HCS-D Practice #6 Test Questions And
100% Verified Answers.
Patient is admitted to HH with acute on chronic diastolic heart failure, and has documentation of
congestive heart failure due to hypertension. How would you code this?
a. I11.0, I50.33
b. I11.0, I50.33, I50.9
c. I11.9, I50.31, I50.9
d. I50.33, I50.9, I10 - Answer a. I11.0, I50.33
**The heart failure is documented as due to HTN, so code from Category I11 is used for hypertensive
heart disease. Instructional note states to use additional code for the heart failure, so that code follows
the I11.0 code. The type of heart failure is specified as acute on chronic diastolic, the code I50.33
includes the congestive heart failure so the I50.9 code is not needed.
2. The patient does not have diabetes. How should hyperglycemia be coded?
a. E11.65
b. R73.09
c. R73.03
d. R73.9 - Answer d. R73.9
3. The patient has agranulocytosis due to chemotherapy used to treat prostate cancer. Agranulocytosis is
the focus of care.
a. D70, C61
b. D70.1, T45.1x5D, C61
c. D70.1, C61
d. D70.2, T45.1x5D, C61 - Answer b. D70.1, T45.1x5D, C61
,4. The patient's suprapubic catheter ostomy continues to bleed a week and half after surgery and the
physician has documented cystostomy hemorrhage. Instructions are to care for the cystostomy, pack the
surrounding area and teach catheter care. How should this be coded?
a. N99.510
b. N99.518, Z93.50
c. N99.510, Z43.5
d. N99.512 - Answer c. N99.510, Z43.5
**5. 62 year old male admitted to home care following radical prostatectomy for prostate CA, will
require post op assessment and instruction in care of foley catheter and procedure for intermittent
catheterizations, CA is resolved by surgery (removal of prostate) and no further treatment planned. How
would this be coded?
a. Z48.816 - C61 - Z46.6
b. Z48.816 - Z46.6 - Z85.46
c. Z46.6 - Z48.3 - Z85.46
d. Z48.3 - Z46.6 - Z85.46 - Z90.79 - Answer d. Z48.3 - Z46.6 - Z85.46 - Z90.79
** Aftercare following surgery for neoplasm should be chosen when surgery is related to any neoplasm,
not the aftercare for the body system (Z48.81-). Z85.46 can be found under history, personal and the
absence code can be found under absence.
**6. The physician documents Parkinson's and dementia. How should this be coded?
a. G20, F03.90
b. F03.90, G20
c. G20, F02.80
d. G31.83, F02.80 - Answer c. G20, F02.80
, **Parkinson's and Parkinsonism are both coded G20. Referencing dementia in the index, there is an
assumed link between Parkinson's and Parkinsonism with dementia. In this case, the physician stated
Parkinson's so G20, F02.80 is correct. Also reference the 'Code first underlying condition' note at F02.
7. Patient admitted to home health with a diagnosis of Strep B pneumonia and acute exacerbation of
COPD, with orders for IV antibiotics for 4 weeks via PICC line. How would you code this?
a. J44.0, J15.3, Z45.2, Z79.2
b. J44.1, J44.0, J15.3, Z45.2, Z79.2
c. J44.1, J15.8, B95.1, Z45.2, Z79.2
d. J13, Z45.2, Z79.2 - Answer c. J44.1, J15.8, B95.1, Z45.2, Z79.2
8. Some infections such as bladder infections and wound infections require that the infectious agent be
coded as an additional code. Choose the correct codes to identify a surgical wound with a Staph aureus
infection with antibiotics.
a. T81.4xxA, B95.61
b. A41.01, T81.4xxA
c. T81.4xxA, A49.01
d. T81.4xxD, A41.01 - Answer a. T81.4xxA, B95.61
9. Patient with Septic arthritis of the right ankle. Cultures indicate pneumococcal infection and the nurse
will administer IV antibiotics and draw labs weekly via PICC. How would this be coded?
a. M00.171, B96.5, Z45.2, Z79.2
b. A41.89, M00.871
c. M13.871, A41.89
d. M00.171, Z51.81, Z79.2, Z45.2 - Answer d. M00.171, Z51.81, Z79.2, Z45.2
10. The patient is being admitted for therapy for profuse weakness after a long stay in the rehab unit
after a long stay in ICU for critical illness myopathy. The doctor documents CIM. The coder should:
100% Verified Answers.
Patient is admitted to HH with acute on chronic diastolic heart failure, and has documentation of
congestive heart failure due to hypertension. How would you code this?
a. I11.0, I50.33
b. I11.0, I50.33, I50.9
c. I11.9, I50.31, I50.9
d. I50.33, I50.9, I10 - Answer a. I11.0, I50.33
**The heart failure is documented as due to HTN, so code from Category I11 is used for hypertensive
heart disease. Instructional note states to use additional code for the heart failure, so that code follows
the I11.0 code. The type of heart failure is specified as acute on chronic diastolic, the code I50.33
includes the congestive heart failure so the I50.9 code is not needed.
2. The patient does not have diabetes. How should hyperglycemia be coded?
a. E11.65
b. R73.09
c. R73.03
d. R73.9 - Answer d. R73.9
3. The patient has agranulocytosis due to chemotherapy used to treat prostate cancer. Agranulocytosis is
the focus of care.
a. D70, C61
b. D70.1, T45.1x5D, C61
c. D70.1, C61
d. D70.2, T45.1x5D, C61 - Answer b. D70.1, T45.1x5D, C61
,4. The patient's suprapubic catheter ostomy continues to bleed a week and half after surgery and the
physician has documented cystostomy hemorrhage. Instructions are to care for the cystostomy, pack the
surrounding area and teach catheter care. How should this be coded?
a. N99.510
b. N99.518, Z93.50
c. N99.510, Z43.5
d. N99.512 - Answer c. N99.510, Z43.5
**5. 62 year old male admitted to home care following radical prostatectomy for prostate CA, will
require post op assessment and instruction in care of foley catheter and procedure for intermittent
catheterizations, CA is resolved by surgery (removal of prostate) and no further treatment planned. How
would this be coded?
a. Z48.816 - C61 - Z46.6
b. Z48.816 - Z46.6 - Z85.46
c. Z46.6 - Z48.3 - Z85.46
d. Z48.3 - Z46.6 - Z85.46 - Z90.79 - Answer d. Z48.3 - Z46.6 - Z85.46 - Z90.79
** Aftercare following surgery for neoplasm should be chosen when surgery is related to any neoplasm,
not the aftercare for the body system (Z48.81-). Z85.46 can be found under history, personal and the
absence code can be found under absence.
**6. The physician documents Parkinson's and dementia. How should this be coded?
a. G20, F03.90
b. F03.90, G20
c. G20, F02.80
d. G31.83, F02.80 - Answer c. G20, F02.80
, **Parkinson's and Parkinsonism are both coded G20. Referencing dementia in the index, there is an
assumed link between Parkinson's and Parkinsonism with dementia. In this case, the physician stated
Parkinson's so G20, F02.80 is correct. Also reference the 'Code first underlying condition' note at F02.
7. Patient admitted to home health with a diagnosis of Strep B pneumonia and acute exacerbation of
COPD, with orders for IV antibiotics for 4 weeks via PICC line. How would you code this?
a. J44.0, J15.3, Z45.2, Z79.2
b. J44.1, J44.0, J15.3, Z45.2, Z79.2
c. J44.1, J15.8, B95.1, Z45.2, Z79.2
d. J13, Z45.2, Z79.2 - Answer c. J44.1, J15.8, B95.1, Z45.2, Z79.2
8. Some infections such as bladder infections and wound infections require that the infectious agent be
coded as an additional code. Choose the correct codes to identify a surgical wound with a Staph aureus
infection with antibiotics.
a. T81.4xxA, B95.61
b. A41.01, T81.4xxA
c. T81.4xxA, A49.01
d. T81.4xxD, A41.01 - Answer a. T81.4xxA, B95.61
9. Patient with Septic arthritis of the right ankle. Cultures indicate pneumococcal infection and the nurse
will administer IV antibiotics and draw labs weekly via PICC. How would this be coded?
a. M00.171, B96.5, Z45.2, Z79.2
b. A41.89, M00.871
c. M13.871, A41.89
d. M00.171, Z51.81, Z79.2, Z45.2 - Answer d. M00.171, Z51.81, Z79.2, Z45.2
10. The patient is being admitted for therapy for profuse weakness after a long stay in the rehab unit
after a long stay in ICU for critical illness myopathy. The doctor documents CIM. The coder should:
