WGU D521 INTRODUCTION TO MEDICAL CODING OBJECTIVE ASSESSMENT ACTUAL EXAM 2025/2026 ACCURATE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS RECENT VERSION

WGU D521 INTRODUCTION TO MEDICAL CODING OBJECTIVE ASSESSMENT ACTUAL EXAM 2025/2026 ACCURATE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS RECENT VERSION 1. Diagnosis - ANSWER identification of a disease by a licensed provider 2. Morbidity - ANSWER Refers to ill health in an individual and the levels of ill health in a population or group. 3. Mortality - ANSWER the state of being subject to death 4. Comorbidity - ANSWER a secondary condition that is present on admission and causes an increase in length of stay (LOS) 5. Complication - ANSWER a secondary condition that arises during hospitalization and causes an increase in length of stay (LOS) 6. Principal diagnosis - ANSWER that condition established after study, which is found to be primarily responsible for admission of the patient to the hospital 7. What is a characteristic of ICD-6? - ANSWER The first version of ICD used for both death classification and disease indexing 8. Uniform Hospital Discharge Data Set (UHDDS) - ANSWER an organization that defines data sets for reporting procedures performed 9. Current Procedural Terminology (CPT) - ANSWER coding system is published and maintained by the American Medical Association (AMA). the standardized classification system for reporting medical procedures and services. It consists of five characters that report outpatient procedures, including anesthesia, surgery, radiology, pathology and laboratory, Evaluation and management, medicine services ation and management (E&M) - ANSWER a section of CPT codes used to report services provided by a physician or other qualified healthcare professional iers - ANSWER two characters appended to a CPT code to provide additional information about the procedure without changing the meaning of the code 12.What was the first ICD revision for which an alternate was made due to disagreements? - ANSWER The United States developed its own version of ICD-8 based on disagreements over the circulatory section. 13.Which characteristic of ICD-10-PCS represents a difference from ICD-9- CM? - ANSWER No diagnostic information is included. 14.American Health Information Management Association (AHIMA) - ANSWER a professional organization for health information management (HIM) professionals 15.American Hospital Association (AHA) - ANSWER Non profit group or alliance of member hospitals and health care organizations that promote the interests of hospitals. It is an advocacy group for health care organizations, particularly hospitals 16.World Health Organization (WHO) - ANSWER A group within the United Nations responsible for human health, including combating the spread of infectious diseases and health issues related to natural disasters. 17.History of Present Illness (HPI) - ANSWER eight categories that constitute a chronological description of an illness. 18.History of Present Illness (HPI) eight categories - ANSWER How long have you had the sore throat? (duration) 19.What part of your throat hurts? (location) 20.Is the pain continuous? Does it become better or worse? (timing) 21.How does it compare to other sore throats you have had? (severity) 22.Do you also have other symptoms? (associated signs and symptoms) 23.What are you doing when it hurts? (context) 24.How would you describe the pain? (quality) 25.What have you done to obtain relief? Did it work? (modifying factors) rce-based relative value scale (RBRVS) - ANSWER a scale that provides a value to each CPT code based on physician work effort, practice expense, and malpractice expense 27.Healthcare Common Procedure Coding System (HCPCS) - ANSWER A group of codes and descriptors used to represent health care procedures, supplies, products, and services. Consists of Level I (CPT codes) and Level II (HCPCS codes). The AMA manages the Level I codes, and the Centers for Medicare and Medicaid Services (CMS) publishes annual updates to the Level II codes. The Level II codes consist of five alphanumeric characters used to report durable medical equipment, prosthetics, medications, orthotics, and other provider services that are not found in CPT. HCPCS codes allow for more accurate reporting of services rendered during a patient encounter. 28.Facility billing - ANSWER the hospital's charge for technical services provided in an outpatient department of a hospital 29.Place of service codes - ANSWER the two-digit codes added to professional claims to indicate the setting where services were provided ssional billing - ANSWER a physician's charge for medical services provided in an outpatient setting 31.What's the difference between a principal and primary diagnosis? - ANSWER Principal-what caused hospital admit Primary-most serious/ resource intensive 32.HCPCS Level II - ANSWER a collection of codes for services that are not found in the CPT system, including, for example, non-physician services 33.HCPS Level I - ANSWER Services offered 34.How many sections in CPT codes? - ANSWER Six: anesthesia, surgery, radiology, pathology & laboratory, medicine 35.When is the decimal used in ICD-10-CM? - ANSWER After the third character 36.Do ICD-10-PCS codes use decimals - ANSWER No 37.What is History of Present Illness comprised of? - ANSWER Duration, location, timing, severity, associated signs and symptoms, context, quality, modifying factors 38.Complete diagnostic statement includes what? - ANSWER Site & eitology 39.Excision vs extraction - ANSWER Excision-cutting off without replacement Extraction-pulling out/off without replacement should Ahmed do in this situation? - ANSWER Code the diagnosis originally supported with documentation 41.What are the Approaches used in the 5th Character of the ICD-10-PCS code? - ANSWER 3 Percutaneous: Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure 42.4 Percutaneous endoscopic: Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure 43.ICD - ANSWER The International Classification of Diseases 44.ICD-9 - ANSWER The nineth revsion of the International Classification of Diseases 45.ICD-9-CM - ANSWER Clinical Modification of The 9th revision of the International Classification of Diseases 46.Volume 1 - ANSWER Disease Classification: Tabular List of Disease 47.Volume 2 - ANSWER Disease Classification: Alphabetic Index to Disease 48.Volume 3 - ANSWER Procedure Classification: Alphabetic Index and Tabular List of Procedures 49.CPT - ANSWER Current Procedural Terminology Manual 50.HCPCS - ANSWER Healthcare Common Procedure Coding System 51.HCPCS - Level I - ANSWER The American Medical Association's Current Procedural Terminology Manual (CPT). includes all the codes you'll need for coding any medical service, treatment, or procedure doctors and their staff members provide to their patients 52.HCPCS - Level II - ANSWER The National Coding Manual - devised by the federal government, are alphanumeric and supplement the CPT manual by providing codes for other services and equipment, like ambulance services and prosthetic devices 53.Medical Coding - ANSWER essential for the accruate tranmission of procedures and diagnosis data between health care providers and the many insurance companies 54.CMS - ANSWER Centers for Medicare and Medicaid Services 55.What do E/M codes describe? - ANSWER The patient visit itself. 56.What form lists all the conditions and treatments that a particular type of medical practice sees most often? - ANSWER The superbill. 57.How many types of codes will you find listed in the ICD-9-CM? - ANSWER Three. 58.What do insurance companies pay for? - ANSWER Services and procedures. 59.Together, what do all the different types of medical codes on a claim form tell the insurance company? - ANSWER A complete story about one particular doctor-patient encounter. 60.When did medical insurance companies begin offering medical plans that would cover the costs of routine, preventive, and emergency health care procedures? - ANSWER After World War II 61.What's the big difference between the ICD-9-CM and the CPT manual? - ANSWER The ICD-9-CM is for finding the code for the patient's problem, and the CPT manual is for finding the code for the doctor's solution. 62.What is the difference between the ICD-9-CM Hospital Edition and the ICD-9-CM Physician Edition? - ANSWER The Hospital Edition includes all three volumes, while the Physician Edition only includes the first two volumes. 63.What are the two levels of HCPCS? - ANSWER The CPT manual and the National Coding Manual