Question

multiple select question

select all that apply

icd-10-cm uses a placeholder character designated as \x\ for some codes when which of the following characters are required but the digit space to the left of that character is empty?

seventh
fifth
sixth
fourth

Explanation:

Analyze the placeholder rule

Using the ICD-10 Placeholder Character knowledge point

In ICD-10-CM, the placeholder character "x" is used to allow for future expansion or to fill empty spaces when a code requires a specific subsequent character (such as a sixth or seventh character) but does not have enough preceding characters to fill the intermediate positions.

Specifically, if a code requires a sixth or seventh character, but the preceding digit spaces (such as the fifth or sixth positions) are empty, the placeholder "x" must be used in those empty positions to keep the required character in its correct position.

Therefore, the placeholder "x" is used when a sixth or seventh character is required, but the digit space to the left of that character is empty.

Evaluate the options

• Seventh: Correct. Many codes require a 7th character (e.g., for encounter type), and if the code only has 5 characters, an "x" is placed in the 6th position.
• Fifth: Incorrect. The placeholder is not used to fill space for a required fifth character.
• Sixth: Correct. Some codes require a 6th character, and if the code only has 4 or 5 characters, "x" is used as a placeholder.
• Fourth: Incorrect. The fourth character is a subcategory and does not use a placeholder "x" in this manner.

Answer:

• Seventh (Correct answer)
• Fifth
• Sixth (Correct answer)
• Fourth