Chapter 7 — Quiz
Twenty-four questions. Verify every code in the current year's book before using it on a claim.
Multiple choice
1. An ICD-10-CM code contains a minimum of ___ and a maximum of ___ characters.
- A. three, six
- B. three, seven
- C. four, seven
- D. four, eight
2. The second character of an ICD-10-CM code is always:
- A. a letter
- B. a number
- C. either
- D. a placeholder
3. The decimal point sits after character:
- A. two
- B. three
- C. four
- D. it varies
4. Neoplasms are classified in the chapter with the range:
- A. A00–B99
- B. C00–D49
- C. D50–D89
- D. E00–E89
5. The only letter covering two chapters is:
- A. D
- B. H
- C. M
- D. T
6. A three-character category is a valid code:
- A. always
- B. never
- C. only when it has no further subdivision
- D. only in chapters 1 through 5
7. A code reported at four characters when its complete form is six characters is:
- A. less specific but acceptable
- B. invalid
- C. a truncation permitted for outpatient claims
- D. a category code
8. The placeholder X:
- A. pads the end of short codes
- B. holds an empty position open so the seventh character sits in the seventh position
- C. is optional when the meaning is clear
- D. indicates an unspecified condition
9. Unspecified fall, initial encounter, is correctly reported as:
- A. W19A
- B. W19.XXA
- C. W19.XXXA
- D. W19.XXXXA
10. In chapter 19, seventh character A indicates:
- A. the first visit for the condition
- B. that the patient is receiving active treatment
- C. an acute condition
- D. an admission
11. For fractures, seventh character K indicates a subsequent encounter with:
- A. routine healing
- B. delayed healing
- C. nonunion
- D. malunion
12. In chapter 15, the seventh character identifies:
- A. the trimester
- B. which fetus the condition applies to
- C. the episode of care
- D. the delivery method
13. Laterality digit assignments:
- A. are identical in every category
- B. vary by category and must be verified
- C. are always in the fifth character
- D. always include a bilateral option
14. A single code classifying type 2 diabetes with diabetic chronic kidney disease is an example of a:
- A. manifestation code
- B. combination code
- C. sequela code
- D. placeholder code
15. A manifestation code shown in brackets in the Alphabetic Index is:
- A. sequenced first
- B. sequenced after the underlying condition
- C. always reportable alone
- D. a category code
16. ICD-10-CM is maintained by:
- A. the American Medical Association
- B. the National Center for Health Statistics
- C. AAPC
- D. the Medicare Administrative Contractors
17. The Cooperating Parties are:
- A. CMS, NCHS, AHA, AHIMA
- B. CMS, AMA, AAPC, AHIMA
- C. NCHS, CDC, AMA, AHA
- D. CMS, NCHS, AAPC, AHA
Short answer
18. Name the four purposes ICD-10-CM serves, and say which is not its primary purpose.
19. Take J96.01 apart character by character.
20. Explain the placeholder rule in one sentence, then say how many placeholders W19 needs and
why.
21. State the definition of "initial encounter" and the definition people wrongly assume.
22. Name four costs of an unspecified code.
23. (Chapter 4) A note documents "knee pain" in the assessment, describes the right knee in the examination, and documents a right knee injection in the procedure note. What do you code, and is that reading or inference?
24. (Chapter 6) Besides new and deleted codes, what else changes on October 1, and why does it produce errors that never reject?