Deck 1: Introduction to the Languages of Coding

Question 1

In reimbursement, the patient is known as the ________ party.

A) First
B) Second
C) Third
D) Fourth

Answer 1

B

Question 2

In reimbursement, the health care provider is known as the ________ party.

A) First
B) Second
C) Third
D) Fourth

Answer 2

A

Question 3

A ________ is the physician's determination of a patient's condition, illness, or injury.

A) diagnosis
B) procedure
C) condition
D) service

Answer 3

A

Question 4

A ________ explains WHAT the physician or health care provider did for the patient.

A) condition
B) diagnosis
C) procedure
D) status

Question 5

The coding languages, known as classification systems, communicate information that is key to various aspects of the health care system, including

A) Statistical analyses
B) Reimbursement
C) Resource allocation
D) all of these

Question 6

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

A) medical necessity.
B) nonessential modifiers.
C) external cause.
D) Classification Systems.

Question 7

Which of the following would be an example of a condition?

A) fracture
B) history
C) Cushing's disease
D) Jackson's syndrome

Question 8

A ________ code reports why the patient was seen by the physician.

A) condition
B) diagnosis
C) procedure
D) status

Question 9

The state of abnormality or dysfunction is known as:

A) a diagnosis
B) a procedure
C) a condition
D) an eponym

Question 10

________ is the process of paying for health care services after they have been provided.

A) Medical necessity
B) Statistical analyses
C) Reimbursement
D) Resource allocation

Question 11

The WHY justifies the ________.

A) Where
B) How
C) Who
D) What

Question 12

Which of the following is an example of a procedure code?

A) 39501
B) E1391
C) G32.8
D) 06QM4ZZ

Question 13

The determination that the health care professional was acting according to standard practices in providing a particular procedure for an individual with a particular diagnosis is known as:

A) medical necessity.
B) reimbursement.
C) services.
D) treatments.

Question 14

An external cause code is used when a patient has:

A) an adverse effect.
B) an injury.
C) been poisoned.
D) all of these

Question 15

An eponym is a:

A) disease of the epiglottis.
B) disease of the epithelial tissue.
C) disease named after a person.
D) disease that is congenital.

Question 16

ICD-10-CM contains codes for reporting ________.

A) diagnoses
B) payers
C) systems
D) treatments

Question 17

Which of the following is not an example of an eponym?

A) Epstein-Barr Syndrome
B) Lou Gehrig's Disease
C) HIV
D) Parkinson's Disease

Question 18

In reimbursement, the insurance company or other organization financially responsible is known as the ________-party payer.

A) First
B) Second
C) Third
D) Fourth

Question 19

The ICD-10-CM Alphabetic Index lists diagnoses by:

A) anatomical site.
B) condition.
C) level of disease.
D) All of these

Question 20

________ are actions, or a series of actions, taken to accomplish an objective (result).

A) Diagnoses
B) Procedures
C) Conditions
D) Services

Question 21

ICD-10-CM is an acronym for:

A) International Classification of Diseases, Tenth Revision, Clinical Modification.
B) International Classification of Diseases, Tenth Revision, Current Modification.
C) International Classification of Diagnoses, Tenth Revision, Clinical Modification.
D) International Classification of Diagnoses, Tenth Revision, Current Modification.

Question 22

An ICD-10-CM diagnosis code can have up to how many characters?

A) 5
B) 6
C) 7
D) 8

Question 23

A patient admitted into a hospital for an overnight stay or longer is considered an:

A) outpatient.
B) inpatient.
C) ER patient.
D) none of these.

Question 24

CPT stands for:

A) Current Procedural Terminology.
B) Capitation Procedures and Treatments.
C) Certified Procedures and Treatments.
D) Current Procedures and Treatments.

Question 25

________ is spending time with a patient and/or family about health care situations.

A) Treatment
B) Services
C) Tests
D) Procedures

Question 26

Modifiers are appended to ________ codes.

A) ICD-10-CM
B) ICD-10-PCS
C) CPT
D) ICD

Question 27

Category II codes are:

A) four numbers followed by the letter F.
B) five numbers with no punctuation.
C) four numbers followed by the letter T.
D) one number and one letter.

Question 28

A CPT category I code has:

A) five numbers.
B) two numbers.
C) five characters.
D) two characters.

Question 29

Outpatient procedures provided by the physician are reported with what classification system?

A) CPT
B) ICD-10-CM
C) ICD-10-CM volume III
D) ICD-10-PCS

Question 30

The provision of medical care for a disorder or disease is known as:

A) procedures.
B) tests.
C) treatment.
D) services.

Question 31

Which of the following is an example of a diagnosis code?

A) 095C3ZZ
B) K0018
C) S43.303A
D) 88304

Question 32

The CPT book has ________ sections.

A) 2
B) 4
C) 6
D) 8

Question 33

Category III codes are:

A) four numbers followed by the letter F.
B) five numbers with no punctuation.
C) four numbers followed by the letter T.
D) one number and one letter.

Question 34

Which of the following statements is true about the purpose of coding?

A) They are items used in the care and treatment of a patient.
B) It provides evidence of what was provided to the patient and why.
C) It enables the sharing of information, in a specific and efficient way, between all those involved in health care.
D) It helps the physician summarize the patient's history in his or her notes.

Question 35

An ________ is a patient who receives services for a short amount of time (less than 24 hours) in a physician's office or clinic, without being kept overnight.

A) inpatient
B) outpatient
C) ambulatory patient
D) none of these

Question 36

Descriptors whose inclusion in the physician's notes are not absolutely necessary and that are provided simply to further clarify a code description are known as:

A) medical necessity.
B) nonessential modifiers.
C) external cause.
D) Classification Systems.

Question 37

What establishes medical necessity for procedures provided?

A) Durable medical equipment
B) Superbill
C) Abstracting
D) Diagnosis codes

Question 38

CPT codes and sections run, generally, in ________ order.

A) alphabetic
B) numeric
C) alphanumeric
D) no specific

Question 39

In the CPT book, radiology service codes range from:

A) 99201-99499.
B) 10021-69990.
C) 70010-79999.
D) 80047-89398, 0001U-0017U.

Question 40

An outpatient facility includes which of the following?

A) a hospital emergency room
B) ambulatory care center
C) same-day surgery center
D) all of these

Question 41

Codes to report procedures performed in a hospital are found in what classification system?

A) DME
B) ICD-10-PCS
C) ICD-10-CM, Volume III
D) ICD-10-CM

Question 42

The CPT codes are used to report:

A) who came to see the physician for treatment.
B) why the patient came to see the physician.
C) what treatments were provided to the patient.
D) all of these

Question 43

The codes listed in the HCPCS Level II code book are all structured the same way:

A) Three characters: two letters followed by one number
B) Three letters
C) Five characters: one letter followed by four numbers
D) Two numbers

Question 44

Which of the following is an example of an ICD-10-PCS code?

A) H33.24
B) 0D160ZA
C) 10060
D) G0378

Question 45

ICD-10-PCS is an acronym for:

A) International Classification of Diseases, Tenth Revision, Process Coding System.
B) International Classification of Diagnoses, Tenth Revision, Practice Coding System.
C) International Classification of Diseases, Tenth Revision, Procedure Coding System.
D) International Classification of Diagnoses, Tenth Revision, Performance Coding System.

Question 46

Which of the following terms would you find in the HCPCS Alphabetic Index?

A) Excision
B) Insertion
C) Syndrome
D) Humidifier

Question 47

An example of a possible HCPCS Level II code is:

A) 12345.
B) H2027.
C) 1234F.
D) 1234T.

Question 48

A patient was admitted into the hospital as an inpatient for a total abdominal hysterectomy. Which code set would be used by the hospital to report for the facility?

A) ICD-10-PCS
B) ICD-10-CM
C) CPT
D) HCPCS Level II

Question 49

HCPCS Level II codes are used:

A) when no CPT code is accurate.
B) to report supplies.
C) when the insurance carrier permits.
D) all of these