HCS-D NEW 1 EXAM QUESTIONS &
ANSWERS 100% SOLVED!
For the stages of glaucoma, "unspecified stage" may be coded with the 7th character of
a. 0
b. 4
c. 9
d. either 0 or 4, depending on left/right eye - ANSWERSa. 0
70 year old female presents to her family phys office with atypical chest pain and
fatigue. She is provided with a rx for nitroglycein. Pt is referred for an outpatient testing
and expedient cons with a cardiologist. Home health to see and monitor cardiac status.
Coded
a. I25.119, R53.83
b. R53.82, I25.719
c. R07.89, R53.83
d. I20.8, R53.82 - ANSWERSc. R07.89, R53.83
73 yr old male admitted to home care with exacerbation of heart failure due to he ran
out of Lasix and couldn't afford to refill the rx, is also wheelchair bound.
a. I50.9, Z91.120, Z99.3
b. I50.9, T50.1x6d, z91.120, z99.3
c. I50.9, T50.1xx6, z99.3
d. I50.9, T50.1x6, z91.120, z99.3 - ANSWERSb. I50.9, T50.1x6d, z91.120, z99.3
code cancer of large ascending colon with metastasis to liver.
a. c18.2, c78.7
b. c78.5, c78.7
c. c18.0, c78.7
d. c18.9, c78.7 - ANSWERSa. c18.2, c78.7
the phys documented severe obesity but did not document the BMI. what should you
do?
a. code BMI based on clinician's calculation.
b. leave the code off if phys didn't document BMI.
c. document & code BMI to match the phys statement of severe obesity. - ANSWERSa.
code BMI based on clinician's calculation.
The equivalent code to V58.43, aftercare following surgery for injury & trauma is z47.88.
a. False
b. True - ANSWERSa. False
, a pt is undergoing testing for ascites & hepatomegaly with splenomegaly. she also is
having petechiae. Code:
a. r16.2, P54.5
b. r16.1, r16.0, r23.3
c. r16, r23.3
d. r18.8, r16.2, r23.3 - ANSWERSd. r18.8, r16.2, r23.3
Pt lost his left arm below the elbow in a water skiing accident. the agency is providing
aftercare, including dressing changes. Code:
a. Z47.81, Z48.01, Z89.212
b. Z47.81, S58.112
c. S58.112D, Z48.00, Z89.212
d. S58.112d - ANSWERSd. S58.112d
72 yr old male has a flare of gout in right foot. he has a hx of frequent UTI, diabetic
neuropathy, & benign hypertension. He also has frequent kidney stones as the result of
gout, and the MD states these are chronic problem. Code:
a. M10.071, N20.2, E11.40, I10, Z87.442
b. M1A.071, E11.40, I10
c. M10.071, N22, E11.40, I10, Z87.440
d. M1A.071, E11.40, I10, N22, Z87.440 - ANSWERSc. M10.071, N22, E11.40, I10,
Z87.440
pt was admitted to HH for teaching and monitoring of PT/INRs. the pt has a history of
persistent atrial fibrillation & Wolff-Parkinson-White syndrome, as a result of Ebstein's
anomaly. Code:
a. I48.92, Q93.3, Q22.4, Z51.81, Z79.01
b. I48.1, I45.6, Q22.5, Z51.81, Z79.01
c. I48.91, I45.6, Q22.4, Z79.01
d. I48.0, I45.6, Q22.5, Z51.81, Z79.01 - ANSWERSb. I48.1, I45.6, Q22.5, Z51.81,
Z79.01
Mild use disorder of cannabis is documented. Code:
a. F12.20
b. F12.90
c. F12.988
d. F12.10 - ANSWERSd. F12.10
Young immigrant woman presents with intense pelvic & vulvar pain. phys suspects
pelvic inflammatory disease or infection. Upon examination, the access to the introitus is
severely compromised with external genitalia in a healed, but mutilated appearance. Pt
is admitted to the hospital and scheduled for surgery. Under general anesthesia, the
artificially created barrier is removed, and specimens are collected for culture and
sensitivity. Pathology confirms the presence of group A streptococcus. Diagnosis: acute
bacterial parametritis with pelvic cellulitis, female genital mutilation status, type III. The
pt is discharged home on IV antibiotics & monitoring for further S/S of infection. Code:
ANSWERS 100% SOLVED!
For the stages of glaucoma, "unspecified stage" may be coded with the 7th character of
a. 0
b. 4
c. 9
d. either 0 or 4, depending on left/right eye - ANSWERSa. 0
70 year old female presents to her family phys office with atypical chest pain and
fatigue. She is provided with a rx for nitroglycein. Pt is referred for an outpatient testing
and expedient cons with a cardiologist. Home health to see and monitor cardiac status.
Coded
a. I25.119, R53.83
b. R53.82, I25.719
c. R07.89, R53.83
d. I20.8, R53.82 - ANSWERSc. R07.89, R53.83
73 yr old male admitted to home care with exacerbation of heart failure due to he ran
out of Lasix and couldn't afford to refill the rx, is also wheelchair bound.
a. I50.9, Z91.120, Z99.3
b. I50.9, T50.1x6d, z91.120, z99.3
c. I50.9, T50.1xx6, z99.3
d. I50.9, T50.1x6, z91.120, z99.3 - ANSWERSb. I50.9, T50.1x6d, z91.120, z99.3
code cancer of large ascending colon with metastasis to liver.
a. c18.2, c78.7
b. c78.5, c78.7
c. c18.0, c78.7
d. c18.9, c78.7 - ANSWERSa. c18.2, c78.7
the phys documented severe obesity but did not document the BMI. what should you
do?
a. code BMI based on clinician's calculation.
b. leave the code off if phys didn't document BMI.
c. document & code BMI to match the phys statement of severe obesity. - ANSWERSa.
code BMI based on clinician's calculation.
The equivalent code to V58.43, aftercare following surgery for injury & trauma is z47.88.
a. False
b. True - ANSWERSa. False
, a pt is undergoing testing for ascites & hepatomegaly with splenomegaly. she also is
having petechiae. Code:
a. r16.2, P54.5
b. r16.1, r16.0, r23.3
c. r16, r23.3
d. r18.8, r16.2, r23.3 - ANSWERSd. r18.8, r16.2, r23.3
Pt lost his left arm below the elbow in a water skiing accident. the agency is providing
aftercare, including dressing changes. Code:
a. Z47.81, Z48.01, Z89.212
b. Z47.81, S58.112
c. S58.112D, Z48.00, Z89.212
d. S58.112d - ANSWERSd. S58.112d
72 yr old male has a flare of gout in right foot. he has a hx of frequent UTI, diabetic
neuropathy, & benign hypertension. He also has frequent kidney stones as the result of
gout, and the MD states these are chronic problem. Code:
a. M10.071, N20.2, E11.40, I10, Z87.442
b. M1A.071, E11.40, I10
c. M10.071, N22, E11.40, I10, Z87.440
d. M1A.071, E11.40, I10, N22, Z87.440 - ANSWERSc. M10.071, N22, E11.40, I10,
Z87.440
pt was admitted to HH for teaching and monitoring of PT/INRs. the pt has a history of
persistent atrial fibrillation & Wolff-Parkinson-White syndrome, as a result of Ebstein's
anomaly. Code:
a. I48.92, Q93.3, Q22.4, Z51.81, Z79.01
b. I48.1, I45.6, Q22.5, Z51.81, Z79.01
c. I48.91, I45.6, Q22.4, Z79.01
d. I48.0, I45.6, Q22.5, Z51.81, Z79.01 - ANSWERSb. I48.1, I45.6, Q22.5, Z51.81,
Z79.01
Mild use disorder of cannabis is documented. Code:
a. F12.20
b. F12.90
c. F12.988
d. F12.10 - ANSWERSd. F12.10
Young immigrant woman presents with intense pelvic & vulvar pain. phys suspects
pelvic inflammatory disease or infection. Upon examination, the access to the introitus is
severely compromised with external genitalia in a healed, but mutilated appearance. Pt
is admitted to the hospital and scheduled for surgery. Under general anesthesia, the
artificially created barrier is removed, and specimens are collected for culture and
sensitivity. Pathology confirms the presence of group A streptococcus. Diagnosis: acute
bacterial parametritis with pelvic cellulitis, female genital mutilation status, type III. The
pt is discharged home on IV antibiotics & monitoring for further S/S of infection. Code:
