Title: Module 1: ICD 9 and ICD-10
Course: Intermediate Coding and Classification Systems > Section: Module 1: Introduction to Intermediate Classifications and Codings

Q: What is a significant procedure?
- Anything that was performed
- A significant procedure is one that is: surgical in nature; carries an anesthetic risk; carries a procedural risk and requires specialized training.
A: A significant procedure is one that is: surgical in nature; carries an anesthetic risk; carries a procedural risk and requires specialized training.

Q: Operative approaches and closures are always coded.
- True
- False
A: False

Q: How is a planned procedure coded that is begun but cannot be completed?
- The procedure is coded to the extent to which it was actually performed.
- The procedure is not coded
A: The procedure is coded to the extent to which it was actually performed.

Q: A patient is admitted for an intended cholecystectomy with exploration of the common duct. However, upon entering the abdominal cavity, metastatic malignancy involving stomach and duodenum, with possible primary site in pancreas, necessitated canceling the intended procedure and closing the operative wound. How would you code procedure code(s) for the encounter?
- Exploratory laparotomy.
- Code both the cholecystectomy and the Exploratory laparotomy
A: Exploratory laparotomy.

Q: A patient had a craniotomy with open biopsy of the brain. Assign the appropriate procedure codes(s) for the encounter.
- Assign code 01.14, Open biopsy of brain. The craniotomy is considered the operative approach and should not be coded separately.
- Assign both codes: craniotomy and open biopsy
A: Assign code 01.14, Open biopsy of brain. The craniotomy is considered the operative approach and should not be coded separately.

Q: The implementation date of ICD-10-CM and ICD-10 PCS is:
- January 1, 2013
- October 1, 2014
- January 1, 2012
- October 1, 2012
A: October 1, 2014

Q: ICD-10-PCS will be the HIPAA mandated code set for reporting:
- inpatient procedures
- outpatient procedures
- inpatient diagnoses
- outpatient diagnoses
A: inpatient procedures

Q: The total number of characters in an ICD-10-PCS code is:
- five
- six
- seven
- eight
A: seven

Q: The fifth character of the ICD-10-PCS code is for the approach which identifies the method used to reach the operative site. This approach involves a puncture or minor incision through the skin or mucous membrane and any other body layers necessary using instrumentation to reach the site of the procedure:
- percutaneous endoscopic approach
- open approach
- percutaneous approach
- via natural or artificial opening with percutaneous endoscopic assistance
A: percutaneous endoscopic approach

Q: When a physician performs a cystoscopy, the approach for this procedure is:
- percutaneous endoscopic approach
- open approach
- via natural or artificial opening with percutaneous endoscopic assistance
- via natural or artificial opening, endoscopic
A: via natural or artificial opening, endoscopic

Q: In the Medical and Surgical section, the third character of the ICD-CM-PCS code always represents the:
- root operation
- body system
- body part
- device
A: root operation

Q: Using the following table, the correct code for Bronchoscopy is:
0 Medical and Surgical
B Respiratory System
J Inspection

Body PartCharacter 4 | Approach Character 5 | Device Character 6 | Qualifier Character 7
0 Tracheobronchial Tree
1 Trachea
K Lung, Right
L Lung, Left
Q Pleura
T Diaphragm
0 Open
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening, Endoscopic
X External
Z No device
Z No Qualifier
- 0BJ14ZZ
- 0BJ08ZZ
- 0BJ04ZZ
- 0BJ07ZZ
A: 0BJ08ZZ

Q: Using the following table, the correct code for Mediastinoscopy is:
0 Medical and Surgical
W Anatomical Regions, General
J Inspection

Body PartCharacter 4 | Approach Character 5 | Device Character 6 | Qualifier Character 7
0 Head
2 Face
3 Oral Cavity and Throat
4 Upper Jaw
5 Lower Jaw
6 Neck
8 Chest Wall
F Abdominal Wall
K Upper Back
L Lower Back
M Perineum, Male
N Perineum, Female
0 Open
3 Percutaneous
4 Percutaneous Endoscopic
X External
Z No device
Z No Qualifier
1 Cranial Cavity
9 Pleural Cavity, Right
B Pleural Cavity, Left
C Mediastinum
D Pericardial Cavity
G Peritoneal Cavity
H Retroperitoneum
J Pelvic Cavity
0 Open
3 Percutaneous
4 Percutaneous Endoscopic
Z No device
Z No Qualifier
P Gastrointestinal Tract
Q Respiratory Tract
R Genitourinary Tract
0 Open
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening, Endoscopic
Z No device
Z No Qualifier
- 0WJCXZZ
- 0WJC4ZZ
- 0WJQ7ZZ
- 0WJ80ZZ
A: 0WJC4ZZ

Q: Devices are depicted by character:
- four
- five
- six
- seven
A: six

Q: The first character of all ICD-10-PCS codes will begin with:
- a letter
- a number
- a letter or a number
A: a letter or a number

Q: Which of the following is NOT part of the format of the ICD-10-PCS?
- Alphabetic Index
- Tables
- List of Codes
- Body Part Key
A: Body Part Key

Q: The ICD-10-PCS Index never provides a complete code.
- True
- False
A: True

Q: Which of the following is the main purpose of the ICD-10-PCS Alphabetic Index?
- To locate a complete ICD-10-PCS code
- To locate the appropriate table in which the information required to complete the characters in a code may found
- To identify appropriate root operations
- To find the valid combination of characters that make up a code
A: To locate the appropriate table in which the information required to complete the characters in a code may found

Q: Which of the following statements is true of the ICD-10-PCS code structure?
- Codes are numeric.
- Codes are made up of seven characters and no decimal points.
- Codes are alphanumeric and made up of four characters.
- Codes have a minimum of three characters, and up to four characters.
A: Codes are made up of seven characters and no decimal points.

Q: What does the second character represent in the ICD-10-PCS code structure in the Medical and Surgical Section?
- Section
- Body system
- Root operation
- Body part
A: Body system

Q: The ICD-10-PCS Tabular List is composed of grids.
- True
- False
A: True

Q: Which of the following sections of ICD-10-PCS contain the majority of the procedures that would normally be reported in an inpatient setting?
- Laboratory
- Extracorporeal Assistance and Performance
- Medical and Surgical
- Other Procedures
A: Medical and Surgical

Q: Which of the following is NOT a section of ICD-10-PCS?
- Laboratory
- Extracorporeal Assistance and Performance
- Chiropractic
- Other Procedures
A: Laboratory

Q: Which of the following characters within ICD-10-PCS is one of the most important concepts to understand in order to identify and select the correct code?
- Body Part
- Root Operation
- Device
- Qualifier
A: Root Operation

Q: Which of the following statements is NOT true about selection of ICD-10-PCS root operations?
- The coder is not required to query the physician when the correlation between the documentation and the defined ICD-10-PCS term is clear.
- It is the coder's responsibility to determine what ICD-10-PCS root operation definition equates to the physician documentation.
- The root operations used in ICD-10-PCS must match exactly with the physician documentation before the code may be selected.
- Root operation refers to the objective of the procedure.
A: The root operations used in ICD-10-PCS must match exactly with the physician documentation before the code may be selected.