Chapter 1

What is the appropriate location for the period between code characters? Multiple choice question. 1. Between third and fourth characters 2. Between second and third characters 3. Between fourth and fifth characters 4. Between fifth and sixth characters

1. Between third and fourth characters

Which of the following CPT code sets contains four numbers followed by the letter "T" to make up a five-character code? Multiple choice question. 1. Category III 2. Category II 3. Category I 4. Modifier

1. Category III

What do codes from the Index to External Causes describe? Multiple select question. 1. How patient got injured 2. Those involved with patient injury 3. Where patient got injured 4. When patient got injured

1. How patient got injured 3. Where patient got injured

For coding purposes, the surgical removal of a mole would be considered a Multiple choice question. 1. service. 2. diagnostic statement. 3. procedure. 4. treatment.

3. procedure

In ICD-10-CM, where would a coder look to locate a suggested code for a tumor? Multiple choice question. 1. Table of Drugs and Chemicals 2. Tabular List of Diseases and Injuries 3. Neoplasm Table 4. Diagnostic statement

c. Neoplasm Table

What code explain why the individual came to see the physician and support the physician's decision about what procedures to provide? Multiple choice question. 1. level II 2. diagnosis 3. hcpcs 4. procedure

diagnosis

Which of the following code sets are used to translate health care procedures, services, and treatments? Multiple select question. 1. ICD-10-PCS 2. ICD-10-CM 3. HCPCS Level II 4. CPT

1. ICD-10-PCS 3. HCPCS LEVEL II 4. CPT

Which of the following are referred to as Classification Systems? 1. ICD-10-CM 2. Modifiers 3. CPT 4. ICD-10-PCS 5. HCPCS

1. IDC-10-CM 2. CPT 3. ICD-10-PCS 4. HCPCS

Which of the following is NOT a section of the CPT book? Multiple choice question. 1. Neoplasm Table 2. Evaluation and Management 3. Pathology 4. Surgery 5. Medicine

1. Neoplasm Table

Which of the following is NOT a section of the CPT book? Multiple choice question. 1. Neoplasm Table 2. Surgery 3. Evaluation and Management 4. Medicine 5. Pathology

1. Neoplasm Table

Which of the following would be coded using a HCPCS Level II code? Multiple select question. 1. Wheelchair 2. Prosthetic leg 3. Blood glucose test 4. Ambulance transport

1. Wheelchair 2. Prosthetic leg 4. Ambulance transport

The CPT codes in the Alphabetic Index are presented Multiple select question. 1. by abbreviation. 2. by numeric code. 3. by service. 4. by procedure.

1. by abbreviation 3. by service 4. by procedure

What are some of the uses that research organizations and government agencies use statistical data from codes? Multiple select question. 1. developing programs 2. identifying research areas 3. allocating funds 4. curing diseases

1. developing programs 2. identifying research areas 3. allocating funds

Coding professionals use the physician's _________ or __________ to assign ICD-10-CM codes describing why the patient was seen. Multiple select question. 1. diagnosis 2. Tabular List 3. Alphabetic Index 4. diagnostic statement

1. diagnosis 4. diagnostic statement

By communicating using codes rather than words, you can successfully convey to others involved ______. Multiple select question. 1. exactly what happened during a provider-patient encounter 2. what the patient requires in terms of treatment 3. when it occurred 4. why it occurred

1. exactly what happened during a provider-patient encounter 4. why it occurred

By requiring medical necessity it ensures that health care providers are Multiple select question. 1. not performing tests without a good medical reason 2. not billing patients without a good medical reason 3. not giving injections without a good medical reason 4. not seeing patients without a good medical reason

1. not performing tests without a good medical reason 3. not giving injections without a good medical reason

CPT codes are used to report contributions made by Multiple select question. 1. physician's offices. 2. insurance carriers. 3. ambulatory surgical centers. 4. emergency departments of hospitals. 5. outpatient facilities.

1. physician's office 3. ambulatory surgical centers 4. emergency departments of hospitals 5. outpatient facilities

The process of paying for health care services after they have been provided is referred to as ___________. Multiple choice question. 1. reimbursement 2. coding 3. payable 4. allocation

1. reimbursement

Which of the following are included in the Healthcare Common Procedure Coding System? Multiple select question. 1. ICD-10-CM 2. CPT 3. HCPCS Level II 4. ICD-10-PCS

2. CPT 3. HCPCS LEVEL II

Which of the following statements are true when selecting a code? Multiple select question. 1. The Tabular List is used as a reference guide only and is not required to verify any code. 2. Codes in the Neoplasm Table require coders to view the Tabular List to verify code accuracy. 3. Codes in the Alphabetic Index require coders to view the Tabular List to verify code accuracy. 4. Codes in the Table of Drugs and Chemicals require coders to view the Tabular List to verify code accuracy.

2. Codes in the Neoplasm Table require coders to view the Tabular List to verify code accuracy. 3. Codes in the Alphabetic Index require coders to view the Tabular List to verify code accuracy. 4. Codes in the Table of Drugs and Chemicals require coders to view the Tabular List to verify code accuracy.

Which of the following CPT code sets contains two-character codes? Multiple choice question. 1. CPT Category II 2. Modifiers 3. CPT Category I 4. CPT Category III

2. Modifiers

In the Alphabetic Index of ICD-10-CM, the diagnostic descriptions are listed by Multiple select question. 1. treatment. 2. condition. 3. procedure. 4. eponym.

2. condition 4. eponym

Diagnostic descriptions in the alphabetic index of ICD-10-CM are listed by Multiple select question. 1. organ 2. eponym 3. condition 4. body system

2. eponym 3. condition

ICD-10-PCS is used to code for Multiple choice question. 1. office visits. 2. inpatient visits. 3. emergency room visits. 4. outpatient surgical visits.

2. inpatient visits

Who are the three parties involved in virtually every encounter? Multiple select question. 1. nurse/medical assistant 2. insurance company 3. health care provider 4. patient

2. insurance company 3. health care provider 4. patient

What aspects of the health care system does coding communicate information from? Multiple select question. 1. disease prevention 2. medical necessity 3. reimbursement 4. statistical analyses

2. medical necessity 3. reimbursement 4. statistical analyses

What aspects of the health care system does coding communicate information from? 1. disease prevention 2. statistical analyses 3. reimbursement 4. medical necessity

2. statistical analysis 3. reimbursement 4. medical necessity

For coding purposes, acupuncture would be considered a Multiple choice question. 1. service. 2. treatment. 3. procedure. 4. medical necessity.

2. treatment

After locating a code in the Index to External Causes, the next coding step is to Multiple choice question. 1. verify the code in the Alphabetic Index. 2. verify the code in the Tabular List. 3. verify the code in the Table of Drugs and Chemicals. 4. assign the code and submit bill.

2. verify the code in the Tabular List

In what order are the codes arranged in the Tabular List of Diseases and Injuries? Multiple choice question. 1. Numeric order 2. Eponym 3. Alphanumeric order 4. Condition

3. Alphanumeric order

Which of the following symbols might you find in your code book alerting you to the need for additional characters in a code? Multiple select question. 1. Triangle 2. Circle with a check mark 3. Bullet 4. Box with a check mark

3. Bullet 4. Box with a check mark

Which of the following is used to code emerging technological procedures? Multiple choice question. 1. Category II 2. CPT 3. Category III 4. Modifiers

3. Category III

CPT codes are also known as Multiple choice question. 1. HCPCS Level II codes. 2. HCPCS Level III codes. 3. HCPCS Level I codes. 4. diagnosis codes.

3. HCPCS LEVEL I codes

Dental services are coded using which code set? Multiple choice question. 1. HCPCS Level I 2. ICD-10-PCS 3. HCPCS Level II 4. CPT

3. HCPCS Level II

What is the Alphabetic Index in the ICD-10-CM code book also known as? Multiple choice question. 1. Table of Drugs and Chemicals 2. External Cases Index 3. Index to Diseases and Injuries 4. Tabular Index

3. Index to Diseases and Injuries

Statistical ______ of the data provided by codes can help to write public health policies that will best address areas of concern for the health of our nation. Multiple choice question. 1. research 2. ordering 3. analysis 4. computing

3. analysis

What code explain why the individual came to see the physician and support the physician's decision about what procedures to provide? Multiple choice question. 1. level II 2. procedure 3. diagnosis 4. hcpcs

3. diagnosis

Coding professionals use the physician's _________ or __________ to assign ICD-10-CM codes describing why the patient was seen. Multiple select question. 1. Tabular List 2. Alphabetic Index 3. diagnosis 4. diagnostic statement

3. diagnosis 4. diagnostic statement

After locating a code in the Alphabetic Index, the next coding step is to Multiple choice question. 1. assign the code to the encounter. 2. assign the code and bill the insurance company. 3. look up the code in the Tabular List of Diseases and Injuries. 4. query the physician to ensure you have the correct code.

3. look up the code in the Tabular List of Diseases and Injuries.

Which of the following is true about CPT codes? Multiple choice question. 1. CPT codes can report a contribution by an outpatient facility for sterile procedure. 2. CPT codes can report procedures performed by a physician at any location. 3. CPT codes can report a physician discussion with a patient about test results. 4. All statements are true.

4. All statements are true

Computer programs can easily and quickly organize _____ (the codes) to identify the largest patient population's diagnoses and the most frequently provided treatments and services. Multiple choice question. 1. systems 2. levels 3. geography 4. data

4. data

What must administrators and managers ensure are used in the most efficient and effective manner whether in one-physician offices or large hospitals? Multiple choice question. 1. codes 2. patients 3. encounters 4. resources

4. resources

What must administrators and managers ensure are used in the most efficient and effective manner whether in one-physician offices or large hospitals? Multiple choice question. 1. encounters 2. codes 3. patients 4. resources

4. resources

ICD-10-PCS codes are made up of Multiple choice question. 1. three alphanumeric characters. 2. four alphanumeric characters. 3. six alphanumeric characters. 4. seven alphanumeric characters.

4. seven alphanumeric characters

International Classification of Diseases--10th Revision--Clinical Modification is used to report Multiple choice question. 1. what was done to the patient during the visit. 2. how the patient was seen. 3. where the patient was seen. 4. why the patient was seen.

4. why the patient was seen

How many characters would a valid ICD-10-CM code consist of? Multiple select question. 3 numeric characters. 7 alphanumeric characters. 7 numeric characters. 3 alphanumeric characters.

7 alphanumeric characters 3 alphanumeric characters

The purpose of using health care coding languages is to enable the ___________ of information, in a specific and efficient way, between all those involved in health care. 1. protecting 2. copying 3. requiring 4. sharing

sharing