1.
What does the "ICD" in ICD 10 Coding stand for?
Correct Answer
B. International Classification of Disease
Explanation
The "ICD" in ICD 10 Coding stands for International Classification of Disease. This coding system is used worldwide to classify and code medical diagnoses, symptoms, and procedures. It provides a standardized way for healthcare professionals to communicate and share information about diseases and health conditions. The ICD coding system is regularly updated to reflect advances in medical knowledge and technology, ensuring accurate and consistent documentation of diseases across different healthcare settings.
2.
Which of the following is not a new piece of information provided by ICD-10?
Correct Answer
D. All are new
Explanation
ICD-10 provides information on the location on the body, related conditions, and causes. Therefore, the correct answer is that all of these pieces of information are new and provided by ICD-10.
3.
True or False: An ICD-9 code can only have a maximum of 10 corresponding ICD-10 codes.
Correct Answer
B. False
Explanation
An ICD-9 code can have more than 10 corresponding ICD-10 codes. The ICD-10 coding system provides a more detailed and specific classification of diseases and medical conditions compared to ICD-9. Therefore, it is possible for a single ICD-9 code to have multiple corresponding ICD-10 codes, allowing for greater precision in medical coding and documentation.
4.
When is the ICD-10 compliance deadline?
Correct Answer
A. Dates of Service on or after October 01, 2015
Explanation
The ICD-10 compliance deadline was set for Dates of Service on or after October 01, 2015. This deadline marked the official transition from the ICD-9 code set to the ICD-10 code set for medical billing and coding in the United States. After this date, healthcare providers, payers, and other covered entities were required to use ICD-10 codes for all medical transactions and insurance claims. The transition to ICD-10 aimed to improve the quality and accuracy of healthcare data, enabling better decision-making and more efficient healthcare services.
5.
Claims that include an ICD-10 code can be processed before the compliance date.
Correct Answer
A. True
Explanation
Claims that include an ICD-10 code can be processed before the compliance date because the ICD-10 coding system is an international standard for classifying diseases and medical conditions. Healthcare providers and insurance companies can start using ICD-10 codes before the official compliance date to streamline their processes and ensure accurate billing and reimbursement. This allows for a smoother transition to the new coding system and avoids any delays or disruptions in claims processing.
6.
ICD-10 is for use in all U.S. health care settings.
Correct Answer
A. True
Explanation
ICD-10 is a standardized coding system used by healthcare providers in the United States. It is designed to accurately classify and code diseases, symptoms, and medical procedures, ensuring consistent and accurate documentation across all healthcare settings. Therefore, the statement that ICD-10 is for use in all U.S. health care settings is true.
7.
Diagnosis coding under ICD-10 uses 3-7 digits.
Correct Answer
A. True
Explanation
ICD-10 (International Classification of Diseases, 10th Revision) uses alphanumeric codes with 3-7 characters to classify diagnoses and health conditions. The first character is always a letter, followed by digits. The additional characters provide greater specificity and detail about the diagnosis, allowing for more accurate tracking and reporting of health data.
8.
There are approximately 14,000 available codes for ICD-9; how many codes are available for ICD-10?
Correct Answer
C. Approximately 70,000
Explanation
ICD-10 has a significantly larger number of available codes compared to ICD-9. With approximately 70,000 codes, it offers a more comprehensive and detailed classification system for medical diagnoses and procedures. This increase in codes allows for greater specificity in documenting and analyzing healthcare data, leading to improved accuracy in billing, research, and overall patient care.
9.
Why is ICD-9 being replaced?
Correct Answer
D. All of the above
Explanation
All of the above reasons contribute to the replacement of ICD-9 with ICD-10. The ICD-9 code set, developed over 30 years ago, has become outdated and does not accommodate the need for more detailed and specific codes to reflect advances in medical technology, procedures, and treatments. Additionally, the structure of ICD-9 limits its expansion, making it difficult to add new codes and keep up with the evolving healthcare landscape. The transition to ICD-10 addresses these issues by providing a more comprehensive and flexible code set, allowing for better data collection, analysis, and improved patient care.
10.
ICD-10 will allow for a higher level of specificity for diagnosis codes.
Correct Answer
A. True
Explanation
ICD-10, which stands for the International Classification of Diseases, 10th Revision, is a coding system used for diagnosing medical conditions. It provides a more detailed and specific set of codes compared to its predecessor, ICD-9. This allows healthcare professionals to accurately document and communicate diagnoses, leading to improved patient care and better data analysis. Therefore, the statement that ICD-10 will allow for a higher level of specificity for diagnosis codes is true.
11.
All of the NHIC, Corp. DME MAC Local Coverage Determinations (LCDs) and Policy Articles (PAs) that currently contain ICD-9 codes have been updated with ICD-10 codes in preparation for the compliance date.
Correct Answer
A. True
Explanation
The NHIC, Corp. DME MAC Local Coverage Determinations (LCDs) and Policy Articles (PAs) have been updated with ICD-10 codes in preparation for the compliance date. This means that all the documents that previously contained ICD-9 codes have been revised to include the corresponding ICD-10 codes. Therefore, the statement "True" is correct as it accurately reflects the updated status of the NHIC, Corp. DME MAC LCDs and PAs.
12.
All existing CMNs need to be revised with ICD-10 codes for claims submitted on or after October 01, 2015.
Correct Answer
B. False
Explanation
Existing CMNs do not need to be revised with ICD-10 codes for claims submitted on or after October 01, 2015.
13.
Claims with dates of service on or after October 01, 2015, that are submitted with ICD-9 Codes and are rejected must be:
Correct Answer
A. Resubmitted with the correct ICD-10 code
Explanation
Claims with dates of service on or after October 01, 2015, that are rejected due to the use of ICD-9 Codes should be resubmitted with the correct ICD-10 code. This is because ICD-10 codes became mandatory for use in healthcare claims after this date. Reopening or appealing the rejected claim may not be necessary if the correct ICD-10 code is provided in the resubmission.
14.
What part of the ICD-10 Code is the question mark (?) sitting in?
Correct Answer
D. Specificity (Location and Laterality)
Explanation
The question mark (?) is sitting in the "Specificity (Location and Laterality)" part of the ICD-10 Code. This part of the code is used to provide additional details about the location and side of the body where a condition or disease is present. The question mark indicates that the specific location or laterality is unknown or not specified. The ICD-10 Code system allows for greater precision and accuracy in medical coding by including this level of detail.
15.
What part of the ICD-10 Code is the question mark (?) sitting in?
Correct Answer
A. Subcategory
Explanation
The question mark (?) is sitting in the subcategory of the ICD-10 Code.
16.
V procedure codes will still exist in ICD-10. A Z will replace only the V.
Correct Answer
A. True
Explanation
In ICD-10, procedure codes will still exist, but there will be a change in the way they are represented. The letter "Z" will replace the letter "V" that was used in the previous coding system. Therefore, the statement is true.
17.
What part of the ICD-10 Code is the question mark (?) sitting in?
Correct Answer
A. Extender
Explanation
The question mark (?) is sitting in the "Extender" part of the ICD-10 Code. This part allows for additional characters to be added to the code to provide more specific information about the diagnosis or procedure. It helps to further classify and define the code, making it more precise and detailed.
18.
The ICD-9 code for Tracheostomy's initial opening is V44.0. Under the new coding system of ICD-10, the code will now be Z93.0 Tracheostomy Status.
Correct Answer
A. True
Explanation
Under the new coding system of ICD-10, the code for Tracheostomy's initial opening has changed from V44.0 to Z93.0 Tracheostomy Status. This change reflects the update in the classification system and ensures more accurate and detailed documentation of the patient's medical condition.
19.
ICD-9 Codes have a maximum of 5 characters. What is the maximum number of characters for ICD-10 codes?
Correct Answer
C. 7
Explanation
ICD-10 codes have a maximum of 7 characters, which is different from ICD-9 codes that have a maximum of 5 characters. This means that ICD-10 codes can include more detailed information and provide a more specific classification for medical diagnoses and procedures. The additional characters in ICD-10 codes allow for greater specificity in capturing the complexity of various health conditions and treatments.
20.
When you see an "X" in an ICD-10 Code, it is being used as a placeholder for that digit and will be used for future code expansion.
Correct Answer
A. True
Explanation
The presence of an "X" in an ICD-10 Code indicates that it is being used as a placeholder for a specific digit. This means that the code can be expanded in the future by replacing the "X" with a relevant digit.
21.
The United States is one of the first countries to adopt ICD-10 coding.
Correct Answer
B. False
Explanation
The given answer is false because the United States was actually one of the last countries to adopt ICD-10 coding. The International Classification of Diseases, Tenth Revision (ICD-10) was implemented in the United States on October 1, 2015, while many other countries had already adopted it years earlier. The delay in adoption was due to various factors, including the complexity of transitioning from the previous coding system (ICD-9) and the need for extensive training and preparation within the healthcare industry.
22.
The Extender:
Correct Answer
C. Can be a letter or a number
Explanation
The extender refers to a character that is used to extend the length of a file name. In this case, the correct answer is "Can be a letter or a number" because the extender can be either a letter or a number. This means that when naming a file, the extender can include alphabets or numerical digits, providing flexibility in file naming conventions.
23.
You can not have more than one (1) placeholder in a single diagnosis.
Correct Answer
B. False
Explanation
False. It is possible to have more than one placeholder in a single diagnosis. This allows for the inclusion of multiple variables or unknown values within the diagnosis, providing a more comprehensive and accurate assessment of the patient's condition.
24.
The first character in any ICD-10 code must be a letter. If it does not start with a letter, the diagnosis code is WRONG.
Correct Answer
A. True
Explanation
The first character in any ICD-10 code must be a letter. This requirement ensures that the code is valid and follows the standard format. If the code does not start with a letter, it does not meet the necessary criteria and is considered incorrect.
25.
What part of the ICD-10 code is the question mark (?) sitting in?
Correct Answer
C. Category
Explanation
The question mark (?) in the ICD-10 code is sitting in the category. The category is the broadest level of classification in the ICD-10 coding system, organizing diseases and related health conditions into major groups. The question mark indicates that a specific code is not available or has not been assigned yet within that category.