Deck 3: ICD-10-Cm Format and Conventions
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Deck 3: ICD-10-Cm Format and Conventions
1
In ICD-10-CM,there is an additional index for the External Causes of Injury.
True
2
An "Excludes1 note" under a code indicates that the terms excluded from the code are to be coded elsewhere.
True
3
"Infections of skin and subcutaneous tissue (L00-L08)" represents a ____.
A)chapter
B)section
C)category
D)subcategory
A)chapter
B)section
C)category
D)subcategory
B
4
The bolded subterm in the diagnostic statement purulent pneumonia is a(n) ____ modifier.
A)essential
B)nonessential
A)essential
B)nonessential
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5
The code "L01 impetigo" represents a ____.
A)chapter
B)section
C)category
D)subcategory
A)chapter
B)section
C)category
D)subcategory
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6
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
A)with
B)see
C)omit code
D)and
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7
"____" 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
A)See category
B)And
C)See condition
D)Eponym
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8
The bolded subterm in the diagnostic statement bacterial pneumonia is a(n) ____ modifier.
A)essential
B)nonessential
A)essential
B)nonessential
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9
The bolded subterm in the diagnostic statement poorly controlled diabetes is a(n) ____ modifier.
A)essential
B)nonessential
A)essential
B)nonessential
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10
In ICD-10-CM,the final character of a code assignment can never be a letter.
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11
"Diseases of the skin and subcutaneous tissue (L00-L99)" represents a ____.
A)chapter
B)section
C)category
D)subcategory
A)chapter
B)section
C)category
D)subcategory
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12
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
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
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13
The code "L05.0 pilonidal cyst and sinus with abscess" represents a ____.
A)chapter
B)section
C)category
D)subcategory
A)chapter
B)section
C)category
D)subcategory
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14
The bolded subterm in the diagnostic statement cortical cataract is a(n) ____ modifier.
A)essential
B)nonessential
A)essential
B)nonessential
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15
"____" 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
A)With
B)See condition
C)See category
D)And
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16
____ 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
A)Excludes
B)Brackets
C)Includes
D)Parentheses
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17
What does CPT stand for?
A)Coding Principals Together
B)Current Practice Theory
C)Chapter Procedure Theory
D)Current Procedural Terminology
A)Coding Principals Together
B)Current Practice Theory
C)Chapter Procedure Theory
D)Current Procedural Terminology
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18
A block in ICD-10-CM is a range of categories.
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19
The bolded subterm in the diagnostic statement aspiration pneumonia is a(n) ____ modifier.
A)essential
B)nonessential
A)essential
B)nonessential
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20
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.
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21
Match each item to one of the following definitions.
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
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22
__________,a form of punctuation,are used in the index to identify manifestation codes in the Alphabetic Index.
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23
Match each item to one of the following definitions.
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
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24
The word "__________" in the Alphabetic Index is sequenced immediately following the main term,not in alphabetic order.
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25
Match each item to one of the following definitions.
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
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26
Match each item to one of the following definitions.
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
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27
The term "with" in the code title requires documentation of what?
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28
Why is it important for the coder to understand coding conventions?
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29
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.
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30
What are the two tables found in the Alphabetic Index in ICD-10-CM?
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31
What does NEC stand for?
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32
Match each item to one of the following definitions.
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
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33
Match each item to one of the following definitions.
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
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34
Match each item to one of the following definitions.
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
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35
What does an Excludes2 note in ICD-10-CM advise a coder?
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36
Match each item to one of the following definitions.
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
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37
Match each item to one of the following definitions.
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
a.Used in the Tabular List to enclose synonyms,alternative wordings,or explanatory phrases
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,Volume 1
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
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38
The letter "X" in ICD-10-CM can be found in the fifth or sixth character position for some codes as a placeholder.
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39
"__________" is used in the Alphabetic Index to provide guidance when two conditions are related or have a causal relationship.
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