NCCQ UK Theory Past Paper Practice

NCCQ UK THEORY PAST
PAPER PRACTICE



TherequirementfornationalcollectionoftheuseoffifthcharactersappearsinwhichfourICD-
104thEditionchapters?Eitherchapternumbers(ArabicorRomannumeral)orfulltitlesareaccepta
ble.[3Marks]-Correctanswer~ChapterIX(9)Diseasesofthecirculatorysystem

ChapterX(10)Diseasesoftherespiratorysystem

ChapterXIII(13)Diseasesofthemusculoskeletalsystemandconnectivetissue

ChapterXIX(19)Injury,poisoningandcertainotherconsequencesofexternalcauses



Thecircumstancessurroundingreactionstodrug/medicationareclassifiedintwowayswithinICD-
10TabularList,Volume1.Namebothways.[2Marks]-Correctanswer~Poisoning(improperuse)

Adverseeffect(properuse)



Whatmustacoderdoifasurgicaleponymisusedinthemedicalrecordtodescribeaprocedure?[3Ma
rks]-
Correctanswer~Thecodermustanalysetheproceduralinformationandensurethatcodeassignme
ntfullyreflectstheprocedureperformed.



Wherethecoderisunsurewhatproceduretheeponymdescribes,theymustseekadvicefromtheres
ponsibleconsultanttoensurethatthecorrectcodesareassigned.



WhenshouldsitecodesfromChapterZbeassigned?[1Mark]-
Correctanswer~Theymustalwaysbeassignedwhenthisaddsfurtherinformationaboutthesiteon
whichtheprocedurewasperformed

,Whattwoconditionsmustbecodedifadiagnosisof'severesepsis'aloneismadebytheclinician?Noa
ctualcodesarerequired.[2Marks]-
Correctanswer~(A41.9)Sepsis(unspecified)(R65.1)SystemicInflammatoryResponseSyndrome(
SIRS)ofinfectiousoriginwithorganfailure



WhatisthestandardregardingtheuseoftheOPCS-
4.7codeX35.1Intravenousinductionoflabour?[1Mark]-Correctanswer~Itmustneverbeused.



OnwhatoccasionisitamandatoryrequirementtoassignanOPCS-
4.7generalanaestheticcode?[1Mark]-
Correctanswer~Whenradiotherapyisdeliveredundergeneralanaesthetic,acodefromcategoryY
80Generalanaestheticmustbeassignedinadditiontotheradiotherapydelivery.



WhenshouldcodesfromICD-10categoryZ54.-
Convalescencebeassignedandhowshouldtheybesequenced?Noactualcodesarerequired.[2Ma
rks]-
Correctanswer~Neverinprimary.Theymustonlybeassignedinasecondarypositionwhenapatient
hasreceivedconvalescenceinadedicatedconvalescentunit.



Howshouldaninjurycausedbyageriatricfallbecoded?Describethepossiblesequencingoftheseco
des.Noactualcodesarerequired.[4Marks]-
Correctanswer~Codeclassifyingtheinjurysustained(fromChapterXIX).Externalcausecodetodes
cribethefall(fromcategoriesW00-W19).

(R29.6)Tendencytofall,(notelsewhereclassified).



Inthissequence,unlessthepatientremainsinhospitalforinvestigationofthefallsandthisbecomest
heprimaryfocusofcare,thenthiscode(R29.6)mustbesequencedbeforethecodesfortheinjury



Whatmustbecodedwhenanexcisionandbiopsy(excisionbiopsy)isperformedonthesamesiteduri
ngthesametheatrevisit,andwhy?Noactualcodesarerequired.[2Marks]-
Correctanswer~Onlyassignacode(s)fortheexcisionasabiopsyisanintegralpartofanexcision.

,WhenmustcodesfromICD-10categoryZ38.-
Liveborninfantsaccordingtoplaceofbirthbeassignedintheprimarycodingfield?[1Mark]-
Correctanswer~Ifthebabyisacompletelywellbabyandhasnomorbidconditionsthathavebeentre
atedorinvestigated.



DuringwhichprocedureshouldOPCS-
4.7codeX50.5Evaluationofacardiodefibrillatornotbeassignedwhencarriedout?Noactualcodes
arerequired.[1Mark]-
Correctanswer~Whentestingisperformedduringtheinsertionofthecardioverterdefibrillator(K5
9CardioverterdefibrillatorintroducedthroughtheveinorK72Othercardioverterdefibrillator).



Whatprecisewording,otherthan'statusasthmaticus',mustbepresentinthemedicalrecordstobea
bletoassignJ46.XStatusasthmaticus?[1Mark]-Correctanswer~Acutesevereasthma



Howshouldafracturefixationprocedurebecodedwhenthedescriptionnamesmorethanonetype
offixationdevice,e.g.pinandplate?Noactualcodesarerequired.[2Marks]-
Correctanswer~Onlythemainpartofthedevicethatisholdingthefracturetogethermustbecoded.
Whenitisnotclearwhichpartofthefixationdeviceisthemainpartholdingthefracturetogether,advi
cemustbesoughtfromtheresponsibleconsultant.



Inaccordancewithnationalclinicalcodingstandards,namethetwospecificformsofchestpaincate
gorisedtoICD-10categoryR07Paininthroatandchest.[2Marks]-
Correctanswer~Centralchestpain

Musculoskeletalchestpain



InICD-
10codingterms,describethedifferencebetweena'rectalhaemorrhage'and'perrectalhaemorrha
ge',andthecodingstandardsrelatedtotheseterms.Noactualcodesarerequired.[3Marks]-
Correctanswer~Thecode(K62.5)for'haemorrhageofanusandrectum'mustonlybeassignedforan
actualhaemorrhageoftheanusand/orrectum.Itmustnotbeassignedforhaemorrhagethathasoc
curredfromelsewhereinthegastrointestinaltractthatismerelyexitingviatherectum,i.e.perrectal
haemorrhage.



Thecode(K92.2)for'gastrointestinalhaemorrhage,unspecified'mustbeassignedforahaemorrha
gethatoccurredviatherectum(perrectalhaemorrhage)butisnotspecifiedasbeingfromtheactual

, rectumoranus.Thiscodemustnotbeassignedwhenitisasymptomofaspecificdiseasewhichhasbe
endiagnosed.



Howmustacolonoscopywithilealintubationthatincludesabiopsyoftheterminalileumbecoded?
Noactualcodesarerequired.[2Marks]-
Correctanswer~(H22.1)Diagnosticfibreopticendoscopicexaminationofcolonandbiopsyoflesion
ofcolonfollowedbythesitecode(Z27.6)Ileum



WhatclinicalcodingstandardsrelatingtotheuseofICD-
10categoryO63Longlabourmustthecoderbeawareof?[2Marks]-
Correctanswer~Itmustbedocumentedinthemedicalrecordthatthelabourorstageoflabourisprol
onged/longforthiscategorytobeused.



Ifthereasonfortheprolonged/longlabourisstated,thenthismustbecodedinstead



Whenmusttheinsertionofanasogastric(NG)feedingtubebecoded?[1Mark]-
Correctanswer~Whenapatientisadmittedsolelyforthepurposeofinsertion.



WhatistheOPCS-
4standardwhenagastroscopeisnotabletobeinsertedfurtherthanthepatient'smouthduringanen
doscopy?Noactualcodesarerequired.[1Mark]-
Correctanswer~Theproceduremustnotbecoded.



TheICD-
10classificationcontains22chaptersandisdividedintothreedifferentchaptertypes.Namethethre
etypesofchapter.[3Marks]-Correctanswer~Specialgroupchapters

Bodysystemchapters

Otherchapters



Whenthereisdoubtastowhereaconditionshouldbecodedwhichofthethreechaptertypesfoundi
ntheaxisoftheICD-10classificationtakespriority?[1Mark]-