Share this article on:

Correct Coding BEGINS WITH THE Fundamentals

doi: 10.1097/
CE Connection
Back to Top | Article Outline

Correct Coding Begins With the Fundamentals: An Introduction to Home Care Coding


To take the test online, go to our secure website at

On the print form, record your answers in the test answer section of the CE enrollment form on page 112. Each question has only one correct answer. You may make copies of these forms.

Complete the registration information and course evaluation. Mail the completed enrollment form and registration fee of $21.95 to: Lippincott Williams & Wilkins CE Group, 2710 Yorktowne Blvd, Brick, NJ 08723, by February 28, 2010. You will receive your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within two business days of receiving your enrollment form.

You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.

Back to Top | Article Outline


Send two or more tests in any nursing journal published by LWW together, and deduct $.95 from the price of each test.

We also offer CE accounts for hospitals and other health-care facilities on Call 1-800-787-8985 for details.

Back to Top | Article Outline


Lippincott Williams & Wilkins, publisher of Home Healthcare Nurse, will award 2.0 contact hours for this continuing nursing education activity.

LWW is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

LWW is also an approved provider of continuing nursing education by the American Association of Critical-Care Nurses #00012278 (CERP category C), District of Columbia, Florida #FBN2454, and Iowa #75. LWW home study activities are classified for Texas nursing continuing education requirements as Type 1. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours. Your certificate is valid in all states.

Back to Top | Article Outline



To present practical steps and basic guidelines for helping home healthcare nurses code correctly every time.

Back to Top | Article Outline


After reading this article and taking this test, you should be able to:

  1. Outline the evolution and basic principles involved in ICD-9-CM coding.
  2. Review the steps of the ICD-9-CM coding process.

1. The American Health Information Management Association is an organization dedicated to

a. coding accurately in today's medical environment.

b. managing personal health information effectively.

c. delivering high-quality healthcare to the public.

d. providing a systematic method of classifying diagnoses.

2. The ICD-9-CM is updated

a. monthly.

b. quarterly.

c. twice a year.

d. once each year.

3. In manuals where all three coding volumes are bound into one book, in which order do they appear?

a. Tabular List of Diseases, Classification of Procedures, Alphabetic Index to Diseases

b. Classification of Procedures, Tabular List of Diseases, Alphabetic Index to Diseases

c. Tabular List of Diseases, Alphabetic Index to Diseases, Classification of Procedures

d. Alphabetic Index to Diseases, Tabular List of Diseases, Classification of Procedures

4. E codes refer to

a. Factors Influencing Health Status.

b. External Causes of Injury and Poisoning.

c. Contact with Health Services.

d. Diseases of the Circulatory System.

5. The Alphabetic Index to Diseases also includes a table of

a. drugs and chemicals.

b. inpatient procedures.

c. nutritional factors.

d. healthcare services.

6. The principal or primary diagnosis

a. is the one that requires the most costly services.

b. is the most chronic or ongoing condition.

c. supports services, care, and treatment.

d. supports all of the patient's home care visits.

7. The first step of the coding process is to

a. locate the main term for the primary diagnosis or condition.

b. find the diagnosis, condition, symptom, or reason for encounter.

c. examine the first listed diagnosis on the home health referral.

d. read all information accompanying the main term and sub-terms.

8. The main term for a condition is most likely to be

a. a body part.

b. a complete diagnosis.

c. a disease state.

d. a common denominator.

9. Words found in parentheses following a main term are known as

a. essential modifiers.

b. relevant sub-terms.

c. non-essential modifiers.

d. specific code entries.

10. A check mark seen in an ICD-9-CM listing means

a. additional digit required.

b. alternate terminology.

c. not otherwise specified.

d. multiple mandatory coding.

11. Slanted brackets seen in an ICD-9-CM listing means

a. additional digit required.

b. alternate terminology.

c. not otherwise specified.

d. multiple mandatory coding.

12. A manifestation code

a. is restricted by gender and age.

b. identifies an excluded diagnosis.

c. cannot be assigned as a primary diagnosis.

d. is equivalent to a treatment.

13. A primary principle of coding is to code

a. with as few digits as possible.

b. with multiple supplemental codes.

c. according to disease severity.

d. to the greatest level of specificity.

14. It is important to sequence the remaining relevant diagnoses in the order of

a. importance related to the care and treatment the patient receives.

b. the cost of the related services, highest to lowest.

c. how long the patient will probably require the services, longest to briefest.

d. the numerical order in which they appear in the manual.

15. V codes

a. are not typically assigned as secondary diagnoses.

b. often relate to external causes of injury and poisoning.

c. are often associated with normal aftercare following a surgical procedure.

d. are used to support care related to a medical or surgical complication.



© 2008 Lippincott Williams & Wilkins, Inc.