HCS-D Practice Exam Questions With Complete Solutions
49. Which of the following statements related to Myocardial
infarctions is FALSE?
a. "Acute" means the infarction occurred within the past four
weeks of admission.
b. If STEMI converts to NSTEMI due to thrombolytic therapy,
assign the code for NSTEMI.
c. STEMI myocardial infarction of unspecified site, I21.3, is the
default code for unspecified acute MI.
d. If NSTEMI evolves to STEMI, the STEMI code should be
assigned.
b. If STEMI converts to NSTEMI due to thrombolytic therapy,
assign the code for NSTEMI.
50. The appropriate coding for a pathological fracture of the
right hip with joint replacement includes which codes?
a. Z47.1, M84.451D, Z96.641
b. M84.451D, Z96.641
c. S72.001D, Z96.641
d. Z47.89, M84.451D, Z96.641
b. M84.451D, Z96.641
51. The patient comes to home health for treatment of adherent
scars on the back of her left hand and wrist. She burned it last
year while cooking and received third degree burns to her wrist
,when she dropped a pan of hot oil, splashing it all over her hand.
a. L90.5, T23.362D, T23.372D
b. L90.5, T23.362S, T23.372S
c. T23.362S, T23.372S, L90.5
d. T23.362D, L90.5
b. L90.5, T23.362S, T23.372S
The scare tissue is a residual effect of a burn that is healed. The
sequela guideline applies. The scar tissue is coded first, followed
by the injury with an S as the 7th character. The external cause
code should also be coded.)
52. The QA Auditor sees a chart has been coded with dehisced
surgical wound without documentation that the physician was
called. The POC has not been returned yet from the physician,
and the RAP has already been submitted. The OASIS will be
transmitted this Friday. What is the appropriate action to take?
a. Call the physician to tell him/her that dehiscence of surgical
wound was coded by mistake and that you will send a new POC.
b. Call the coder in and write her/him up for disciplinary action.
c. No action required. Wait until you know whether the
physician signs the POC or not.
d. If unable to verify diagnosis, cancel the RAP, do not transmit
the OASIS until corrected, and begin preparation of a new POC
for physician's signature.
,d. If unable to verify diagnosis, cancel the RAP, do not transmit
the OASIS until corrected, and begin preparation of a new POC
for physician's signature.
54. The patient fell and broke his left hip. He underwent a joint
replacement as repair. Which of the following is correct?
a. S72.002D, Z96.642
b. Z47.1, Z96.642
c. S72.002D
a. S72.002D, Z96.642
55. Acute exacerbation means that the chronic condition is
worsening or decompensating. Therefore, an acute exacerbation
is the same as an infection superimposed on a chronic condition.
Is this statement true or false?
a. True
b. False
b. False
56. The patient has been diagnosed with Sundowner's syndrome
due to Alzheimer's dementia.
a. G30.9, F02.811, F05
b. G30.9, F03.91, F05
c. F05, G30.1, F03.91
d. G30.8, F05, F02.80
, a. G30.9, F02.811, F05
(See note at G30 to use additional code for delirium, which
includes Sundowners. Sundowers is considered a behavior of
Alzheimers)
57. Patient has been diagnosed with hypertension and chronic
kidney disease, stage 3. How should this be coded?
a. I12.9, N18.3
b. I10, N18.9, N18.3
c. I12.9, I10, N18.3
d. I12.9, I10, N18.9, N18.3
a. I12.9, N18.3
58. How should diabetic chronic kidney disease and
hypertension be Coded?
a) E11.22, I12.9, N18.9
b) E11.9, I1.22, I12.9, N18.9
c) I12.9, E11.22, N18.9
d) E10.22, I12.9, N18.9
e) Either a or c
e) Either a or c
59. The patient has diabetes after a pancreatectomy, requiring
insulin and Metformin. Cataract is also documented. What is the
best coding?
a. E13.9, H25.9, Z90.41, Z79.4
49. Which of the following statements related to Myocardial
infarctions is FALSE?
a. "Acute" means the infarction occurred within the past four
weeks of admission.
b. If STEMI converts to NSTEMI due to thrombolytic therapy,
assign the code for NSTEMI.
c. STEMI myocardial infarction of unspecified site, I21.3, is the
default code for unspecified acute MI.
d. If NSTEMI evolves to STEMI, the STEMI code should be
assigned.
b. If STEMI converts to NSTEMI due to thrombolytic therapy,
assign the code for NSTEMI.
50. The appropriate coding for a pathological fracture of the
right hip with joint replacement includes which codes?
a. Z47.1, M84.451D, Z96.641
b. M84.451D, Z96.641
c. S72.001D, Z96.641
d. Z47.89, M84.451D, Z96.641
b. M84.451D, Z96.641
51. The patient comes to home health for treatment of adherent
scars on the back of her left hand and wrist. She burned it last
year while cooking and received third degree burns to her wrist
,when she dropped a pan of hot oil, splashing it all over her hand.
a. L90.5, T23.362D, T23.372D
b. L90.5, T23.362S, T23.372S
c. T23.362S, T23.372S, L90.5
d. T23.362D, L90.5
b. L90.5, T23.362S, T23.372S
The scare tissue is a residual effect of a burn that is healed. The
sequela guideline applies. The scar tissue is coded first, followed
by the injury with an S as the 7th character. The external cause
code should also be coded.)
52. The QA Auditor sees a chart has been coded with dehisced
surgical wound without documentation that the physician was
called. The POC has not been returned yet from the physician,
and the RAP has already been submitted. The OASIS will be
transmitted this Friday. What is the appropriate action to take?
a. Call the physician to tell him/her that dehiscence of surgical
wound was coded by mistake and that you will send a new POC.
b. Call the coder in and write her/him up for disciplinary action.
c. No action required. Wait until you know whether the
physician signs the POC or not.
d. If unable to verify diagnosis, cancel the RAP, do not transmit
the OASIS until corrected, and begin preparation of a new POC
for physician's signature.
,d. If unable to verify diagnosis, cancel the RAP, do not transmit
the OASIS until corrected, and begin preparation of a new POC
for physician's signature.
54. The patient fell and broke his left hip. He underwent a joint
replacement as repair. Which of the following is correct?
a. S72.002D, Z96.642
b. Z47.1, Z96.642
c. S72.002D
a. S72.002D, Z96.642
55. Acute exacerbation means that the chronic condition is
worsening or decompensating. Therefore, an acute exacerbation
is the same as an infection superimposed on a chronic condition.
Is this statement true or false?
a. True
b. False
b. False
56. The patient has been diagnosed with Sundowner's syndrome
due to Alzheimer's dementia.
a. G30.9, F02.811, F05
b. G30.9, F03.91, F05
c. F05, G30.1, F03.91
d. G30.8, F05, F02.80
, a. G30.9, F02.811, F05
(See note at G30 to use additional code for delirium, which
includes Sundowners. Sundowers is considered a behavior of
Alzheimers)
57. Patient has been diagnosed with hypertension and chronic
kidney disease, stage 3. How should this be coded?
a. I12.9, N18.3
b. I10, N18.9, N18.3
c. I12.9, I10, N18.3
d. I12.9, I10, N18.9, N18.3
a. I12.9, N18.3
58. How should diabetic chronic kidney disease and
hypertension be Coded?
a) E11.22, I12.9, N18.9
b) E11.9, I1.22, I12.9, N18.9
c) I12.9, E11.22, N18.9
d) E10.22, I12.9, N18.9
e) Either a or c
e) Either a or c
59. The patient has diabetes after a pancreatectomy, requiring
insulin and Metformin. Cataract is also documented. What is the
best coding?
a. E13.9, H25.9, Z90.41, Z79.4
