MODULE 1 QUIZ REVIEW

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Rasmussen College, Saint Cloud *

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Mechanical Engineering

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Feb 20, 2024

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1. Question 1 What does the second character of PCS code represent? BODY SYSTEM The body system The root operation The body part The approach 2. Question 2 If a resection (removal) of a joint is performed first and then a joint replacement is performed as the same time, the coder should: CODE ONLY THE JOINT REPLACEMENT SINCE THE RESECTION OF THE JOINT IS A PART OF THE REPLACEMENT PROCEDURE Code only the joint replacement since the resection of the joint as part of the replacement 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. 3. Question 3 If a patient has an attempted laparoscopic cholecystectomy that is converted to an open cholecystectomy, the ICD-10-PCS coding guidelines require that the coder must code: Open excision of the gallbladder OPEN RESECTION OF THE GALLBLADDER Open resection of the gallbladder Percutaneous endoscopic inspection Both percutaneous endoscopic inspection and the open resection of the gallbladder 4. Question 4 If a patient has a left upper lung lobectomy to completely remove the left upper lung lobe, the coder will code: Resection of lung, left RESECTION OF UPPER LOBE, LEFT Resection of upper lung lobe, left Excision of upper lung lobe, left
Excision of lung, left 5. Question 5 What letters are not used in the ICD 10 PCS coding system? E and T S and X O and S I AND O I and O 6. Question 6 If the physician documents "partial resection of the stomach", the coder should: Code the root operation "Resection" CODE THE ROOT OPERATION “EXCISION” Code the root operation "Excision" Query the physician to ask if he means "excision" , "removal", or "resection"
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Code the root operation "Removal" 7. Question 7 What value is used if there is a character that does not apply to a given code? Z Z O dash (-) X 8. Question 8 Devices in the Medical and Surgical section are indicated by which character in the code? seventh Fifth sixth sixth
fourth 9. Question 9 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? Reduction Realignment reposition Reposition Placement 10. Question 10 When a physician performs a cystoscopy (which is a scope inserted through the urethra) the approach for this procedure is: Via natural or artificial opening with percutaneous endoscopic assistance Open approach via natural or artificial opening endoscopic
Via natural or artificial opening, endoscopic Percutaneous endoscopic approach 11. Question 11 If multiple tubular body parts are inspected, the coder must: 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 Code the most distal body part inspected in the procedure. 12. Question 12 Coding Guideline A6 addresses which of the following? 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.
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The purpose of the alphabetic index The purpose of the Alphabetic Index 13. Question 13 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: Via natural or artificial opening with percutaneous endoscopic assistance Open approach percutaneous endoscopic approach Percutaneous endoscopic approach Percutaneous approach 14. Question 14 If a patient has a total laparoscopic cholecystectomy, what root operation does this procedure represent? Excision resection Resection
Repair Removal 15. Question 15 If the patient has a diagnostic or biopsy procedure performed followed by a more definitive procedure on the same body part during the same operative episode, the coder must code: 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 Both the diagnostic or biopsy procedure and the more definitive procedure. The most extensive procedure. 16. Question 16 ICD-10-PCS is the HIPAA mandated code set for reporting: outpatient procedures inpatient diagnoses
INPATIENT PROCEDURES inpatient procedures outpatient diagnoses 17. Question 17 Which of the following statements is false regarding ICD-10-PCS? ICD 10 PCS codes may contain 5, 6, or 7 characters. ICD 10 PCS CODES MAY CONTAIN 5, 6, AND 7 CHARACTERS 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. 18. Question 18 Non-coronary Bypass procedures are coded by: A qualifier character that indicates this is a bypass.
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A device character that indicates this is a bypass by identifying the body part bypassed from and bypassed to in the code By identifying the body part bypassed from and bypassed to in the code. By identifying the number of vessels bypassed. 19. Question 19 If a procedure is started but discontinued before any other root operation can be performed, which root operation is coded? Dilation Placement Insertion inspection Inspection 20. Question 20 The first character of all codes in ICD-10-PCS from the Medical and Surgical section will begin with: a letter or a number
a letter a letter/number combination a number a number 21. Question 21 In the Medical and Surgical section, the third character of the ICD 10 PCS code always represents the: Root Operation Root operation Body System Device Body Part 22. Question 22 The total number of characters in an ICD-10-PCS code is always: six
Five seven seven eight 23. Question 23 When a biopsy is done, the meaning of the 7th character qualifier is: Pathology diagnostic Resection Excision 24. Question 24 When you build 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: Find the body system to code.
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Go directly to the Coding Tables. Determine the approach of the procedure. Determine the determine the objective or intent of the procedure to find the root operation find the root operation. 25. Question 25 The number of root operations available to use in the Medical and Surgical section of the code book is: 28 3 1 31 24 21