Clinical Coding Theory - NCCQ Revision questions with || || || || || || || ||
accurate detailed answers || ||
What is the definition of clinical coding? - ✔✔Clinical coding is the translation of medical
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terminology that describes a patient's complaint, problem, diagnosis, treatment or other
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reason for seeking medical attention into codes that
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can then be easily tabulated, aggregated and sorted for statistical analysis in an efficient and
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meaningful manner.
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What is meant by 'coding uniformity'? - ✔✔Coding uniformity means that whenever a
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given condition or reason for an episode is coded, the same code is always used to represent
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that condition or reason for the encounter.
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List the three Volumes of ICD-10 - ✔✔Volume 1: Tabular List
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Volume 2: Instruction Manual || || ||
Volume 3: Alphabetical Index || || ||
List three sections included in Volume 2 of ICD-10 - ✔✔1. Introduction
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2. Description of the ICD
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3. How to use the ICD
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4. Rules and guidelines for mortality and morbidity coding
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5. Statistical presentation
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6. History of the development of the ICD
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7. Annexes
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How many chapters does ICD-10 Tabular List contain? - ✔✔22 chapters
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, 2
Name the three types of chapters included in the ICD-10 Tabular List - ✔✔Body system
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chapters
Special group chapters || ||
Other chapters ||
What is step three of the ICD-10 Four Step Coding Process? - ✔✔Assign a tentative code(s)
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using the Alphabetical Index and taking into account all rules, conventions and standards.
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In what three circumstances are supplementary fifth characters used in ICD-10 Chapter
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XIX Injury, poisoning and certain other consequences of external causes? -
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✔✔Supplementary fifth characters are used in this chapter to identify open and closed || || || || || || || || || || || || ||
fractures, intracranial injuries with or without open intracranial wound and internal
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injuries with or without open wound into cavity.
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List the three types of standard included in the National Clinical Coding Standards ICD-10
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5th Edition for Morbidity Coding - ✔✔General Coding Standards
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Chapter Standards ||
Coding Standards ||
What are the three dimensions of coding accuracy and what do they mean? - ✔✔Individual
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codes:
Each clinical statement of diagnosis must have the correct code assignment. An individual
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patient may have many diagnoses (or procedures). Consequently, a coded record for an
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episode will have at least one or potentially many individual codes.
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Totality of codes: || ||
It means that all codes necessary to give an accurate clinical picture of the patient's
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diagnosis, problems or other reasons for an episode encounter, must be assigned in
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accordance with the rules, conventions and standards of the classification.
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