used when the information in the medical record provides detail for which a specific code does not exist
g.Used in both the Index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code number to which it was assigned
h.Used in the Tabular List after an incomplete term that needs one or more of the modifiers following the punctuation to make it assignable to a given category
i.An instruction to code the causal condition if it is known
[ ] Brackets

Question 26

Match each definition to one of the following items.
a.Used in the Tabular List to enclose synonyms, alternative wordings, or explanatory phrase
b.Instruction following a main term in the Index that instructs the user that another main term may also be referenced that may provide additional index entries that may be useful
c.Codes that are used when the information in the medical record is insufficient to assign a more specific code
d.Abbreviation in the Index that represents "not elsewhere classifiable" when a specific code is not available in the Alphabetic Index
e.A cross-reference that gives directions to go to a specific code category in the Tabular List
f.Used when the information in the medical record provides detail for which a specific code does not exist
g.Used in both the Index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code number to which it was assigned
h.Used in the Tabular List after an incomplete term that needs one or more of the modifiers following the punctuation to make it assignable to a given category
i.An instruction to code the causal condition if it is known
NEC

Question 27

A(n) __________ is a term that is enclosed in parentheses following a main term or a subterm and whose presence or absence has no effect on code assignment.

Question 28

Match each definition to one of the following items.
a.Used in the Tabular List to enclose synonyms, alternative wordings, or explanatory phrase
b.Instruction following a main term in the Index that instructs the user that another main term may also be referenced that may provide additional index entries that may be useful
c.Codes that are used when the information in the medical record is insufficient to assign a more specific code
d.Abbreviation in the Index that represents "not elsewhere classifiable" when a specific code is not available in the Alphabetic Index
e.A cross-reference that gives directions to go to a specific code category in the Tabular List
f.Used when the information in the medical record provides detail for which a specific code does not exist
g.Used in both the Index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code number to which it was assigned
h.Used in the Tabular List after an incomplete term that needs one or more of the modifiers following the punctuation to make it assignable to a given category
i.An instruction to code the causal condition if it is known
( ) Parentheses

Question 29

What does an Excludes2 note in ICD-10-CM mean to a coder?

Question 30

Match each definition to one of the following items.
a.Used in the Tabular List to enclose synonyms, alternative wordings, or explanatory phrase
b.Instruction following a main term in the Index that instructs the user that another main term may also be referenced that may provide additional index entries that may be useful
c.Codes that are used when the information in the medical record is insufficient to assign a more specific code
d.Abbreviation in the Index that represents "not elsewhere classifiable" when a specific code is not available in the Alphabetic Index
e.A cross-reference that gives directions to go to a specific code category in the Tabular List
f.Used when the information in the medical record provides detail for which a specific code does not exist
g.Used in both the Index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code number to which it was assigned
h.Used in the Tabular List after an incomplete term that needs one or more of the modifiers following the punctuation to make it assignable to a given category
i.An instruction to code the causal condition if it is known
See also

Question 31

"__________" is used in the Alphabetic Index to provide guidance when two conditions are related or have a causal relationship.

Question 32

The letter "X" in ICD-10-CM can be found in the fifth or sixth character position for some codes as a placeholder.

Question 33

What does the term "with" in the code title represent??

Question 34

Match each definition to one of the following items.
a.Used in the Tabular List to enclose synonyms, alternative wordings, or explanatory phrase
b.Instruction following a main term in the Index that instructs the user that another main term may also be referenced that may provide additional index entries that may be useful
c.Codes that are used when the information in the medical record is insufficient to assign a more specific code
d.Abbreviation in the Index that represents "not elsewhere classifiable" when a specific code is not available in the Alphabetic Index
e.A cross-reference that gives directions to go to a specific code category in the Tabular List
f.Used when the information in the medical record provides detail for which a specific code does not exist
g.Used in both the Index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code number to which it was assigned
h.Used in the Tabular List after an incomplete term that needs one or more of the modifiers following the punctuation to make it assignable to a given category
i.An instruction to code the causal condition if it is known
Unspecified codes

Question 35

Match each definition to one of the following items.
a.Used in the Tabular List to enclose synonyms, alternative wordings, or explanatory phrase
b.Instruction following a main term in the Index that instructs the user that another main term may also be referenced that may provide additional index entries that may be useful
c.Codes that are used when the information in the medical record is insufficient to assign a more specific code
d.Abbreviation in the Index that represents "not elsewhere classifiable" when a specific code is not available in the Alphabetic Index
e.A cross-reference that gives directions to go to a specific code category in the Tabular List
f.Used when the information in the medical record provides detail for which a specific code does not exist
g.Used in both the Index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code number to which it was assigned
h.Used in the Tabular List after an incomplete term that needs one or more of the modifiers following the punctuation to make it assignable to a given category
i.An instruction to code the causal condition if it is known
Colon

Question 36

What does NEC stand for?

Question 37

What are the two tables found in the Alphabetic Index in ICD-10-CM?

Question 38

Match each definition to one of the following items.
a.Used in the Tabular List to enclose synonyms, alternative wordings, or explanatory phrase
b.Instruction following a main term in the Index that instructs the user that another main term may also be referenced that may provide additional index entries that may be useful
c.Codes that are used when the information in the medical record is insufficient to assign a more specific code
d.Abbreviation in the Index that represents "not elsewhere classifiable" when a specific code is not available in the Alphabetic Index
e.A cross-reference that gives directions to go to a specific code category in the Tabular List
f.Used when the information in the medical record provides detail for which a specific code does not exist
g.Used in both the Index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code number to which it was assigned
h.Used in the Tabular List after an incomplete term that needs one or more of the modifiers following the punctuation to make it assignable to a given category
i.An instruction to code the causal condition if it is known
Code, if applicable, any causal condition

Question 39

Match each definition to one of the following items.
a.Used in the Tabular List to enclose synonyms, alternative wordings, or explanatory phrase
b.Instruction following a main term in the Index that instructs the user that another main term may also be referenced that may provide additional index entries that may be useful
c.Codes that are used when the information in the medical record is insufficient to assign a more specific code
d.Abbreviation in the Index that represents "not elsewhere classifiable" when a specific code is not available in the Alphabetic Index
e.A cross-reference that gives directions to go to a specific code category in the Tabular List
f.Used when the information in the medical record provides detail for which a specific code does not exist
g.Used in both the Index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code number to which it was assigned
h.Used in the Tabular List after an incomplete term that needs one or more of the modifiers following the punctuation to make it assignable to a given category
i.An instruction to code the causal condition if it is known
Other codes