Medical Coding Exam
Study online at https://quizlet.com/_9ykwhn
1. What is coding? The application of a number of systems used to
uniformly document and track health care services
delivered
2. Why should we code? To get paid - provides optimal reimbursement,
practice profiling, quality measure
3. "If it isn't __________, you didn't do it documented
4. Prior to 1983 who decided what cod- Each insurance company decided which coding
ing system to use? system it accepted
5. In what year did Medicare create the 1983
new coding system HCPCS?
6. What does HCPCS stand for? What is Health care financing administrations Common
it? Procedural Coding System
What was done in a visit (CPT, national codes)
7. What does CPT stand for? Common Procedural Terminology
8. What are ICD-10 COdes? Why services were provided, aka the diagnosis
code
9. What does ICD-10-CM codes stand International Classification Of Disease, 10th Revi-
for? sion, Clinical Modifications
10. Who initially developed ICD-10-CM Initially developed by the World Health Organiza-
codes? tion as a way to report morbidity and mortality
statistics worldwide
11. Who maintains and updates the Maintained and updated yearly by the National
ICD-10 codes? Center for Health Statistics
, Medical Coding Exam
Study online at https://quizlet.com/_9ykwhn
12. Name the format of ICD-10 codes Codes are a series of 3-7 digits
Digit 1 is alpha
Digit 2 is numeric
Digits 3-7 are either
A decimal is used after the 3rd character
Codes are divided into 17 primary sections
13. In ICD-10 codes a decimal is used after The 3rd character
what? B07.9
J06.9
14. What incorporates greater clinical de- ICD-10 codes
tail and specificity in the codes?
15. What does unspecified mean? The provider doesn't have enough information to
be more specific
16. What does other mean? The provider has specific information but there is
not a code to represent it.
17. For data collection these two descrip- Other and unspecified
tors are equally useless, but they
should be chosen for different rea-
sons. What are they?
18. What are the coding rules? -Only code the reason for the encounter, and those
conditions that affect the care delivered
-Code to the highest level of certainty
-Use the most specific code possible
-DO NOT use rule out or suspect a disease, instead
use a code describing the patients symptoms
-The ICD10 code needs to support the CPT code
Study online at https://quizlet.com/_9ykwhn
1. What is coding? The application of a number of systems used to
uniformly document and track health care services
delivered
2. Why should we code? To get paid - provides optimal reimbursement,
practice profiling, quality measure
3. "If it isn't __________, you didn't do it documented
4. Prior to 1983 who decided what cod- Each insurance company decided which coding
ing system to use? system it accepted
5. In what year did Medicare create the 1983
new coding system HCPCS?
6. What does HCPCS stand for? What is Health care financing administrations Common
it? Procedural Coding System
What was done in a visit (CPT, national codes)
7. What does CPT stand for? Common Procedural Terminology
8. What are ICD-10 COdes? Why services were provided, aka the diagnosis
code
9. What does ICD-10-CM codes stand International Classification Of Disease, 10th Revi-
for? sion, Clinical Modifications
10. Who initially developed ICD-10-CM Initially developed by the World Health Organiza-
codes? tion as a way to report morbidity and mortality
statistics worldwide
11. Who maintains and updates the Maintained and updated yearly by the National
ICD-10 codes? Center for Health Statistics
, Medical Coding Exam
Study online at https://quizlet.com/_9ykwhn
12. Name the format of ICD-10 codes Codes are a series of 3-7 digits
Digit 1 is alpha
Digit 2 is numeric
Digits 3-7 are either
A decimal is used after the 3rd character
Codes are divided into 17 primary sections
13. In ICD-10 codes a decimal is used after The 3rd character
what? B07.9
J06.9
14. What incorporates greater clinical de- ICD-10 codes
tail and specificity in the codes?
15. What does unspecified mean? The provider doesn't have enough information to
be more specific
16. What does other mean? The provider has specific information but there is
not a code to represent it.
17. For data collection these two descrip- Other and unspecified
tors are equally useless, but they
should be chosen for different rea-
sons. What are they?
18. What are the coding rules? -Only code the reason for the encounter, and those
conditions that affect the care delivered
-Code to the highest level of certainty
-Use the most specific code possible
-DO NOT use rule out or suspect a disease, instead
use a code describing the patients symptoms
-The ICD10 code needs to support the CPT code
