CDIP FINAL PAPER EXAM QUESTIONS ACCURATE ANSWERS FULL SOLUTION
CDIP Comprehensive EXAM Bundle 2026/2027
Questions and Answers Verified Solutions Latest
Update
Question:
Assign the best answer to complete the following sentence. The CPT codes for treatment of
fractures: a.Use the terminology "manipulation" rather than "reduction" of fracture b.Include
internal fixation in all codes c.Do not include application of cast d.Do not differentiate between
open and closed treatment; CPT only specifies the site of the fracture.
Answer:
a Manipulation refers to the attempted reduction or restoration of a dislocated joint or fracture
(Smith 2015, 84)
Question:
In CPT, if a patient has two lacerations of the arm that are repaired with simple closures, the coder
would assign: a.Two CPT codes expressing each laceration repair b.One CPT code for the largest
laceration c.One CPT code, adding the lengths of the lacerations together d.One CPT code for the
most complex closure.
Answer:
c When multiple wounds are repaired with the same closure type (for example, simple), lengths of
the wounds in the same classification and from all anatomical sites that are grouped together into the
same code descriptor should be added together (Smith 2015, 67).
Question:
Patient admitted for laparoscopic repair of right diaphragmatic hernia. Assign the ICD-10-PCS
procedure code for this surgery. 0BQR4ZZ Repair right diaphragm, percutaneous endoscopic
approach 0BQROZZ Repair right diaphragm, open approach 0BQS4ZZ Repair left diaphragm,
percutaneous endoscopic approach 0BQSOZZ Repair left diaphragm, open approach a.0BQR4ZZ
b.0BQR0ZZ c.0BQS4ZZ d.0BQS0ZZ.
Answer:
,a Surgery is the only treatment for diaphragmatic hernias. ICD-10-PCS code 0BQR4ZZ, is used for
laparoscopic repair of diaphragmatic hernia (Garvin 2015, 192, 284)
Question:
When trying to determine if documentation is present to substantiate status asthmaticus, the coder
should review the record for what terms and phrases? a.Intractable pneumonia b.Refractory asthma
and severe, intractable wheezing c.Airway obstruction relieved by bronchodilators d.Limited but
pronounced wheezing.
Answer:
b Status asthmaticus is defined as continual wheezing in spite of therapy (Leon-Chisen 2013, 230).
Question:
Gastrointestinal bleeding can manifest as: a.Hematemesis, which indicates acute upper
gastrointestinal hemorrhage b.Petechia c.Vomiting d.Constipation, which indicates upper or lower
gastrointestinal hemorrhage.
Answer:
a Gastrointestinal bleeding manifests itself in several ways. These are hematemesis, melena, occult
bleeding, hematochezia (Leon-Chisen 2013, 244).
Question:
Which types of pacemaker devices have a unique ICD-10-PCS code. a.Dual chamber rate
responsive b.Single chamber, single chamber rate responsive, and dual chamber c.Multiple chamber
d.Multiple chamber rate responsive.
Answer:
b The three types of pacemakers are single chamber, single chamber rate responsive, and dual
chamber. A single chamber uses a single lead; a dual chamber requires two leads, one in the atrium
and one in the ventricle. The leads should also be coded (Leon-Chisen 2013, 416-418).
Question:
Mechanical ventilation codes require consideration of which of the following? a.The time when a
tracheal tube is inserted b.The replacement of an endotracheal tube c.The start time of endotracheal
,tube insertion followed by mechanical ventilation d.Mechanical ventilation during surgery.
Answer:
c Codes for mechanical ventilation indicate whether the patient was on mechanical ventilation for
less than 24 hours, 24-96 consecutive hours and greater than 96 consecutive hours. The start time for
calculating the duration begins with the start time of endotracheal tube insertion as the best method,
followed by mechanical ventilation or the time that a patient who is on mechanical ventilation is
admitted. The time ends with discontinuance of mechanical ventilation (Leon-Chisen 2013,
239-240).
Question:
Abbreviations can be a source of patient safety issues due to misinterpretation and
miscommunication. Abbreviations in the health record: a.Are not permitted by Joint Commission
standards b.Should have only one meaning c.Enhance patient safety d.Are critical to an electronic
health record system.
Answer:
b The Joint Commission has established a cautious quality approach to the use of abbreviations in
all its accredited organizations. To comply, every healthcare organization should strive to limit or
eliminate the use of abbreviations by developing an organizationspecific abbreviation list so that
only those abbreviations approved by the organization are used. When more than one meaning for
an approved abbreviation exists, an organization should choose only one meaning or context in
which the abbreviation is to be used (Shaw and Carter 2014; Brodnik et al. 2012, 180-181).
Question:
In ICD-10-PCS, what value is used if there is a character that does not apply to a given code? a.X
b.Z c.0 d.-.
Answer:
b All ICD-10-PCS codes must be seven characters, and a character cannot be left blank. If a value
does not exist for a given character, the Z is used as the value (Shaw and Carter 2014; Kuehn and
Jorwic 2013, 5).
Question:
Which symbol of punctuation is used in the Tabular List to enclose synonyms, alternative wording,
or explanatory phrases? a.Parentheses b.Brackets c.Colon d.Comma.
, Answer:
a Punctuation is widely used in coding. Brackets are used in the Alphabetic Index to identify
manifestation codes as well as to enclose synonyms, alternative wording or explanatory phrases.
(ICD-10- CM Official Guidelines for Coding and Reporting 2016b, 8)
Question:
When the documentation in the medical record is insufficient to assign a more specific code, a
_______ code is assigned. a.MCC b.CC c.NOS d.Unspecified.
Answer:
d When documentation in the record is not available to assign a more specific code, an unspecified
code is assigned (ICD-10-CM Official Guidelines for Coding and Reporting 2016b, 10)
Question:
A 30-year-old cerebral palsy patient was admitted with acute bronchitis, possible pneumonia. In
reviewing the diagnoses below what additionally will impact the patient's ICD-10 code assignment.
a.Spasticity b.Quadriplegia c.Both A and B d.None of the above.
Answer:
c ICD-10 Cerebral palsy and other paralytic syndromes (G80-G83) has additional specificity for
spasticity as well as state of paralysis if any (AHIMA 2015, 23).
Question:
A 90-year-old female was determined to have a CVA with hemorrhage. The cause of the
hemorrhage was determined to be an embolism. What additionally could impact code assignment
for the embolism code? a.Hematemesis b.Hypertension c.Site of the hemorrhage d.Seizure.
Answer:
c ICD-10 includes the site of the of the hemorrhage for increased specificity.
Question:
If a patient undergoes a biopsy immediately before the definitive surgery for a frozen section, how
should this be coded with ICD-10-PCS codes? a.The approach to the definitive surgery b.Suture
CDIP Comprehensive EXAM Bundle 2026/2027
Questions and Answers Verified Solutions Latest
Update
Question:
Assign the best answer to complete the following sentence. The CPT codes for treatment of
fractures: a.Use the terminology "manipulation" rather than "reduction" of fracture b.Include
internal fixation in all codes c.Do not include application of cast d.Do not differentiate between
open and closed treatment; CPT only specifies the site of the fracture.
Answer:
a Manipulation refers to the attempted reduction or restoration of a dislocated joint or fracture
(Smith 2015, 84)
Question:
In CPT, if a patient has two lacerations of the arm that are repaired with simple closures, the coder
would assign: a.Two CPT codes expressing each laceration repair b.One CPT code for the largest
laceration c.One CPT code, adding the lengths of the lacerations together d.One CPT code for the
most complex closure.
Answer:
c When multiple wounds are repaired with the same closure type (for example, simple), lengths of
the wounds in the same classification and from all anatomical sites that are grouped together into the
same code descriptor should be added together (Smith 2015, 67).
Question:
Patient admitted for laparoscopic repair of right diaphragmatic hernia. Assign the ICD-10-PCS
procedure code for this surgery. 0BQR4ZZ Repair right diaphragm, percutaneous endoscopic
approach 0BQROZZ Repair right diaphragm, open approach 0BQS4ZZ Repair left diaphragm,
percutaneous endoscopic approach 0BQSOZZ Repair left diaphragm, open approach a.0BQR4ZZ
b.0BQR0ZZ c.0BQS4ZZ d.0BQS0ZZ.
Answer:
,a Surgery is the only treatment for diaphragmatic hernias. ICD-10-PCS code 0BQR4ZZ, is used for
laparoscopic repair of diaphragmatic hernia (Garvin 2015, 192, 284)
Question:
When trying to determine if documentation is present to substantiate status asthmaticus, the coder
should review the record for what terms and phrases? a.Intractable pneumonia b.Refractory asthma
and severe, intractable wheezing c.Airway obstruction relieved by bronchodilators d.Limited but
pronounced wheezing.
Answer:
b Status asthmaticus is defined as continual wheezing in spite of therapy (Leon-Chisen 2013, 230).
Question:
Gastrointestinal bleeding can manifest as: a.Hematemesis, which indicates acute upper
gastrointestinal hemorrhage b.Petechia c.Vomiting d.Constipation, which indicates upper or lower
gastrointestinal hemorrhage.
Answer:
a Gastrointestinal bleeding manifests itself in several ways. These are hematemesis, melena, occult
bleeding, hematochezia (Leon-Chisen 2013, 244).
Question:
Which types of pacemaker devices have a unique ICD-10-PCS code. a.Dual chamber rate
responsive b.Single chamber, single chamber rate responsive, and dual chamber c.Multiple chamber
d.Multiple chamber rate responsive.
Answer:
b The three types of pacemakers are single chamber, single chamber rate responsive, and dual
chamber. A single chamber uses a single lead; a dual chamber requires two leads, one in the atrium
and one in the ventricle. The leads should also be coded (Leon-Chisen 2013, 416-418).
Question:
Mechanical ventilation codes require consideration of which of the following? a.The time when a
tracheal tube is inserted b.The replacement of an endotracheal tube c.The start time of endotracheal
,tube insertion followed by mechanical ventilation d.Mechanical ventilation during surgery.
Answer:
c Codes for mechanical ventilation indicate whether the patient was on mechanical ventilation for
less than 24 hours, 24-96 consecutive hours and greater than 96 consecutive hours. The start time for
calculating the duration begins with the start time of endotracheal tube insertion as the best method,
followed by mechanical ventilation or the time that a patient who is on mechanical ventilation is
admitted. The time ends with discontinuance of mechanical ventilation (Leon-Chisen 2013,
239-240).
Question:
Abbreviations can be a source of patient safety issues due to misinterpretation and
miscommunication. Abbreviations in the health record: a.Are not permitted by Joint Commission
standards b.Should have only one meaning c.Enhance patient safety d.Are critical to an electronic
health record system.
Answer:
b The Joint Commission has established a cautious quality approach to the use of abbreviations in
all its accredited organizations. To comply, every healthcare organization should strive to limit or
eliminate the use of abbreviations by developing an organizationspecific abbreviation list so that
only those abbreviations approved by the organization are used. When more than one meaning for
an approved abbreviation exists, an organization should choose only one meaning or context in
which the abbreviation is to be used (Shaw and Carter 2014; Brodnik et al. 2012, 180-181).
Question:
In ICD-10-PCS, what value is used if there is a character that does not apply to a given code? a.X
b.Z c.0 d.-.
Answer:
b All ICD-10-PCS codes must be seven characters, and a character cannot be left blank. If a value
does not exist for a given character, the Z is used as the value (Shaw and Carter 2014; Kuehn and
Jorwic 2013, 5).
Question:
Which symbol of punctuation is used in the Tabular List to enclose synonyms, alternative wording,
or explanatory phrases? a.Parentheses b.Brackets c.Colon d.Comma.
, Answer:
a Punctuation is widely used in coding. Brackets are used in the Alphabetic Index to identify
manifestation codes as well as to enclose synonyms, alternative wording or explanatory phrases.
(ICD-10- CM Official Guidelines for Coding and Reporting 2016b, 8)
Question:
When the documentation in the medical record is insufficient to assign a more specific code, a
_______ code is assigned. a.MCC b.CC c.NOS d.Unspecified.
Answer:
d When documentation in the record is not available to assign a more specific code, an unspecified
code is assigned (ICD-10-CM Official Guidelines for Coding and Reporting 2016b, 10)
Question:
A 30-year-old cerebral palsy patient was admitted with acute bronchitis, possible pneumonia. In
reviewing the diagnoses below what additionally will impact the patient's ICD-10 code assignment.
a.Spasticity b.Quadriplegia c.Both A and B d.None of the above.
Answer:
c ICD-10 Cerebral palsy and other paralytic syndromes (G80-G83) has additional specificity for
spasticity as well as state of paralysis if any (AHIMA 2015, 23).
Question:
A 90-year-old female was determined to have a CVA with hemorrhage. The cause of the
hemorrhage was determined to be an embolism. What additionally could impact code assignment
for the embolism code? a.Hematemesis b.Hypertension c.Site of the hemorrhage d.Seizure.
Answer:
c ICD-10 includes the site of the of the hemorrhage for increased specificity.
Question:
If a patient undergoes a biopsy immediately before the definitive surgery for a frozen section, how
should this be coded with ICD-10-PCS codes? a.The approach to the definitive surgery b.Suture
