HIMS 5535 DETAILED EXAM
HIMS 5535 DETAILED EXAM WITH
VERIFIED ANSWERS 2025
preoperative diagnosis - Correct Ans-The diagnosis given to the patient at the beginning
of a procedure
postoperative diagnosis - Correct Ans-The definitive medical condition of the patient
either diagnosed or treated during the procedure
For ambulatory surgery, if the preoperative and postoperative diagnoses are different
which code should be selected? - Correct Ans-Select the postoperative diagnosis for
coding. It is more definitive
comorbid condition - Correct Ans-A chronic or long-term condition that presents along
with another chronic or long-term condition
How should comorbid conditions be coded? - Correct Ans-Each condition should be
represented with an individual ICD 10 CM code.
The condition that required treatment should be sequenced first.
complication of care - Correct Ans-A condition that occurs as a result of the medical
care or surgery
In order to report a condition as a complication of care, the documentation must clearly
identify ... - Correct Ans-A cause and effect relationship between medical treatment
(surgery) and resulting complication
never events - Correct Ans-serious errors in medical treatment that should never
happen
What are examples of a never event? - Correct Ans-surgery performed on the wrong
patient
Surgery performed on the wrong body part
Are never events reimbursable? - Correct Ans-no, they cannot be charged to patient or
patient's third party payer
Skin lesions - Correct Ans-Any abnormality of the skins
What are examples of skin lesions? - Correct Ans-Freckles, moles, precancerous and
malignant areas, skin tags, scrapes, cuts
HIMS 5535 DETAILED EXAM
, HIMS 5535 DETAILED EXAM
Skin Ulcer - Correct Ans-An open wound on the skin that may be caused by infection,
pressure, or venous problems.
What are the 2 types of skin ulcers? - Correct Ans-Pressure ulcer & non-pressure ulcer
pressure ulcer - Correct Ans-An ulcer due to prolonged pressure on the skin. (Pressure
causes reduce blood flow and oxygen to the tissue... ultimately death of tissue in that
area)
debridement - Correct Ans-The removal of dead, disease, infected, or otherwise
nonviable tissue from a wound to improve the healing ability of the area
If during the encounter the stage of an unstageable pressure ulcer is revealed after
debridement.... - Correct Ans-Assign only the code for the stage revealed following
debridement
(guideline question, in PowerPoint, CHPT 11)
History and physical notes: patient was admitted with SNF with an unstageable
pressure ulcer. Progress note: Dr Wiley performed debridement and documented that
the pressure ulcer stage was 3. What should the coder report? - Correct Ans-The stage
revealed after debridement, 3.
How many codes from category L89, pressure ulcer, can be used? - Correct Ans-As
many codes as needed to identify ALL pressure ulcers, the patient has, if applicable.
(guideline question, in PowerPoint, CHPT 11) History and Physical notes: Patient has
four pressure ulcers. sacrum stage 3, left buttock stage 2, right buttock stage 2, and left
calf stage 4. Is it okay for the coding professional to report more than one code from
category L89, Pressure ulcer? - Correct Ans-Yes, code for all 4 pressure ulcers the
patient has.
Non-pressure ulcer - Correct Ans-An ulcer on the skin caused by anything other than
pressure
Examples: skin ulcer caused by atherosclerosis of the extremities, chronic venous
hypertension, diabetes mellitus, post thrombotic syndrome, postphlebitic syndrome,
varicose veins
Appendicitis - Correct Ans-inflammation of the appendix
Multiple Choice (CHPT 11: In class)
Each layer of skin excised in Mohs surgery is referred to as what? - Correct Ans-Stage
Multiple Choice (CHPT 11:In class)
HIMS 5535 DETAILED EXAM
HIMS 5535 DETAILED EXAM WITH
VERIFIED ANSWERS 2025
preoperative diagnosis - Correct Ans-The diagnosis given to the patient at the beginning
of a procedure
postoperative diagnosis - Correct Ans-The definitive medical condition of the patient
either diagnosed or treated during the procedure
For ambulatory surgery, if the preoperative and postoperative diagnoses are different
which code should be selected? - Correct Ans-Select the postoperative diagnosis for
coding. It is more definitive
comorbid condition - Correct Ans-A chronic or long-term condition that presents along
with another chronic or long-term condition
How should comorbid conditions be coded? - Correct Ans-Each condition should be
represented with an individual ICD 10 CM code.
The condition that required treatment should be sequenced first.
complication of care - Correct Ans-A condition that occurs as a result of the medical
care or surgery
In order to report a condition as a complication of care, the documentation must clearly
identify ... - Correct Ans-A cause and effect relationship between medical treatment
(surgery) and resulting complication
never events - Correct Ans-serious errors in medical treatment that should never
happen
What are examples of a never event? - Correct Ans-surgery performed on the wrong
patient
Surgery performed on the wrong body part
Are never events reimbursable? - Correct Ans-no, they cannot be charged to patient or
patient's third party payer
Skin lesions - Correct Ans-Any abnormality of the skins
What are examples of skin lesions? - Correct Ans-Freckles, moles, precancerous and
malignant areas, skin tags, scrapes, cuts
HIMS 5535 DETAILED EXAM
, HIMS 5535 DETAILED EXAM
Skin Ulcer - Correct Ans-An open wound on the skin that may be caused by infection,
pressure, or venous problems.
What are the 2 types of skin ulcers? - Correct Ans-Pressure ulcer & non-pressure ulcer
pressure ulcer - Correct Ans-An ulcer due to prolonged pressure on the skin. (Pressure
causes reduce blood flow and oxygen to the tissue... ultimately death of tissue in that
area)
debridement - Correct Ans-The removal of dead, disease, infected, or otherwise
nonviable tissue from a wound to improve the healing ability of the area
If during the encounter the stage of an unstageable pressure ulcer is revealed after
debridement.... - Correct Ans-Assign only the code for the stage revealed following
debridement
(guideline question, in PowerPoint, CHPT 11)
History and physical notes: patient was admitted with SNF with an unstageable
pressure ulcer. Progress note: Dr Wiley performed debridement and documented that
the pressure ulcer stage was 3. What should the coder report? - Correct Ans-The stage
revealed after debridement, 3.
How many codes from category L89, pressure ulcer, can be used? - Correct Ans-As
many codes as needed to identify ALL pressure ulcers, the patient has, if applicable.
(guideline question, in PowerPoint, CHPT 11) History and Physical notes: Patient has
four pressure ulcers. sacrum stage 3, left buttock stage 2, right buttock stage 2, and left
calf stage 4. Is it okay for the coding professional to report more than one code from
category L89, Pressure ulcer? - Correct Ans-Yes, code for all 4 pressure ulcers the
patient has.
Non-pressure ulcer - Correct Ans-An ulcer on the skin caused by anything other than
pressure
Examples: skin ulcer caused by atherosclerosis of the extremities, chronic venous
hypertension, diabetes mellitus, post thrombotic syndrome, postphlebitic syndrome,
varicose veins
Appendicitis - Correct Ans-inflammation of the appendix
Multiple Choice (CHPT 11: In class)
Each layer of skin excised in Mohs surgery is referred to as what? - Correct Ans-Stage
Multiple Choice (CHPT 11:In class)
HIMS 5535 DETAILED EXAM
