Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. This crosswalks ICD-9-CM codes to ICD-10-CM codes:

a.

Index

c.

multiaxial

b.

Tabular

d.

GEMs

____ 2. Which of the following is true about the ICD-10-CM:

a.

There is a limitation of injury codes.

b.

There is additional information that is relevant to inpatient encounters.

c.

There are combination diagnosis/symptom codes.

d.

There was an addition of an eighth character.

____ 3. The following are characteristics of the ICD-10-CM index:

a.

Main terms are in bold type.

b.

Subterms are indented under the main term.

c.

Only the first four characters of some codes are given.

d.

All of the above.

____ 4. Which organization has been responsible for the development of ICD-10-CM?

a.

NCHS

c.

AMA

b.

AHIMA

d.

AHA

____ 5. The maximum number of characters in an ICD-10-CM code is:

a.

4

c.

6

b.

5

d.

7

Completion

Complete each statement.

6. Personal history of peptic ulcer.

ICD-10-CM Code: ____________________

7. Screening for sickle cell.

ICD-10-CM Code: ____________________

8. Long-term use of high-risk medication.

ICD-10-CM Code: ____________________

9. Family history of breast cancer, female.

ICD-10-CM Code: ____________________

10. Preoperative evaluation for elective cholecystectomy due to gallstones. Patient is seen by pulmonologist because of COPD.

ICD-10-CM Codes: ____________________, ____________________, ____________________

11. A multi-gravid patient presents for routine prenatal visit. No complications are noted.

ICD-10-CM Code: ____________________

12. Encounter for paternity testing.

ICD-10-CM Code: ____________________

13. Exposure to tuberculosis.

ICD-10-CM Code: ____________________

14. Patient admitted to observation following accident at work. No injuries found.

ICD-10-CM Code: ____________________

15. Screening for osteoporosis.

ICD-10-CM Code: ____________________

Identify the first-listed diagnosis in the following outpatient encounters or visits.

16. Established patient presents with chest pain and has a history of previous myocardial infarction. ____________________

17. Initial office visit for patient with diarrhea. Physician documented gastroenteritis. ____________________

18. Established patient seen for redness and discharge from right eye. A diagnosis of bacterial conjunctivitis was made. ____________________

19. An established patient is seen for management of diabetes and rheumatoid arthritis and the physician spends equal time on each diagnosis. ____________________

20. An established patient is seen for amenorrhea and galactorrhea

Coding Review Worksheet 2

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. Modifiers may affect:

a.

health care premiums

b.

type of treatment provided

c.

the way payment is made by a third-party payer

d.

code selection

____ 2. Modifiers are used to indicate what type of information?

a.

bilateral procedure

b.

multiple procedures

c.

service greater than usually required

d.

all of the above

____ 3. Modifier -57, decision for surgery, is used on what type of service?

a.

E/M

c.

anesthesia

b.

surgery

d.

all of the above

____ 4. Modifier -79, unrelated procedure or service by the same physician during the postoperative period, is used on what type of service?

a.

E/M

c.

anesthesia

b.

surgery

d.

all of the above

____ 5. Modifier -51, Multiple Procedure, is used on what type of services?

a.

E/M

c.

anesthesia

b.

surgery

d.

all of the above

____ 6. Modifier -80, Assistant Surgeon, is used when:

a.

two surgeons perform a distinct part of the surgery

b.

the surgery is complex and requires several physicians

c.

a second surgeon provides assistance to the primary surgeon

d.

all of the above

____ 7. Modifier -32 is used to indicate a service is mandated. Which of the following is an example of when a service is mandated?

a.

Another physician requests a second opinion.

b.

An insurance company requires a second opinion prior to surgery.

c.

The patient requests a second opinion.

d.

All of the above.

____ 8. Modifier -25, significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service, is used to report an E/M service that was:

a.

performed in a postoperative period

b.

provided on the same day as a minor procedure performed by the same physician

c.

provided on the same day as a major procedure

d.

all of the above

____ 9. Modifier -59, distinct procedure service, is used to indicate that:

a.

services that are usually bundled into one payment were provided as separate services

b.

a subsequent surgery was planned or staged

c.

a service was repeated

d.

a patient is taken back to the operating room for surgical treatment of a complication resulting from a previous surgery

____ 10. Modifier -58, staged or related procedure or service by the same physician during the postoperative period, is used to indicate:

a.

that a patient is taken back to the operating room for surgical treatment of a complication resulting from a previous surgery

b.

that services provided usually bundled into one payment were provided as separate services

c.

a service was repeated

d.

that a subsequent surgery was planned at the time of the first surgery

____ 11. Modifier -52, reduced services, is used to indicate:

a.

a service was discontinued

b.

changes the description of the code

c.

a service was reduced without changing the definition of the code

d.

the procedure was terminated at the request of the patient

____ 12. The modifier -AA is an example of what type of modifier?

a.

CPT

c.

ICD-9-CM

b.

HCPCS

d.

None of the above

____ 13. Multiple modifiers are indicated with which modifier?

a.

-47

c.

-22

b.

-50

d.

-99

____ 14. The modifier that indicates only the professional component of the service was provided is:

a.

-50

c.

-22

b.

-51

d.

-26

____ 15. The modifier that indicates multiple procedures is:

a.

-32

c.

-22

b.

-51

d.

-26

____ 16. The surgical package includes:

a.

general anesthesia

b.

typical follow-up care

c.

E/M visit requiring decision for surgery

d.

all of the above

____ 17. Local anesthesia is defined in the CPT guidelines as:

a.

local infiltration

b.

metacarpal/digital block

c.

topical anesthesia

d.

all of the above