WGU C808 Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Assign the correct CPT code for the following: A 63-year-old female had a temporal artery biopsy
completed in the outpatient surgical center. - CORRECT ANSWER 37609, Ligation or biopsy,
temporal artery
The patient is 47 years old. What is the correct code for an initial inguinal herniorrhaphy for
incarcerated hernia? - CORRECT ANSWER 49507, Repair initial inguinal hernia, age 5 years
or older; incarcerated or strangulated
In ICD-10-CM this note means "not coded here": - CORRECT ANSWER Excludes 1
Changes and updates to ICD-10-CM are managed by the ICD-10-CM Coordination and Maintenance
Committee, a federal committee co-chaired by representatives from the NCHS and:- - CORRECT
ANSWER CMS
The patient has a biopsy of the colon followed by a hemicolectomy. In the ICD-10-PCS coding
system, which procedure(s) are coded? - CORRECT ANSWER Both the biopsy and the
hemicolectomy
A procedure that attempts to obstruct the blood flow to a malignant tumor would be coded to which
root operation in ICD-10-PCS? - CORRECT ANSWER Occlusion
The primary responsibility of a coder is to: - CORRECT ANSWER Ensure accuracy of coded
data
Community Hospital implemented a clinical document improvement (CDI) program six months ago.
The goal of the program was to improve clinical documentation to support quality of care, data
quality, and HIM coding accuracy. Which of the following would be best to ensure that everyone
understands the importance of this program? - CORRECT ANSWER Include ancillary clinical
staff and medical staff in the process
The coder assigned separate codes for individual tests when a combination code exists. This is an
example of which of the following? - CORRECT ANSWER Unbundling
, You are the coding supervisor and you are doing an audit of outpatient coding. Robert Thompson was
seen in the outpatient department with a chronic cough and the record states, "rule out lung cancer."
What should have been coded as the patient's diagnosis? - CORRECT ANSWER Chronic
cough
In reviewing a patient chart, the coder finds that the patient's chest x-ray is suggestive of chronic
obstructive pulmonary disease (COPD). The attending physician mentions the x-ray finding in one
progress note, but no medication, treatment, or further evaluation is provided. Which of the following
actions should the coder take in this case? - CORRECT ANSWER Query the attending
physician and ask him to validate a diagnosis based on the chest x-ray
All of the following are goals for a clinical documentation improvement program except: -
CORRECT ANSWER Preventing billing for bundled services
Which of the following is the principal goal of internal auditing programs for billing and coding? -
CORRECT ANSWER Protect providers from sanctions or fines
A coding audit shows that an inpatient coder is using multiple codes that describe the individual
components of a procedure rather than using a single code that describes all the steps of the procedure
performed. Which of the following should be done in this case? - CORRECT ANSWER
Counsel the coder to stop the practice immediately
You are the coding manager and are completing a review of a new coder's work. The case facts are
that the patient was treated in the emergency department for two forearm lacerations that were both
repaired with simple closure. The new coder assigned one CPT code for the largest laceration. Which
of the following would be the correct CPT code assignment for this case? - CORRECT ANSWER
One CPT code adding the lengths of the lacerations together
A patient is admitted to the hospital with shortness of breath and congestive heart failure. The patient
undergoes intubation with mechanical ventilation. The final diagnoses documented by the attending
physician are: Congestive heart failure, mechanical ventilation, and intubation. Which of the
following actions should the coder take in this case? - CORRECT ANSWER query the
attending physician as to the reason for the intubation and mechanical ventilation to add as a
secondary diagnosis
QUESTIONS AND CORRECT ANSWERS
Assign the correct CPT code for the following: A 63-year-old female had a temporal artery biopsy
completed in the outpatient surgical center. - CORRECT ANSWER 37609, Ligation or biopsy,
temporal artery
The patient is 47 years old. What is the correct code for an initial inguinal herniorrhaphy for
incarcerated hernia? - CORRECT ANSWER 49507, Repair initial inguinal hernia, age 5 years
or older; incarcerated or strangulated
In ICD-10-CM this note means "not coded here": - CORRECT ANSWER Excludes 1
Changes and updates to ICD-10-CM are managed by the ICD-10-CM Coordination and Maintenance
Committee, a federal committee co-chaired by representatives from the NCHS and:- - CORRECT
ANSWER CMS
The patient has a biopsy of the colon followed by a hemicolectomy. In the ICD-10-PCS coding
system, which procedure(s) are coded? - CORRECT ANSWER Both the biopsy and the
hemicolectomy
A procedure that attempts to obstruct the blood flow to a malignant tumor would be coded to which
root operation in ICD-10-PCS? - CORRECT ANSWER Occlusion
The primary responsibility of a coder is to: - CORRECT ANSWER Ensure accuracy of coded
data
Community Hospital implemented a clinical document improvement (CDI) program six months ago.
The goal of the program was to improve clinical documentation to support quality of care, data
quality, and HIM coding accuracy. Which of the following would be best to ensure that everyone
understands the importance of this program? - CORRECT ANSWER Include ancillary clinical
staff and medical staff in the process
The coder assigned separate codes for individual tests when a combination code exists. This is an
example of which of the following? - CORRECT ANSWER Unbundling
, You are the coding supervisor and you are doing an audit of outpatient coding. Robert Thompson was
seen in the outpatient department with a chronic cough and the record states, "rule out lung cancer."
What should have been coded as the patient's diagnosis? - CORRECT ANSWER Chronic
cough
In reviewing a patient chart, the coder finds that the patient's chest x-ray is suggestive of chronic
obstructive pulmonary disease (COPD). The attending physician mentions the x-ray finding in one
progress note, but no medication, treatment, or further evaluation is provided. Which of the following
actions should the coder take in this case? - CORRECT ANSWER Query the attending
physician and ask him to validate a diagnosis based on the chest x-ray
All of the following are goals for a clinical documentation improvement program except: -
CORRECT ANSWER Preventing billing for bundled services
Which of the following is the principal goal of internal auditing programs for billing and coding? -
CORRECT ANSWER Protect providers from sanctions or fines
A coding audit shows that an inpatient coder is using multiple codes that describe the individual
components of a procedure rather than using a single code that describes all the steps of the procedure
performed. Which of the following should be done in this case? - CORRECT ANSWER
Counsel the coder to stop the practice immediately
You are the coding manager and are completing a review of a new coder's work. The case facts are
that the patient was treated in the emergency department for two forearm lacerations that were both
repaired with simple closure. The new coder assigned one CPT code for the largest laceration. Which
of the following would be the correct CPT code assignment for this case? - CORRECT ANSWER
One CPT code adding the lengths of the lacerations together
A patient is admitted to the hospital with shortness of breath and congestive heart failure. The patient
undergoes intubation with mechanical ventilation. The final diagnoses documented by the attending
physician are: Congestive heart failure, mechanical ventilation, and intubation. Which of the
following actions should the coder take in this case? - CORRECT ANSWER query the
attending physician as to the reason for the intubation and mechanical ventilation to add as a
secondary diagnosis
