Question 1

To keep up to date on coding practices,the health insurance professional should always consult the most recently published coding manual.

Accepted Answer

As coding practices can change frequently, it is important for health insurance professionals to consult the most recently published coding manual to ensure accuracy and compliance with industry standards.

Question 2

There is one year time limit on when a late effect code can be used.

Accepted Answer

There is no one year time limit on when a late effect code can be used. Late effect codes can be used at any time, regardless of how long it has been since the initial injury or illness.

Question 3

Parentheses in the Alphabetic Index have no special meaning.

Accepted Answer

In the Alphabetic Index, parentheses are used to enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code assignment.

Question 4

The full code,including laterality and any applicable seventh character,can be selected only from the Tabular list in the ICD-10 coding system.

Accepted Answer

The Tabular list in the ICD-10 coding system contains the full code, along with any necessary laterality and seventh characters, for accurate coding. Therefore, the statement is true.

Question 5

The ICD-10-CM code must describe the diagnosis accurately and to the greatest specificity to receive maximum reimbursement for the provider and patient,and justify the medical necessity of the procedure codes documented on the insurance claim.

Accepted Answer

The statement is true. Accurate and specific ICD-10-CM codes are required to ensure maximum reimbursement for healthcare providers and patients and to support medical necessity for the associated procedure codes on insurance claims.

Question 6

If a diagnosis in the ICD-10 Index is followed by at least five designated digits,it is not necessary to check the Tabular List when assigning a code.

Accepted Answer

It is important to verify the code in the Tabular List even if the diagnosis in the Index has five digits or more. The Tabular List provides additional instructions and specificity for assigning the correct code. Simply relying on the Index can lead to inaccurate or incomplete coding.

Question 7

Laterality (side of the body affected)codes are used frequently in the neoplasm and injury chapters.

Accepted Answer

It is true that laterality codes are used frequently in the neoplasm and injury chapters. These codes indicate the side of the body that is affected, such as left, right or bilateral. They are important for accurately describing the location and extent of the disease or injury, and are commonly used in medical coding and billing.

Question 8

ICD manuals may differ somewhat from one publisher to the next as far as how the material is arranged in the introduction or preface;however,the basic information is the same.

Accepted Answer

While there may be slight variations in how different publishers arrange their ICD manuals, the fundamental information contained within them remains consistent.

Question 9

In the ICD-10 diagnosis code set characters within the code identify right versus left,initial encounter versus subsequent encounter,and other more precise clinical information.

Accepted Answer

Correct. The ICD-10 diagnosis code set uses specific characters within the code to identify right versus left, initial encounter versus subsequent encounter, and other clinical details.

Question 10

A code set is any set of codes used for encoding data elements,such as tables of terms,medical diagnosis codes,or medical procedure codes.

Accepted Answer

This statement is true. A code set refers to any set of codes used to encode data elements, such as medical diagnosis codes or procedure codes.

Question 11

The etiology (cause of a disease or condition)is always coded first,and the manifestation (sign or symptom of a disease)is coded second.

Accepted Answer

In medical coding, the etiology or underlying cause of a disease is typically coded first, followed by the manifestation or symptoms, to accurately represent the sequence of the disease process.

Question 12

In an ICD-10 code,additional characters after the decimal point serve no real purpose.

Accepted Answer

Additional characters after the decimal point in an ICD-10 code serve a specific purpose, such as specifying the episode of care, laterality, or approach used for a specific procedure.

Quiz 12: Diagnostic Coding