ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION
Coding Answer - Taking documentation given by a physician and translating
that documentation into alphanumerical codes for diagnosis documented and
for any treatment documented in the patient chart
Codes are used for___ Answer - Billing Medicare, Medicaid, and commercial
insurance companies for payment; also for reporting statistics and reports to
the state and federal government
ICD 10 CM Answer - Alphanumeric coding system used for inpatient and
outpatient diagnosis coding; have between 3-7 characters
ICD 10 PCS Answer - Coding system used for inpatient procedure coding ONLY;
Contains 7 alphanumeric characters
CPT and HCPCS Answer - 5 digit numerical coding system used for outpatient
procedure coding ONLY
Encoder Answer - Software's that help coders find codes more efficiently than
using a book
Coding Software's we will use Answer - 3M Encoder and Quantim/Clintegrity
Encoder
,ICD-10 stands for: Answer - International Classification of Diseases, 10th
revision
ICD-10-CM Coding Book is divided into____ Answer - Alphabetic index; Tabular
List
Alphabetic Index Answer - An alphabetic list of terms and their codes; never
finalize a code after locating it in this section
Tabular List Answer - A structured list of codes divided by chapters based on
body system and condition; Contains categories, subcategories, and codes
The ICD-10-Cm utilizes a____to allow for future expansion; used for if a code
has less than 7 characters. Answer - Placeholder character X
[ ]Brackets are used in the Tabular List to enclose Answer - Synonyms,
alternative wording, or explanatory phrases.
[ ]Brackets are used in the Alphabetic Index to identify Answer - Manifestation
codes
( )Parenthesis are used in both the Tabular List and the Alphabetic Index to__
Answer - Enclose supplementary words that may be present or absent in the
statement of a disease or procedure without affecting the code number
Excludes 1 Note in ICD 10 CM Answer - Indicates that the code excluded
should never be used at the same time as the code above the Excludes 1 note
, Excludes 2 note in ICD 10 CM Answer - Indicates that the condition excluded is
not part of the condition represented by the code, but a patient may have both
conditions at the same time
Selection of a full code, including laterality and any applicable 7th character can
only be done in the___ Answer - Tabular List
Abstracting Answer - Data extraction from documentation in the medical
record that creates an overview of the patient's visit; The data is then entered
into a software system and converted to codes or analyzed for other purposes
Accreditation Answer - A voluntary process that a facility undergoes for a
review of their performance and adherence to policies by an independent
organization created for the purpose of evaluation; May mean that an
organization has met criteria established by an outside organization that meets
standards set by an organization; usually reviewed on a regularly basis
Acute Care Answer - Care given to a patient on a limited basis as an inpatient
in a hospital setting
APC Grouper Answer - The software used for the Ambulatory Payment
Classification payment system; APC is used for outpatient coding and billing
using CPT and HCPCS codes.
AAPC (American Academy of Professional Coders) Answer - A national
membership organization that provides credentials, education, and coding
information to medical coders in all settings; www.aapc.com
AHIMA (American Health Information Management Association) Answer - A
national membership organization that provides credentials, education, and
coding information for health information management, health information