M132/HIM1126C Section 02 ICD-PCS Coding - Online Plus - 2018 Winter Quarter Term 1
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• Question 1
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When building an ICD 10 PCS code, the first step (after reading the documentation and making sure you understand all terms) to building the most accurate code is to:
Selected
Answer: Determine the objective or intent of the procedure to find the root operation.
Answers: Find the body system to code.
Go directly to the Coding Tables. Determine the approach of the procedure.
Determine the objective or intent of the procedure to find the root operation.
• Question 2
1 out of 1 points
The second character of the PCS code in the Medical and Surgical section represents the body system. The body systems characters are specified in what part of the code book?
Selected
Answer: The Introduction
Answers: The coding guidelines
The conventions section The Coding Tables
The Introduction
• Question 3
1 out of 1 points
In the Medical and Surgical section, the third character of the ICD 10 PCS code always represents the:
Selected
Answer: Root Operation
Answers:
Root Operation Body System Device
Body Part
• Question 4
If a patient has a laparoscopic (the surgery is done via a scope) cholecystectomy (complete removal of the gallbladder) that requires being converted to an open
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cholecystectomy, the ICD-10-PCS coding guidelines require that the coder must code:
Selected
Answer: Both percutaneous endoscopic inspection and the open resection of the gallbladder
Answers: Open excision of the gallbladder
Open resection of the gallbladder Percutaneous endoscopic inspection
Both percutaneous endoscopic inspection and the open resection of the gallbladder
• Question 5
Devices in the Medical and Surgical section are depicted in the code by character:
Selected Answer: six
Answers: sev en
five
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six four
• Question 6
What letters are not used in the ICD 10 PCS coding system?
Selected Answer: I and O
Answers: E and T S and X O and S
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I and O
• Question 7
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The fifth character of the ICD-10-PCS code in the Medical and Surgical section is for the approach which identifies the method used to reach the operative site. If this approach involves a puncture or minor incision through the skin or mucous membrane and any other body layers necessary using any instrumentation except a scope to reach the site of the procedure, then the approach is:
Selected
Answer: Percutaneous approach
Answers: Via natural or artificial opening with percutaneous endoscopic assistance Open approach
Percutaneous endoscopic approach
Percutaneous approach
• Question 8
Which of the following statements is false regarding ICD-10-PCS?
Selected
Answer: ICD 10 PCS may contain 5, 6, or 7 characters in the code.
Answers:
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ICD 10 PCS may contain 5, 6, or 7 characters in the code.
The first character is ICD 10 PCS designates the section the code is from and may start with either a letter or a number.
It is not required that the physician use the exact same standardized medical terminology as is used in the ICD 10 PCS coding system in order for a coder to code the documentation given.
When the word "and" is used in a code description in the coding tables, it means "and/or" per the ICD 10 Conventions found in the code book.
• Question 9
1 out of 1 points
If a resection (removal) of a joint is performed first and then a joint replacement is performed as one procedure, the coder should code:
Selected
Answer: Code only the joint replacement with the removal of the joint as part of the procedure.
Answers:
Code only the joint replacement with the removal of the joint as part of the procedure.
Query the physician to ask what should be coded.
Code separately the resection (removal) of the joint and the joint replacement.
Code the resection (removal) first and then code the joint replacement second.
• Question 10
What value is used if there is a character that does not apply to a given code?
Selected Answer: Z
Answers:
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Z O
dash (-)
X
• Question 11
If multiple tubular body parts are inspected, the coder must:
Selected
Answer: Code the most distal body part inspected in the procedure.
Answers: Code all body parts inspected separately.
Query the physician as to which part of the procedure was most extensive.
Code the first body part inspected in the procedure.
Code the most distal body part inspected in the procedure.
• Question 12
If a patient has a total laparoscopic cholecystectomy, what root operation does this procedure represent?
Selected Answer: Resection
Answers: Excision
Resection Repair Removal
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• Question 13
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If the intended procedure is discontinued before the intended root operation is performed, which root operation is used for coding the initiation of the procedure without completing the procedure?
Selected Answer: Inspection
Answers: Dilation Placement Insertion
Inspection
• Question 14
1 out of 1 points
In the Conventions section included in the ICD 10 Official Guidelines for Coding and Reporting, there are guidelines that start with an “A” and provide foundational information on how to build a code accurately in ICD 10 PCS coding. Convention A6 addresses which of the following?
Selected
Answer: The purpose of the Alphabetic Index
Answers: To describe meaning of the seven characters of a PCS code.
How to use the Code Table index.
How to translate physician documentation into a code.
The purpose of the Alphabetic Index
• Question 15
The total number of characters in an ICD-10-PCS code is:
Selected Answer: sev
en
Answers: six five
sev en
eigh t
• Question 16
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1 out of 1 points
Non-coronary Bypass procedures are coded by:
Selected
Answer: By identifying the body part bypassed from and bypassed to in the code.
Answers: A qualifier character that indicates this is a bypass.
A device character that indicates this is a bypass
By identifying the body part bypassed from and bypassed to in the code. The root procedure only indicating this is a bypass procedure.
• Question 17
1 out of 1 points
The first character of all codes in ICD-10-PCS from the Medical and Surgical section will begin with:
Selected
Answer: a number
Answers: a letter or a number a letter
a letter/number combination
a number
• Question 18
1 out of 1 points
The number of root operations available to use in the Medical and Surgical section of the code book only is:
Selected Answer: 3
1
Answers: 2
8
3
1
2
4
2
1
• Question 19
0 out of 1 points
If the physician documents "partial resection of the stomach", the coder should:
Selected
Answer: Code the root operation "Removal"
Answers: Code the root operation "Resection"
Code the root operation "Excision"
Query the physician to ask if he means "excision" , "removal", or "resection"
Code the root operation "Removal"
• Question 20
0 out of 1 points
When a biopsy is done, the meaning of the 7th character qualifier that is used in building the code is:
Selected Answer: Pathology
Answers: Excision Pathology
Diagnostic Resection
• Question 21
If the patient has a diagnostic or biopsy procedure performed followed by a more
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definitive procedure on the same body site during the same operative episode, the coder must code:
Selected
Answer: Both the diagnostic or biopsy procedure and the more definitive procedure.
Answers: The diagnostic procedure only.
The combination code that covers both the diagnostic procedure and the more definitive procedure.
Both the diagnostic or biopsy procedure and the more definitive procedure.
The most extensive procedure.
• Question 22
1 out of 1 points
When a physician performs a cystoscopy which is done with making a small incision to insert a scope, the approach for this procedure is:
Selected
Answer: Percutaneous endoscopic approach
Answers: Via natural or artificial opening with percutaneous endoscopic assistance Open approach
Via natural or artificial opening, endoscopic
Percutaneous endoscopic approach
• Question 23
1 out of 1 points
If a patient has an open reduction of a dislocation of the temporomandibular joint on the left side, what root operation does this procedure represent based on the definitions given for root operations in the Appendix in the back of the ICD 10 PCS code book?
Selected
Answer: Reposition
Answers: Reduction Realignment
Reposition Placement
• Question 24
If a patient has a left upper lung lobectomy to completely remove the left upper lung lobe, the coder will code:
Selected
Answer: Resection of upper lung lobe, left
Answers: Resection of lung, left
Resection of upper lung lobe, left Excision of upper lung lobe, left Excision of lung, left
• Question 25
ICD-10-PCS is the HIPAA mandated code set for reporting:
Selected
Answer: inpatient procedures
Answers: outpatient procedures
inpatient diagnoses
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inpatient procedures outpatient diagnoses [Show Less]