NCCQ UK THEORY PAST EXAM REVIEW QUESTIONS ||
ACTUAL EXAM QUESTIONS AND COMPLETE
ANSWERS\VERIFIED 100% ALREADY GRADED A+
LATEST UPDATE 2026-2027
What precise wording, other than 'status asthmaticus', must be present
in the medical records to be able to assign J46.X Status asthmaticus? [1
Mark]
Acute severe asthma
How should a fracture fixation procedure be coded when the
description names more than one type of fixation device, e.g. pin and
plate? No actual codes are required. [2 Marks]
Only the main part of the device that is holding the fracture
together must be coded. When it is not clear which part of the
fixation device is the main part holding the fracture together,
advice must be sought from the
responsible consultant.
,In accordance with national clinical coding standards, name the two
specific forms of chest pain categorised to ICD-10 category R07 Pain
in throat and chest. [2 Marks]
Central chest pain
Musculoskeletal chest pain
In ICD-10 coding terms, describe the difference between a 'rectal
haemorrhage' and 'per rectal haemorrhage', and the coding
standards related to these terms. No actual codes are required. [3
Marks]
The code (K62.5) for 'haemorrhage of anus and rectum' must only be
assigned for an actual haemorrhage of the anus and/or rectum. It
must not be assigned for haemorrhage that has occurred from
elsewhere in the gastrointestinal tract that is merely exiting via the
rectum, i.e. per rectal
haemorrhage.
The code (K92.2) for 'gastrointestinal haemorrhage, unspecified' must
be assigned for a haemorrhage that occurred via the rectum (per
rectal
haemorrhage) but is not specified as being from the actual rectum or
anus. This code must not be assigned when it is a symptom of a
specific disease which has been diagnosed.
,How must a colonoscopy with ileal intubation that includes a biopsy
of the terminal ileum be coded? No actual codes are required. [2
Marks]
(H22.1) Diagnostic fibreoptic endoscopic examination of colon
and biopsy of lesion of colon followed by the site code (Z27.6)
Ileum
What clinical coding standards relating to the use of ICD-10 category
O63 Long labour must the coder be aware of? [2 Marks]
It must be documented in the medical record that the labour or stage
of labour is prolonged/long for this category to be used.
If the reason for the prolonged/long labour is stated, then this must
be coded instead
When must the insertion of a nasogastric (NG) feeding tube be
coded? [1 Mark]
When a patient is admitted solely for the purpose of insertion.
What is the OPCS-4 standard when a gastroscope is not able to be
inserted further than the patient's mouth during an endoscopy?
No actual codes are required. [1 Mark]
The procedure must not be coded.
, The ICD-10 classification contains 22 chapters and is divided into
three different chapter types. Name the three types of chapter. [3
Marks]
Special group
chapters Body
system chapters
Other chapters
In order for an ICD-10 classification code to be valid what is the
minimum
character length that it must be? Describe the structure of a code
and how it must be extended as documented in DRule.2: Category
and code
structure. [5 Marks]
Four.
Three character category codes must subdivided into four
character subcategories.
Where a three character category code is not subdivided into four
character subdivisions the 'X' filler must be assigned in the fourth
character field so the codes are of a standard length for data
processing and
validation.
Where a three character code requires assignment of both the 'X'
filler and a fifth character subdivision, the 'X' filler must continue
to be recorded in the fourth field before the fifth character, for
example M45.X3 Ankylosing
spondylitis, cervicothoracic region.
ACTUAL EXAM QUESTIONS AND COMPLETE
ANSWERS\VERIFIED 100% ALREADY GRADED A+
LATEST UPDATE 2026-2027
What precise wording, other than 'status asthmaticus', must be present
in the medical records to be able to assign J46.X Status asthmaticus? [1
Mark]
Acute severe asthma
How should a fracture fixation procedure be coded when the
description names more than one type of fixation device, e.g. pin and
plate? No actual codes are required. [2 Marks]
Only the main part of the device that is holding the fracture
together must be coded. When it is not clear which part of the
fixation device is the main part holding the fracture together,
advice must be sought from the
responsible consultant.
,In accordance with national clinical coding standards, name the two
specific forms of chest pain categorised to ICD-10 category R07 Pain
in throat and chest. [2 Marks]
Central chest pain
Musculoskeletal chest pain
In ICD-10 coding terms, describe the difference between a 'rectal
haemorrhage' and 'per rectal haemorrhage', and the coding
standards related to these terms. No actual codes are required. [3
Marks]
The code (K62.5) for 'haemorrhage of anus and rectum' must only be
assigned for an actual haemorrhage of the anus and/or rectum. It
must not be assigned for haemorrhage that has occurred from
elsewhere in the gastrointestinal tract that is merely exiting via the
rectum, i.e. per rectal
haemorrhage.
The code (K92.2) for 'gastrointestinal haemorrhage, unspecified' must
be assigned for a haemorrhage that occurred via the rectum (per
rectal
haemorrhage) but is not specified as being from the actual rectum or
anus. This code must not be assigned when it is a symptom of a
specific disease which has been diagnosed.
,How must a colonoscopy with ileal intubation that includes a biopsy
of the terminal ileum be coded? No actual codes are required. [2
Marks]
(H22.1) Diagnostic fibreoptic endoscopic examination of colon
and biopsy of lesion of colon followed by the site code (Z27.6)
Ileum
What clinical coding standards relating to the use of ICD-10 category
O63 Long labour must the coder be aware of? [2 Marks]
It must be documented in the medical record that the labour or stage
of labour is prolonged/long for this category to be used.
If the reason for the prolonged/long labour is stated, then this must
be coded instead
When must the insertion of a nasogastric (NG) feeding tube be
coded? [1 Mark]
When a patient is admitted solely for the purpose of insertion.
What is the OPCS-4 standard when a gastroscope is not able to be
inserted further than the patient's mouth during an endoscopy?
No actual codes are required. [1 Mark]
The procedure must not be coded.
, The ICD-10 classification contains 22 chapters and is divided into
three different chapter types. Name the three types of chapter. [3
Marks]
Special group
chapters Body
system chapters
Other chapters
In order for an ICD-10 classification code to be valid what is the
minimum
character length that it must be? Describe the structure of a code
and how it must be extended as documented in DRule.2: Category
and code
structure. [5 Marks]
Four.
Three character category codes must subdivided into four
character subcategories.
Where a three character category code is not subdivided into four
character subdivisions the 'X' filler must be assigned in the fourth
character field so the codes are of a standard length for data
processing and
validation.
Where a three character code requires assignment of both the 'X'
filler and a fifth character subdivision, the 'X' filler must continue
to be recorded in the fourth field before the fifth character, for
example M45.X3 Ankylosing
spondylitis, cervicothoracic region.
