2024 CDIP PRACTICE EXAM 1
WITH CORRECT ANSWERS
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 - CORRECT ANSWERS- a Manipulation refers
to the attempted reduction or restoration of a dislocated joint or fracture
(Smith 2015, 84)
The CDS manager is implementing a process to review queries ongoing for
format and appropriateness. This should be done
a.Weekly
b.Monthly
c.Quarterly
d.Annually - CORRECT ANSWERS- d Queries should be audited at least
yearly. This can be done retrospectively and can be performed internally
(Hess 2015, 211).
Assign code(s) for the following diagnosis: Congestive heart failure due to
hypertension.
I10 Essential (primary) hypertension
I11.9 Hypertensive heart disease without heart failure
I11.0 Hypertensive heart disease with heart failure
I50.9 Heart failure, unspecified
I50.1 Left ventricular failure
I50.20 Unspecified systolic (congestive) heart failure
I50.21 Acute systolic (congestive) heart failure
I50.22 Chronic systolic (congestive) heart failure
I50.23 Acute on chronic systolic (congestive) heart failure
a.I10, I50.9
b.I11.0
c.I50.23, I10
d.I11.0, I50.9 - CORRECT ANSWERS- d Heart conditions are assigned a
combination code when a causal relationship is stated (due to hypertension)
or implied (hypertensive). Use an additional code to identify the type of heart
failure in those patients with heart failure (ICD-10-CM Official Guidelines for
Coding and Reporting 2016b, 41).
,This individual should have to be a part of the CDI oversight committee and
work to build physician support for the program
a.Compliance officer
b.Coder
c.CDS
d.Infection control officer - CORRECT ANSWERS- a The hospital (system)
compliance officer should have be a part of the CDI oversight committee and
work to build physician support for the program to ensure effectiveness
(Hess 2015, 207).
A compliant CDI program should have components to include
a.Documented, mandatory physician education
b.Detailed query documentation
c.CDI policies and procedures with annual sign-off from all program staff
d.All of the above - CORRECT ANSWERS- d A compliant CDI program should
have components to include documented, mandatory physician education as
they are ultimately responsible for the documentation, detailed query
documentation for compliance, and CDI policies and procedures with annual
sign-off from all program staff to ensure correct messaging of information
(Hess 2015, 208).
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 - CORRECT ANSWERS- 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).
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 - CORRECT ANSWERS- 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)
,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 - CORRECT ANSWERS- b Status
asthmaticus is defined as continual wheezing in spite of therapy (Leon-
Chisen 2013, 230).
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 -
CORRECT ANSWERS- a Gastrointestinal bleeding manifests itself in several
ways. These are hematemesis, melena, occult bleeding, hematochezia
(Leon-Chisen 2013, 244).
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 - CORRECT ANSWERS- 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).
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 - CORRECT ANSWERS- 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).
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 - CORRECT ANSWERS- 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).
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.- - CORRECT ANSWERS- 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).
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 - CORRECT ANSWERS- 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)
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 - CORRECT ANSWERS- 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)
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
WITH CORRECT ANSWERS
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 - CORRECT ANSWERS- a Manipulation refers
to the attempted reduction or restoration of a dislocated joint or fracture
(Smith 2015, 84)
The CDS manager is implementing a process to review queries ongoing for
format and appropriateness. This should be done
a.Weekly
b.Monthly
c.Quarterly
d.Annually - CORRECT ANSWERS- d Queries should be audited at least
yearly. This can be done retrospectively and can be performed internally
(Hess 2015, 211).
Assign code(s) for the following diagnosis: Congestive heart failure due to
hypertension.
I10 Essential (primary) hypertension
I11.9 Hypertensive heart disease without heart failure
I11.0 Hypertensive heart disease with heart failure
I50.9 Heart failure, unspecified
I50.1 Left ventricular failure
I50.20 Unspecified systolic (congestive) heart failure
I50.21 Acute systolic (congestive) heart failure
I50.22 Chronic systolic (congestive) heart failure
I50.23 Acute on chronic systolic (congestive) heart failure
a.I10, I50.9
b.I11.0
c.I50.23, I10
d.I11.0, I50.9 - CORRECT ANSWERS- d Heart conditions are assigned a
combination code when a causal relationship is stated (due to hypertension)
or implied (hypertensive). Use an additional code to identify the type of heart
failure in those patients with heart failure (ICD-10-CM Official Guidelines for
Coding and Reporting 2016b, 41).
,This individual should have to be a part of the CDI oversight committee and
work to build physician support for the program
a.Compliance officer
b.Coder
c.CDS
d.Infection control officer - CORRECT ANSWERS- a The hospital (system)
compliance officer should have be a part of the CDI oversight committee and
work to build physician support for the program to ensure effectiveness
(Hess 2015, 207).
A compliant CDI program should have components to include
a.Documented, mandatory physician education
b.Detailed query documentation
c.CDI policies and procedures with annual sign-off from all program staff
d.All of the above - CORRECT ANSWERS- d A compliant CDI program should
have components to include documented, mandatory physician education as
they are ultimately responsible for the documentation, detailed query
documentation for compliance, and CDI policies and procedures with annual
sign-off from all program staff to ensure correct messaging of information
(Hess 2015, 208).
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 - CORRECT ANSWERS- 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).
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 - CORRECT ANSWERS- 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)
,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 - CORRECT ANSWERS- b Status
asthmaticus is defined as continual wheezing in spite of therapy (Leon-
Chisen 2013, 230).
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 -
CORRECT ANSWERS- a Gastrointestinal bleeding manifests itself in several
ways. These are hematemesis, melena, occult bleeding, hematochezia
(Leon-Chisen 2013, 244).
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 - CORRECT ANSWERS- 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).
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 - CORRECT ANSWERS- 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).
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 - CORRECT ANSWERS- 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).
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.- - CORRECT ANSWERS- 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).
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 - CORRECT ANSWERS- 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)
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 - CORRECT ANSWERS- 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)
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
