HIMT 1400 Midterm Exam QUESTIONS
AND CORRECT ANSWERS
Coding is the assignment of codes to diagnoses, services, and procedures based on -
CORRECT ANSWER Federal government regulations
Residents are supervised by a(n) __________ physician during patient care. - CORRECT
ANSWER teaching
What is the ICD-10-CM code for mild stage primary open-angle glaucoma in both eyes? -
CORRECT ANSWER H40. 1131
The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) requires
ICD-10-CM codes to be updated: - CORRECT ANSWER each April 1 and October 1;
and they must be implemented immediately.
Which is a vocabulary of clinical and medical terms used by health care providers to
document patient care? - CORRECT ANSWER medical nomenclature
Which are qualifying terms located after ICD-10-CM index main terms that do not have to be
included in the diagnostic or procedural statement for the code number listed after the
parentheses to be assigned? - CORRECT ANSWER nonessential modifiers
Conditions that are not considered an integral part of a disease process __________. -
CORRECT ANSWER should be coded when present
What is the ICD-10-CM code for central pain syndrome? - CORRECT ANSWER G89.
0
Which type of record uses computer technology? - CORRECT ANSWER automated
, What is the ICD-10-CM code for the common cold? - CORRECT ANSWER J00
Which is managed by CMS and used to classify medical equipment, injectable drugs,
transportation services, and other services in an outpatient setting? - CORRECT
ANSWER HCPCS Level II
Impending myocardial infarction (MI) is assigned ICD-10-CM code __________ when the
MI has not been confirmed as having occurred. - CORRECT ANSWER I20.0
A secondary purpose of the patient record is to __________. - CORRECT
ANSWER evaluate patient quality of care
Go to ICD-10-CM index main term Stricture and identify the nonessential modifier. -
CORRECT ANSWER stenosis
The medical coding process requires the __________ of patient record documentation to
identify diagnoses, procedures, and services for the purpose of assigning ICD-10-CM, ICD-
10-PCS, HCPCS level II, and/or CPT codes. - CORRECT ANSWER review
The electronic health record is a(n) __________. - CORRECT ANSWER collection of
information by a number of providers at different facilities about a patient
Concurrent coding is the review of records and/or use of encounter forms and chargemasters
to assign codes __________. - CORRECT ANSWER during an inpatient stay or
outpatient encounter
ICD-10-CM uses an "X" in the __________ character(s) location as a placeholder to allow
for further expansion. - CORRECT ANSWER
In a source-oriented record, reports are organized according to __________ in labeled
sections. - CORRECT ANSWER documentation source
AND CORRECT ANSWERS
Coding is the assignment of codes to diagnoses, services, and procedures based on -
CORRECT ANSWER Federal government regulations
Residents are supervised by a(n) __________ physician during patient care. - CORRECT
ANSWER teaching
What is the ICD-10-CM code for mild stage primary open-angle glaucoma in both eyes? -
CORRECT ANSWER H40. 1131
The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) requires
ICD-10-CM codes to be updated: - CORRECT ANSWER each April 1 and October 1;
and they must be implemented immediately.
Which is a vocabulary of clinical and medical terms used by health care providers to
document patient care? - CORRECT ANSWER medical nomenclature
Which are qualifying terms located after ICD-10-CM index main terms that do not have to be
included in the diagnostic or procedural statement for the code number listed after the
parentheses to be assigned? - CORRECT ANSWER nonessential modifiers
Conditions that are not considered an integral part of a disease process __________. -
CORRECT ANSWER should be coded when present
What is the ICD-10-CM code for central pain syndrome? - CORRECT ANSWER G89.
0
Which type of record uses computer technology? - CORRECT ANSWER automated
, What is the ICD-10-CM code for the common cold? - CORRECT ANSWER J00
Which is managed by CMS and used to classify medical equipment, injectable drugs,
transportation services, and other services in an outpatient setting? - CORRECT
ANSWER HCPCS Level II
Impending myocardial infarction (MI) is assigned ICD-10-CM code __________ when the
MI has not been confirmed as having occurred. - CORRECT ANSWER I20.0
A secondary purpose of the patient record is to __________. - CORRECT
ANSWER evaluate patient quality of care
Go to ICD-10-CM index main term Stricture and identify the nonessential modifier. -
CORRECT ANSWER stenosis
The medical coding process requires the __________ of patient record documentation to
identify diagnoses, procedures, and services for the purpose of assigning ICD-10-CM, ICD-
10-PCS, HCPCS level II, and/or CPT codes. - CORRECT ANSWER review
The electronic health record is a(n) __________. - CORRECT ANSWER collection of
information by a number of providers at different facilities about a patient
Concurrent coding is the review of records and/or use of encounter forms and chargemasters
to assign codes __________. - CORRECT ANSWER during an inpatient stay or
outpatient encounter
ICD-10-CM uses an "X" in the __________ character(s) location as a placeholder to allow
for further expansion. - CORRECT ANSWER
In a source-oriented record, reports are organized according to __________ in labeled
sections. - CORRECT ANSWER documentation source
