Chapter 01: The Rationale for and History of Coding
ICD-10-CM/PCS Coding: Theory and Practice, 2023/2024 Edition

MULTIPLE CHOICE

	1.	Which of the following would NOT be studied through the use of ICD-10-CM?
a.	Patterns of disease	
b.	Causes of pregnancy	
c.	Disease epidemics	
d.	Causes of mortality	

ANS:	B	DIF:	M	REF:	p. 2	OBJ:	1
TOP:	Background

	2.	In a closed system such as the ICD-10-CM system, a disease or condition can be classified only in ____ location(s).
a.	one	
b.	two	
c.	three	
d.	four	

ANS:	A	DIF:	M	REF:	p. 2	OBJ:	2
TOP:	Classification		

	3.	Which organization is NOT responsible for the maintenance of ICD-10-CM?
a.	National Center for Health Statistics (NCHS)	
b.	American Academy of Professional Coders (AAPC)	
c.	American Hospital Association (AHA)	
d.	American Health Information Management Association (AHIMA)	

ANS:	B	DIF:	M	REF:	p. 3	OBJ:	3
TOP:	History

	4.	As explained in the article that appeared in AHIMA by Joette Hanna titled “Constructing a Coding Compliance Plan,” several steps must be taken for a coding department to be certain the department is in compliance. Which of the following is NOT one of the steps?
a.	Abide by AHIMA’s Standards of Ethical Coding.	
b.	Develop coding policies and procedures.	
c.	Conduct coding audits.	
d.	Follow the Coding Clinic Guidelines.	

ANS:	D	DIF:	D	REF:	p. 6	OBJ:	6
TOP:	Compliance

	5.	A nomenclature is a system of ____ as used in preferred terminology.
a.	diseases	
b.	procedures	
c.	conditions	
d.	names	

ANS:	D	DIF:	M	REF:	p. 2	OBJ:	2
TOP:	Nomenclature		

	6.	Nomenclature of diseases was first developed in the United States around ____.
a.	1893	
b.	1958	
c.	1928	
d.	1898	

ANS:	C	DIF:	M	REF:	p. 2	OBJ:	2
TOP:	History

	7.	The ICD-10-CM classification system is a closed system composed of ____.
a.	diseases	
b.	symptoms	
c.	injuries	
d.	all of the above	

ANS:	D	DIF:	M	REF:	p. 2	OBJ:	2
TOP:	History

	8.	The ____ Bills of Mortality in the 17th century was the first attempt to statistically gather data on disease.
a.	Paris	
b.	London	
c.	France	
d.	England	

ANS:	B	DIF:	M	REF:	p. 2	OBJ:	2
TOP:	History

	9.	Clinical Modification (CM) was developed in ____ by the United States to more accurately capture morbidity data for study within the United States and operative and diagnostic procedures that were not included in the original publication of ICD.
a.	1877	
b.	1947	
c.	1977	
d.	1997	

ANS:	C	DIF:	M	REF:	p. 3	OBJ:	2
TOP:	History

	10.	In ICD-10-CM the CM stands for ____.
a.	Clinical Modification	
b.	Centers for Medicaid and Medicare	
c.	Core Measures	
d.	Chief Medical Officer	

ANS:	A	DIF:	E	REF:	p. 3	OBJ:	1
TOP:	Application

	11.	All of the following are members of the cooperating parties EXCEPT ____.
a.	NCHS	
b.	AHA	
c.	AAPC	
d.	AHIMA	

ANS:	C	DIF:	M	REF:	p. 3	OBJ:	3
TOP:	History of ICD-10-CM

	12.	Work for ICD-10-CM began in ____.
a.	1963	
b.	1973	
c.	1983	
d.	1993	

ANS:	C	DIF:	M	REF:	p. 3	OBJ:	3
TOP:	History of ICD-10-CM

	13.	Coded data are used for ____.
a.	reimbursement and payment	
b.	the study of anatomy and physiology	
c.	determining lab ranges	
d.	developing a nomenclature	

ANS:	A	DIF:	M	REF:	p. 2	OBJ:	1
TOP:	Application

	14.	Official coding advice is published in the publication ____.
a.	Coding Edge	
b.	AHA Coding Clinic	
c.	Journal of the American Health Information Management Association	
d.	In Record Time	

ANS:	B	DIF:	M	REF:	p. 3	OBJ:	2
TOP:	History

	15.	Which of the following statements follows the AHIMA Standards of Ethical Coding?
a.	Coders should change codes as requested by the business office for payment.	
b.	Coders should share personal health information with anyone who asks for it.	
c.	Coders should assign only codes supported by documentation in the record.	
d.	It is acceptable for coders to participate in practices that do not follow the official coding guidelines.	

ANS:	C	DIF:	M	REF:	p. 5	OBJ:	7
TOP:	Coding Ethics		

	16.	Compliance officers became part of the healthcare industry as a result of ____.
a.	Obamacare	
b.	OIG findings	
c.	HIPAA	
d.	the False Claims Act	

ANS:	C	DIF:	M	REF:	p. 6	OBJ:	6
TOP:	Compliance

	17.	Personal health information can be shared with ____.
a.	those who have a need to know	
b.	people requesting information on the phone	
c.	your neighbors	
d.	all of the above	

ANS:	A	DIF:	E	REF:	p. 7	OBJ:	7
TOP:	Confidentiality	

	18.	Which coding credential requires coders to be familiar with Hierarchical Condition Categories (HCCs), which are the basis for reimbursement for Medical Advantage plans?
a.	CIC	
b.	CRC	
c.	CPC	
d.	CCS-P	

ANS:	B	DIF:	M	REF:	p. 4	OBJ:	4
TOP:	Credentials

TRUE/FALSE

	1.	Procedures for processing claim rejections should be included in a coding compliance plan.

ANS:	T	DIF:	E	REF:	p. 7	OBJ:	6
TOP:	Compliance

	2.	It is acceptable to share personal information about a patient’s medical history with anyone who requests this information.

ANS:	F	DIF:	E	REF:	p. 7	OBJ:	7
TOP:	Confidentiality	

	3.	Coded data are used for only one purpose.

ANS:	F	DIF:	E	REF:	p. 2	OBJ:	1
TOP:	Application

	4.	CCS-P stands for Certified Coding Specialist–Pediatric Based.

ANS:	F	DIF:	E	REF:	p. 4	OBJ:	4
TOP:	Credentials

	5.	CPB stands for Certified Physician Biller

ANS:	F	DIF:	E	REF:	p. 4	OBJ:	4
TOP:	Credentials

	6.	Both AHIMA and AAPC have standards for ethical coding.

ANS:	T	DIF:	E	REF:	p. 4	OBJ:	5
TOP:	Coding Ethics		

	7.	Compliance officers and programs are found only in healthcare organizations.

ANS:	F	DIF:	E	REF:	p. 6	OBJ:	6
TOP:	Compliance

	8.	Compliance is defined as acting according to certain accepted standards or, in simple terms, abiding by the rules.

ANS:	T	DIF:	E	REF:	p. 6	OBJ:	6
TOP:	Compliance

COMPLETION

	1.	Without the __________ system, the comparison of data would be impossible.

ANS:	classification

DIF:	M	REF:	p. 2	OBJ:	2	TOP:	History

	2.	ICD-10-CM/PCS can be updated _________ times each year.

ANS:	
two
2

DIF:	E	REF:	p. 3	OBJ:	2	TOP:	History

	3.	To maintain their credentials, coders must earn __________.

ANS:	
continuing education units (CEUs)
continuing education units
CEUs

DIF:	E	REF:	p. 4	OBJ:	4	TOP:	Coding Organizations

	4.	WHO stands for __________.

ANS:	World Health Organization

DIF:	E	REF:	p. 3	OBJ:	2	TOP:	Abbreviations

	5.	HIPAA stands for __________ of 1996.

ANS:	Health Insurance Portability and Accountability Act

DIF:	E	REF:	p. 6	OBJ:	8	TOP:	Abbreviations

	6.	ICD-10-CM stands for __________.

ANS:	International Classification of Diseases, 10th Revision, Clinical Modification

DIF:	E	REF:	p. 2	OBJ:	2	TOP:	Abbreviations