BBK99E1 PRACTICAL FINAL 2026 PRACTICE
TEST SHEET FULL SOLUTIONS CORRECT
ANSWERS PREPARATION SET
◉ The patient has anoxic brain damage secondary to accidental
Nembutal overdose last year. She has a new tracheostomy. How
should this be coded?
Answer: T42.3x1S, G93.1, Z43.0
◉ The patient has hemoptysis and epistaxis from taking his
Coumadin. There is no indication that he took more Coumadin than
he should have. The Coumadin has been discontinued. How should
this be coded?
Answer: R04.2, R04.0, D68.32, T45.515D
◉ The patient has been diagnosed with a pulmonary embolus after
his right knee joint replacement 10 days ago. It was found that the
patient had not been taking his Coumadin because he couldn't
remember to take any of his medications. He is receiving heparin
injections for the pulmonary embolus and therapy for his joint
replacement. How should this be coded?
Answer: I26.99, T45.516D, Z91.130, Z47.1, Z96.651, Z79.01
,◉ 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?
Answer: Z48.3 - Z46.6 - Z85.46 - Z90.79
◉ A 72 year old male admitted to home care with infected surgical
wound, cultured methicillin resistant Staphylococcus aureus
requiring IV antibiotics. How would this be coded?
Answer: T81.49xA, B95.62, Z45.2, Z79.2
◉ 73 year old male admitted to home care with exacerbation of
heart failure due to running out of Lasix and couldn't afford to refill
the prescription. He is also wheelchair bound. How would this be
coded?
Answer: I50.9 - T50.1x6D - Z91.120 - Z99.3
◉ 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?
Answer: I69.351 , E11.22, N18.6, E66.9, Z99.2, Z68.38, Z79.4
,◉ 67 year old female admitted to home care following surgery to
remove bladder due to CA, now has an ileal conduit, SN will instruct
patient and caregiver in care of ileal conduit and appliance
management. How would this be coded?
Answer: Z48.3 - Z43.6 - Z90.6 - Z85.51
◉ Patient opened to home care for wound care and dressing changes
following cholecystectomy and is noted on H&P to have nasal culture
positive for MRSA and is identified as colonized with MRSA. How
would this be coded?
Answer: Z48.815 - Z48.01 - Z22.322
◉ 68 year old male admitted to home care with infected surgical
wound after cholecystectomy, cultured Streptococcus Group B,
resistant to cephalosporins. Dressing changes and IM injections of
antibiotics are to be administered. How would this be coded?
Answer: T81.42xA, B95.1, Z16.19, Z79.2
◉ The patient has brain damage due to an allergic reaction to
penicillin 6 months ago. How should this be coded?
Answer: G93.9, T36.0x5S
◉ Patient at resumption of care after hospitalization for acute
systolic congestive heart failure. Documentation indicates that the
, patient admitted to taking less Digoxin that ordered because of its
expense. How should this be coded?
Answer: I50.21, T46.0x6D, Z91.120
◉ The patient fell and broke his right hip joint prosthesis. It was
repaired and he is coming home with orders for wound care and
therapy. How would you code this?
Answer: T84.010D
◉ The patient had a skin graft to a stage 3 pressure ulcer to the right
buttock. The skin graft is sloughing off. How would you code this?
Answer: T86.820, L89.313
◉ The physician documents a dehisced surgical wound requiring a
wound vac but doesn't indicate whether it is external or internal
dehiscence. What should the coder choose?
Answer: T81.31XA
◉ The surrounding area of the patient's central line is infected with
Staph aureus and the agency will be administering IV antibiotics, in
addition to caring for the central line. The central line is for
administering periodic chemo for breast cancer of the right breast
(on an outpatient basis). How would you code this?
Answer: T80.212A, B95.61, C50.911, Z79.2
TEST SHEET FULL SOLUTIONS CORRECT
ANSWERS PREPARATION SET
◉ The patient has anoxic brain damage secondary to accidental
Nembutal overdose last year. She has a new tracheostomy. How
should this be coded?
Answer: T42.3x1S, G93.1, Z43.0
◉ The patient has hemoptysis and epistaxis from taking his
Coumadin. There is no indication that he took more Coumadin than
he should have. The Coumadin has been discontinued. How should
this be coded?
Answer: R04.2, R04.0, D68.32, T45.515D
◉ The patient has been diagnosed with a pulmonary embolus after
his right knee joint replacement 10 days ago. It was found that the
patient had not been taking his Coumadin because he couldn't
remember to take any of his medications. He is receiving heparin
injections for the pulmonary embolus and therapy for his joint
replacement. How should this be coded?
Answer: I26.99, T45.516D, Z91.130, Z47.1, Z96.651, Z79.01
,◉ 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?
Answer: Z48.3 - Z46.6 - Z85.46 - Z90.79
◉ A 72 year old male admitted to home care with infected surgical
wound, cultured methicillin resistant Staphylococcus aureus
requiring IV antibiotics. How would this be coded?
Answer: T81.49xA, B95.62, Z45.2, Z79.2
◉ 73 year old male admitted to home care with exacerbation of
heart failure due to running out of Lasix and couldn't afford to refill
the prescription. He is also wheelchair bound. How would this be
coded?
Answer: I50.9 - T50.1x6D - Z91.120 - Z99.3
◉ 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?
Answer: I69.351 , E11.22, N18.6, E66.9, Z99.2, Z68.38, Z79.4
,◉ 67 year old female admitted to home care following surgery to
remove bladder due to CA, now has an ileal conduit, SN will instruct
patient and caregiver in care of ileal conduit and appliance
management. How would this be coded?
Answer: Z48.3 - Z43.6 - Z90.6 - Z85.51
◉ Patient opened to home care for wound care and dressing changes
following cholecystectomy and is noted on H&P to have nasal culture
positive for MRSA and is identified as colonized with MRSA. How
would this be coded?
Answer: Z48.815 - Z48.01 - Z22.322
◉ 68 year old male admitted to home care with infected surgical
wound after cholecystectomy, cultured Streptococcus Group B,
resistant to cephalosporins. Dressing changes and IM injections of
antibiotics are to be administered. How would this be coded?
Answer: T81.42xA, B95.1, Z16.19, Z79.2
◉ The patient has brain damage due to an allergic reaction to
penicillin 6 months ago. How should this be coded?
Answer: G93.9, T36.0x5S
◉ Patient at resumption of care after hospitalization for acute
systolic congestive heart failure. Documentation indicates that the
, patient admitted to taking less Digoxin that ordered because of its
expense. How should this be coded?
Answer: I50.21, T46.0x6D, Z91.120
◉ The patient fell and broke his right hip joint prosthesis. It was
repaired and he is coming home with orders for wound care and
therapy. How would you code this?
Answer: T84.010D
◉ The patient had a skin graft to a stage 3 pressure ulcer to the right
buttock. The skin graft is sloughing off. How would you code this?
Answer: T86.820, L89.313
◉ The physician documents a dehisced surgical wound requiring a
wound vac but doesn't indicate whether it is external or internal
dehiscence. What should the coder choose?
Answer: T81.31XA
◉ The surrounding area of the patient's central line is infected with
Staph aureus and the agency will be administering IV antibiotics, in
addition to caring for the central line. The central line is for
administering periodic chemo for breast cancer of the right breast
(on an outpatient basis). How would you code this?
Answer: T80.212A, B95.61, C50.911, Z79.2
