NCCQ UK REVISION EXAM #2 QUESTIONS
WITH VERIFIED ANSWERS
What are the three ways numbers can be represented as essential modifiers in the ICD-10
Alphabetical Index?
1. Numbers spelled out into words appear in alphabetical order. 2. Numbers listed as Arabic
numbers appear at the end of the list after all the modifying words in numeric order. 3. Numbers
listed as Roman numerals appear in numeric order.
What is the definition of a co-morbidity according to DGCS.3?
Any condition which co-exists in conjunction with another disease that is currently being treated
at the time of admission or develops subsequently, and affects the management of the patient's
current consultant episode.
What are the full ICD-10 chapter titles for four 'special group' chapters?
1. Chapter I: Certain infectious and parasitic diseases. 2. Chapter II: Neoplasms. 3. Chapter III:
Diseases of the blood and blood-forming organs and certain disorders involving the immune
mechanism. 4. Chapter IV: Endocrine, nutritional and metabolic diseases.
When must septic shock be coded?
Septic shock must always be coded when documented in the medical record.
What sequencing must be applied for coding septic shock?
The septic shock must be coded in any secondary position following the code that classifies
sepsis.
What is the purpose of Volume 2 of ICD-10?
Volume 2 provides a basic description of the ICD, together with practical instructions for
mortality and morbidity coders, and guidelines for the presentation and interpretation of data. It
is for international use.
What must be assigned where multiple therapeutic methods/techniques are used during an
endoscopic procedure?
A body system code for each method followed by the relevant site code(s).
Is the code Y27.- Graft to organ NOC required when coding an autograft (other than skin
graft) if the body system code description does not contain the term 'graft'?
No, the graft is implied with the assignment of the harvest code.
From which OPCS-4 chapter must a code be assigned in addition to 'maintenance/attention
to' codes?
, Chapter Y Subsidiary Classification of Methods of Operation.
Name four OPCS-4 chapters which contain principal and extended categories.
Chapter A / Nervous system, Chapter B / Endocrine system and breast, Chapter C / Eye, Chapter
E / Respiratory tract.
What does the abbreviation NOC stand for in OPCS-4?
Not otherwise classifiable.
What are the three different ways of assigning a code(s) when both the site of the infection
and the agent/organism causing it are documented?
1. Assign codes where the Alphabetical Index directs to a dagger and asterisk combination. 2.
Assign a single code where directed by the Alphabetical Index. 3. Assign a body system chapter
code for the site and a code from categories B95-B98 for the organism.
Where must a code(s) be assigned if an infection is resistant to a drug(s)?
Codes from [U82] Resistance to betalactam antibiotics, [U83] Resistance to other antibiotics, or
[U84] Resistance to other antimicrobial drugs.
How must infected open wounds be coded?
Infected open wounds must be coded in the same way as a non-infected open wound, with an
additional code from categories B95-B98 if the organism is known.
What is the general coding standard PGCS2 regarding diagnostic versus therapeutic
procedures?
If a diagnostic procedure proceeds to or is performed at the same time as a therapeutic procedure
on the same site, only the code for the therapeutic procedure is required.
What is a diagnostic endoscopy performed prior to an open procedure?
A procedure that is conducted to examine the interior of a body organ or cavity before a surgical
operation.
What is a diagnostic endoscopy performed prior to a therapeutic endoscopic procedure?
A procedure that is conducted to examine the interior of a body organ or cavity before a
treatment procedure.
What is an example of a procedure that is an exception to PGCS2?
ERCP together with sphincterotomy of sphincter of Oddi or sphincterotomy of accessory
ampulla of Vater.
What must be assigned when given an operative statement of 'excision biopsy'?
Only a code(s) for the excision must be assigned, as a biopsy is an integral part of the excision.
WITH VERIFIED ANSWERS
What are the three ways numbers can be represented as essential modifiers in the ICD-10
Alphabetical Index?
1. Numbers spelled out into words appear in alphabetical order. 2. Numbers listed as Arabic
numbers appear at the end of the list after all the modifying words in numeric order. 3. Numbers
listed as Roman numerals appear in numeric order.
What is the definition of a co-morbidity according to DGCS.3?
Any condition which co-exists in conjunction with another disease that is currently being treated
at the time of admission or develops subsequently, and affects the management of the patient's
current consultant episode.
What are the full ICD-10 chapter titles for four 'special group' chapters?
1. Chapter I: Certain infectious and parasitic diseases. 2. Chapter II: Neoplasms. 3. Chapter III:
Diseases of the blood and blood-forming organs and certain disorders involving the immune
mechanism. 4. Chapter IV: Endocrine, nutritional and metabolic diseases.
When must septic shock be coded?
Septic shock must always be coded when documented in the medical record.
What sequencing must be applied for coding septic shock?
The septic shock must be coded in any secondary position following the code that classifies
sepsis.
What is the purpose of Volume 2 of ICD-10?
Volume 2 provides a basic description of the ICD, together with practical instructions for
mortality and morbidity coders, and guidelines for the presentation and interpretation of data. It
is for international use.
What must be assigned where multiple therapeutic methods/techniques are used during an
endoscopic procedure?
A body system code for each method followed by the relevant site code(s).
Is the code Y27.- Graft to organ NOC required when coding an autograft (other than skin
graft) if the body system code description does not contain the term 'graft'?
No, the graft is implied with the assignment of the harvest code.
From which OPCS-4 chapter must a code be assigned in addition to 'maintenance/attention
to' codes?
, Chapter Y Subsidiary Classification of Methods of Operation.
Name four OPCS-4 chapters which contain principal and extended categories.
Chapter A / Nervous system, Chapter B / Endocrine system and breast, Chapter C / Eye, Chapter
E / Respiratory tract.
What does the abbreviation NOC stand for in OPCS-4?
Not otherwise classifiable.
What are the three different ways of assigning a code(s) when both the site of the infection
and the agent/organism causing it are documented?
1. Assign codes where the Alphabetical Index directs to a dagger and asterisk combination. 2.
Assign a single code where directed by the Alphabetical Index. 3. Assign a body system chapter
code for the site and a code from categories B95-B98 for the organism.
Where must a code(s) be assigned if an infection is resistant to a drug(s)?
Codes from [U82] Resistance to betalactam antibiotics, [U83] Resistance to other antibiotics, or
[U84] Resistance to other antimicrobial drugs.
How must infected open wounds be coded?
Infected open wounds must be coded in the same way as a non-infected open wound, with an
additional code from categories B95-B98 if the organism is known.
What is the general coding standard PGCS2 regarding diagnostic versus therapeutic
procedures?
If a diagnostic procedure proceeds to or is performed at the same time as a therapeutic procedure
on the same site, only the code for the therapeutic procedure is required.
What is a diagnostic endoscopy performed prior to an open procedure?
A procedure that is conducted to examine the interior of a body organ or cavity before a surgical
operation.
What is a diagnostic endoscopy performed prior to a therapeutic endoscopic procedure?
A procedure that is conducted to examine the interior of a body organ or cavity before a
treatment procedure.
What is an example of a procedure that is an exception to PGCS2?
ERCP together with sphincterotomy of sphincter of Oddi or sphincterotomy of accessory
ampulla of Vater.
What must be assigned when given an operative statement of 'excision biopsy'?
Only a code(s) for the excision must be assigned, as a biopsy is an integral part of the excision.
