HCS-D Practice #4 Questions with Complete
Solutions
11. 71 year old male admitted to home care for PT/OT following a CVA with right dominant
hemiplegia, takes Insulin for Type 2 diabetes, is on hemodialysis for ESRD, is obese with a BMI
of 38.4. How would this be coded?
a. I69.351 , E11.22, N18.6, E66.9, Z99.2, Z68.38, Z79.4
b. I69.351, E11.9, N18.6, Z99.3, Z68.3, Z79.4
c. I69.351 , E11.22, N18.6, Z99.2 , Z68.x3 , Z79.4
d. I69.351, E11.9, N18.6, Z99.2, Z68.3, Z79.4 a. I69.351 , E11.22, N18.6, E66.9, Z99.2,
Z68.38, Z79.4
12. A patient is admitted to home health for physical therapy related to charcot's joint with
documented 'unknown etiology' of the right shoulder, left ankle, and right foot. He also has a
comorbidity of diabetes. How would this be coded?
a. E11.610, M14.611, M14.672, M14.671
b. A52.16
c. E11.610
d. M14.611, M14.672, M14.671, E11.9 d. M14.611, M14.672, M14.671, E11.9
,**If the patient had diabetes and charcot's joint, the charcot's would be assumed related to the
diabetes. In this case, the physician documented unknown etiology, so do not code it as a
manifestation of diabetes.
13. All injuries involving the musculoskeletal system are coded in this chapter, with the
appropriate encounter code.
a. True
b. False b. False
14. This 63 year old female with complaint of constant pain due to OA of right knee with current
steroid injection therapy at MD office. Pain in home will be managed with oral analgesics.
Therapy to eval and treat for muscle weakness and pain to knee. How would this be coded?
a. M17.11, M62.81, G89.29
b. M19.90
c. M17.11
d. M17.9 c. M17.11
,15. 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. M13.871, A41.89
c. M00.171, Z51.81, Z79.2, Z45.2
d. A41.89, M00.871 c. M00.171, Z51.81, Z79.2, Z45.2
**Most infectious arthropathies include the bacteria causing the problem and the joint. Septic
joints are found under 'septic, joint' which then refers you to 'arthritis, pyemic'.
16. Admit to home health services due to recent falls and complaint of increased pain to left hip.
Patient with long standing history of general osteoarthritis. Patient admits to recent increase in
pain, left hip/pelvic area since fall approximately 3 months ago that has affected ADLs. MRI
reveals acute changes to stated area from previous scans. Physician documents post-traumatic
OA of the left hip along with generalized OA. SN for med management and PT for increased
mobility and strengthening. How would this be coded?
a. M16.52, M15.0, Z15.88
b. M15.0, Z91.81
c. M16.52, M15.0, Z91.81
, d. M16.52, Z91.81 c. M16.52, M15.0, Z91.81
17. The mastoid process is part of the temporal bone and is located just behind the ear.
a. False
b. True a. False
18. The Eustachian tube connects the nasopharynx with the ________ ear.
a. Outer
b. Middle
c. Inner
d. None of the above b. Middle
19. Conditions included in Otitis Externa category are:
a. Cholesteatoma
b. Labyrinthitis
c. Swimmer's ear
d. All of the above c. Swimmer's ear
Solutions
11. 71 year old male admitted to home care for PT/OT following a CVA with right dominant
hemiplegia, takes Insulin for Type 2 diabetes, is on hemodialysis for ESRD, is obese with a BMI
of 38.4. How would this be coded?
a. I69.351 , E11.22, N18.6, E66.9, Z99.2, Z68.38, Z79.4
b. I69.351, E11.9, N18.6, Z99.3, Z68.3, Z79.4
c. I69.351 , E11.22, N18.6, Z99.2 , Z68.x3 , Z79.4
d. I69.351, E11.9, N18.6, Z99.2, Z68.3, Z79.4 a. I69.351 , E11.22, N18.6, E66.9, Z99.2,
Z68.38, Z79.4
12. A patient is admitted to home health for physical therapy related to charcot's joint with
documented 'unknown etiology' of the right shoulder, left ankle, and right foot. He also has a
comorbidity of diabetes. How would this be coded?
a. E11.610, M14.611, M14.672, M14.671
b. A52.16
c. E11.610
d. M14.611, M14.672, M14.671, E11.9 d. M14.611, M14.672, M14.671, E11.9
,**If the patient had diabetes and charcot's joint, the charcot's would be assumed related to the
diabetes. In this case, the physician documented unknown etiology, so do not code it as a
manifestation of diabetes.
13. All injuries involving the musculoskeletal system are coded in this chapter, with the
appropriate encounter code.
a. True
b. False b. False
14. This 63 year old female with complaint of constant pain due to OA of right knee with current
steroid injection therapy at MD office. Pain in home will be managed with oral analgesics.
Therapy to eval and treat for muscle weakness and pain to knee. How would this be coded?
a. M17.11, M62.81, G89.29
b. M19.90
c. M17.11
d. M17.9 c. M17.11
,15. 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. M13.871, A41.89
c. M00.171, Z51.81, Z79.2, Z45.2
d. A41.89, M00.871 c. M00.171, Z51.81, Z79.2, Z45.2
**Most infectious arthropathies include the bacteria causing the problem and the joint. Septic
joints are found under 'septic, joint' which then refers you to 'arthritis, pyemic'.
16. Admit to home health services due to recent falls and complaint of increased pain to left hip.
Patient with long standing history of general osteoarthritis. Patient admits to recent increase in
pain, left hip/pelvic area since fall approximately 3 months ago that has affected ADLs. MRI
reveals acute changes to stated area from previous scans. Physician documents post-traumatic
OA of the left hip along with generalized OA. SN for med management and PT for increased
mobility and strengthening. How would this be coded?
a. M16.52, M15.0, Z15.88
b. M15.0, Z91.81
c. M16.52, M15.0, Z91.81
, d. M16.52, Z91.81 c. M16.52, M15.0, Z91.81
17. The mastoid process is part of the temporal bone and is located just behind the ear.
a. False
b. True a. False
18. The Eustachian tube connects the nasopharynx with the ________ ear.
a. Outer
b. Middle
c. Inner
d. None of the above b. Middle
19. Conditions included in Otitis Externa category are:
a. Cholesteatoma
b. Labyrinthitis
c. Swimmer's ear
d. All of the above c. Swimmer's ear
