NCCQ UK THEORY PAST PAPER
PRACTICE | 322 QUESTIONS | WITH
VERIFIED SOLUTIONS!!
The requirement for national collection of the use of fifth characters appears in
which four ICD-10 4th Edition chapters? Either chapter numbers (Arabic or
Roman numeral) or full titles are acceptable. [3 Marks] - ANSWER✅✅ -Chapter
IX (9) Diseases of the circulatory system
Chapter X (10) Diseases of the respiratory system
Chapter XIII (13) Diseases of the musculoskeletal system and connective tissue
Chapter XIX (19) Injury, poisoning and certain other consequences of external
causes
The circumstances surrounding reactions to drug/medication are classified in two
ways within ICD-10 Tabular List, Volume 1. Name both ways. [2 Marks] -
ANSWER✅✅ -Poisoning (improper use)
Adverse effect (proper use)
What must a coder do if a surgical eponym is used in the medical record to
describe a procedure? [3 Marks] - ANSWER✅✅ -The coder must analyse the
procedural information and ensure that code assignment fully reflects the
procedure performed.
Where the coder is unsure what procedure the eponym describes, they must seek
advice from the responsible consultant to ensure that the correct codes are
assigned.
,When should site codes from Chapter Z be assigned? [1 Mark] - ANSWER✅✅ -
They must always be assigned when this adds further information about the site on
which the procedure was performed
What two conditions must be coded if a diagnosis of 'severe sepsis' alone is made
by the clinician? No actual codes are required. [2 Marks] - ANSWER✅✅ -
(A41.9) Sepsis (unspecified) (R65.1) Systemic Inflammatory Response Syndrome
(SIRS) of infectious origin with organ failure
What is the standard regarding the use of the OPCS-4.7 code X35.1 Intravenous
induction of labour? [1 Mark] - ANSWER✅✅ -It must never be used.
On what occasion is it a mandatory requirement to assign an OPCS-4.7 general
anaesthetic code? [1 Mark] - ANSWER✅✅ -When radiotherapy is delivered
under general anaesthetic, a code from category Y80 General anaesthetic must be
assigned in addition to the radiotherapy delivery.
When should codes from ICD-10 category Z54.- Convalescence be assigned and
how should they be sequenced? No actual codes are required. [2 Marks] -
ANSWER✅✅ -Never in primary. They must only be assigned in a secondary
position when a patient has received convalescence in a dedicated convalescent
unit.
How should an injury caused by a geriatric fall be coded? Describe the possible
sequencing of these codes. No actual codes are required. [4 Marks] -
ANSWER✅✅ -Code classifying the injury sustained (from Chapter XIX).
External cause code to describe the fall (from categories W00-W19).
(R29.6) Tendency to fall, (not elsewhere classified).
,In this sequence, unless the patient remains in hospital for investigation of the falls
and this becomes the primary focus of care, then this code (R29.6) must be
sequenced before the codes for the injury
What must be coded when an excision and biopsy (excision biopsy) is performed
on the same site during the same theatre visit, and why? No actual codes are
required. [2 Marks] - ANSWER✅✅ -Only assign a code(s) for the excision as a
biopsy is an integral part of an excision.
When must codes from ICD-10 category Z38.- Liveborn infants according to place
of birth be assigned in the primary coding field? [1 Mark] - ANSWER✅✅ -If the
baby is a completely well baby and has no morbid conditions that have been
treated or investigated.
During which procedure should OPCS-4.7 code X50.5 Evaluation of a
cardiodefibrillator not be assigned when carried out? No actual codes are required.
[1 Mark] - ANSWER✅✅ -When testing is performed during the insertion of the
cardioverter defibrillator (K59 Cardioverter defibrillator introduced through the
vein or K72 Other cardioverter defibrillator).
What precise wording, other than 'status asthmaticus', must be present in the
medical records to be able to assign J46.X Status asthmaticus? [1 Mark] -
ANSWER✅✅ -Acute severe asthma
How should a fracture fixation procedure be coded when the description names
more than one type of fixation device, e.g. pin and plate? No actual codes are
required. [2 Marks] - ANSWER✅✅ -Only the main part of the device that is
holding the fracture together must be coded. When it is not clear which part of the
fixation device is the main part holding the fracture together, advice must be
sought from the responsible consultant.
, In accordance with national clinical coding standards, name the two specific forms
of chest pain categorised to ICD-10 category R07 Pain in throat and chest. [2
Marks] - ANSWER✅✅ -Central chest pain
Musculoskeletal chest pain
In ICD-10 coding terms, describe the difference between a 'rectal haemorrhage'
and 'per rectal haemorrhage', and the coding standards related to these terms. No
actual codes are required. [3 Marks] - ANSWER✅✅ -The code (K62.5) for
'haemorrhage of anus and rectum' must only be assigned for an actual haemorrhage
of the anus and/or rectum. It must not be assigned for haemorrhage that has
occurred from elsewhere in the gastrointestinal tract that is merely exiting via the
rectum, i.e. per rectal haemorrhage.
The code (K92.2) for 'gastrointestinal haemorrhage, unspecified' must be assigned
for a haemorrhage that occurred via the rectum (per rectal haemorrhage) but is not
specified as being from the actual rectum or anus. This code must not be assigned
when it is a symptom of a specific disease which has been diagnosed.
How must a colonoscopy with ileal intubation that includes a biopsy of the
terminal ileum be coded? No actual codes are required. [2 Marks] - ANSWER✅✅
-(H22.1) Diagnostic fibreoptic endoscopic examination of colon and biopsy of
lesion of colon followed by the site code (Z27.6) Ileum
What clinical coding standards relating to the use of ICD-10 category O63 Long
labour must the coder be aware of? [2 Marks] - ANSWER✅✅ -It must be
documented in the medical record that the labour or stage of labour is
prolonged/long for this category to be used.
If the reason for the prolonged/long labour is stated, then this must be coded
instead
PRACTICE | 322 QUESTIONS | WITH
VERIFIED SOLUTIONS!!
The requirement for national collection of the use of fifth characters appears in
which four ICD-10 4th Edition chapters? Either chapter numbers (Arabic or
Roman numeral) or full titles are acceptable. [3 Marks] - ANSWER✅✅ -Chapter
IX (9) Diseases of the circulatory system
Chapter X (10) Diseases of the respiratory system
Chapter XIII (13) Diseases of the musculoskeletal system and connective tissue
Chapter XIX (19) Injury, poisoning and certain other consequences of external
causes
The circumstances surrounding reactions to drug/medication are classified in two
ways within ICD-10 Tabular List, Volume 1. Name both ways. [2 Marks] -
ANSWER✅✅ -Poisoning (improper use)
Adverse effect (proper use)
What must a coder do if a surgical eponym is used in the medical record to
describe a procedure? [3 Marks] - ANSWER✅✅ -The coder must analyse the
procedural information and ensure that code assignment fully reflects the
procedure performed.
Where the coder is unsure what procedure the eponym describes, they must seek
advice from the responsible consultant to ensure that the correct codes are
assigned.
,When should site codes from Chapter Z be assigned? [1 Mark] - ANSWER✅✅ -
They must always be assigned when this adds further information about the site on
which the procedure was performed
What two conditions must be coded if a diagnosis of 'severe sepsis' alone is made
by the clinician? No actual codes are required. [2 Marks] - ANSWER✅✅ -
(A41.9) Sepsis (unspecified) (R65.1) Systemic Inflammatory Response Syndrome
(SIRS) of infectious origin with organ failure
What is the standard regarding the use of the OPCS-4.7 code X35.1 Intravenous
induction of labour? [1 Mark] - ANSWER✅✅ -It must never be used.
On what occasion is it a mandatory requirement to assign an OPCS-4.7 general
anaesthetic code? [1 Mark] - ANSWER✅✅ -When radiotherapy is delivered
under general anaesthetic, a code from category Y80 General anaesthetic must be
assigned in addition to the radiotherapy delivery.
When should codes from ICD-10 category Z54.- Convalescence be assigned and
how should they be sequenced? No actual codes are required. [2 Marks] -
ANSWER✅✅ -Never in primary. They must only be assigned in a secondary
position when a patient has received convalescence in a dedicated convalescent
unit.
How should an injury caused by a geriatric fall be coded? Describe the possible
sequencing of these codes. No actual codes are required. [4 Marks] -
ANSWER✅✅ -Code classifying the injury sustained (from Chapter XIX).
External cause code to describe the fall (from categories W00-W19).
(R29.6) Tendency to fall, (not elsewhere classified).
,In this sequence, unless the patient remains in hospital for investigation of the falls
and this becomes the primary focus of care, then this code (R29.6) must be
sequenced before the codes for the injury
What must be coded when an excision and biopsy (excision biopsy) is performed
on the same site during the same theatre visit, and why? No actual codes are
required. [2 Marks] - ANSWER✅✅ -Only assign a code(s) for the excision as a
biopsy is an integral part of an excision.
When must codes from ICD-10 category Z38.- Liveborn infants according to place
of birth be assigned in the primary coding field? [1 Mark] - ANSWER✅✅ -If the
baby is a completely well baby and has no morbid conditions that have been
treated or investigated.
During which procedure should OPCS-4.7 code X50.5 Evaluation of a
cardiodefibrillator not be assigned when carried out? No actual codes are required.
[1 Mark] - ANSWER✅✅ -When testing is performed during the insertion of the
cardioverter defibrillator (K59 Cardioverter defibrillator introduced through the
vein or K72 Other cardioverter defibrillator).
What precise wording, other than 'status asthmaticus', must be present in the
medical records to be able to assign J46.X Status asthmaticus? [1 Mark] -
ANSWER✅✅ -Acute severe asthma
How should a fracture fixation procedure be coded when the description names
more than one type of fixation device, e.g. pin and plate? No actual codes are
required. [2 Marks] - ANSWER✅✅ -Only the main part of the device that is
holding the fracture together must be coded. When it is not clear which part of the
fixation device is the main part holding the fracture together, advice must be
sought from the responsible consultant.
, In accordance with national clinical coding standards, name the two specific forms
of chest pain categorised to ICD-10 category R07 Pain in throat and chest. [2
Marks] - ANSWER✅✅ -Central chest pain
Musculoskeletal chest pain
In ICD-10 coding terms, describe the difference between a 'rectal haemorrhage'
and 'per rectal haemorrhage', and the coding standards related to these terms. No
actual codes are required. [3 Marks] - ANSWER✅✅ -The code (K62.5) for
'haemorrhage of anus and rectum' must only be assigned for an actual haemorrhage
of the anus and/or rectum. It must not be assigned for haemorrhage that has
occurred from elsewhere in the gastrointestinal tract that is merely exiting via the
rectum, i.e. per rectal haemorrhage.
The code (K92.2) for 'gastrointestinal haemorrhage, unspecified' must be assigned
for a haemorrhage that occurred via the rectum (per rectal haemorrhage) but is not
specified as being from the actual rectum or anus. This code must not be assigned
when it is a symptom of a specific disease which has been diagnosed.
How must a colonoscopy with ileal intubation that includes a biopsy of the
terminal ileum be coded? No actual codes are required. [2 Marks] - ANSWER✅✅
-(H22.1) Diagnostic fibreoptic endoscopic examination of colon and biopsy of
lesion of colon followed by the site code (Z27.6) Ileum
What clinical coding standards relating to the use of ICD-10 category O63 Long
labour must the coder be aware of? [2 Marks] - ANSWER✅✅ -It must be
documented in the medical record that the labour or stage of labour is
prolonged/long for this category to be used.
If the reason for the prolonged/long labour is stated, then this must be coded
instead
