Chapter 12 — Quiz
Twenty-two questions.
Multiple choice
1. Seventh character A indicates that:
- A. this is the first visit
- B. the patient is receiving active treatment
- C. the condition is acute
- D. the patient was admitted
2. Seventh character D indicates:
- A. the second visit
- B. active treatment is complete and the patient is in routine healing or recovery
- C. a delayed diagnosis
- D. discharge
3. A patient's first visit to a new provider, for routine follow-up of a fracture set elsewhere:
- A. A
- B. B
- C. D
- D. S
4. For a sequela:
- A. the S code is sequenced first
- B. the residual condition is sequenced first, then the injury code with S
- C. the S code is reported alone
- D. no injury code is used
5. A fracture not documented as open or closed defaults to:
- A. open
- B. closed
- C. unspecified
- D. requires a query
6. A fracture not documented as displaced or non-displaced defaults to:
- A. non-displaced
- B. displaced
- C. unspecified
- D. requires a query
7. Routine fracture aftercare is coded with:
- A. an aftercare Z-code
- B. the acute fracture code with the appropriate seventh character
- C. a follow-up code
- D. a sequela code
8. Burns are sequenced:
- A. by site, alphabetically
- B. highest degree first
- C. lowest degree first
- D. extent code first
9. A drug taken correctly as prescribed producing a harmful effect is:
- A. poisoning
- B. adverse effect
- C. underdosing
- D. toxic effect
10. For a poisoning, the sequencing is:
- A. manifestation first, then the poisoning code
- B. the poisoning code first, then the manifestation
- C. external cause first
- D. either
11. For an adverse effect, the sequencing is:
- A. the drug code first, then the manifestation
- B. the manifestation first, then the drug code
- C. either
- D. the drug code alone
12. Underdosing requires an additional code identifying:
- A. the prescriber
- B. the reason for the underdosing
- C. the pharmacy
- D. the drug class
13. External cause codes are:
- A. always first-listed
- B. never first-listed
- C. required nationally
- D. used only for work injuries
14. Place of occurrence and activity codes are reported:
- A. on every encounter
- B. once, at the initial encounter
- C. never
- D. only on inpatient claims
15. A test is a screening when:
- A. it is annual
- B. the patient has no signs or symptoms of the condition tested for
- C. the patient asked for it
- D. it is covered as preventive
Short answer
16. State what the seventh character describes and what it does not. Give the example that breaks the "first visit" intuition.
17. State the sequela sequencing rule and explain why the S code cannot stand alone.
18. Name the four columns of the drug table by what happened, and give the sequencing for each.
19. Which two drug-table sequencings are inverted relative to each other, and what is the reason?
20. Distinguish aftercare from follow-up, and name the situation where neither applies.
21. (Chapter 9) When is a symptom code the correct first-listed diagnosis?
22. (Chapter 7) Account 10-4471's knee pain takes no seventh character. Explain why, and name the clause in the note that settles it.