CDIP Practice Exam 1 Questions With 100% Correct Answers

CDIP Practice Exam 1 Questions With 100% Correct Answers Assign code(s) for the following diagnosis: Congestive heart failure due to hypertension. I10 Essential (primary) hypertension I11.9 Hypertensive heart disease without heart failure I11.0 Hypertensive heart disease with heart failure I50.9 Heart failure, unspecified I50.1 Left ventricular failure I50.20 Unspecified systolic (congestive) heart failure I50.21 Acute systolic (congestive) heart failure I50.22 Chronic systolic (congestive) heart failure I50.23 Acute on chronic systolic (congestive) heart failure a.I10, I50.9 b.I11.0 c.I50.23, I10 d.I11.0, I50.9 - answerd Heart conditions are assigned a combination code when a causal relationship is stated (due to hypertension) or implied (hypertensive). Use an additional code to identify the type of heart failure in those patients with heart failure (ICD-10-CM Official Guidelines for Coding and Reporting 2016b, 41). Assign the best answer to complete the following sentence. The CPT codes for treatment of fractures: a.Use the terminology "manipulation" rather than "reduction" of fracture b.Include internal fixation in all codes c.Do not include application of cast d.Do not differentiate between open and closed treatment; CPT only specifies the site of the fracture - answera Manipulation refers to the attempted reduction or restoration of a dislocated joint or fracture (Smith 2015, 84) In CPT, if a patient has two lacerations of the arm that are repaired with simple closures, the coder would assign: a.Two CPT codes expressing each laceration repair b.One CPT code for the largest laceration c.One CPT code, adding the lengths of the lacerations together d.One CPT code for the most complex closure - answerc When multiple wounds are repaired with the same closure type (for example, simple), lengths of the wounds in the same classification and from all anatomical sites that are grouped together into the same code descriptor should be added together (Smith 2015, 67). Patient admitted for laparoscopic repair of right diaphragmatic hernia. Assign the ICD-10-PCS procedure code for this surgery. 0BQR4ZZ Repair right diaphragm, percutaneous endoscopic approach 0BQROZZ Repair right diaphragm, open approach 0BQS4ZZ Repair left diaphragm, percutaneous endoscopic approach 0BQSOZZ Repair left diaphragm, open approach a.0BQR4ZZ b.0BQR0ZZ c.0BQS4ZZ d.0BQS0ZZ - answera Surgery is the only treatment for diaphragmatic hernias. ICD-10-PCS code 0BQR4ZZ, is used for laparoscopic repair of diaphragmatic hernia (Garvin 2015, 192, 284) When trying to determine if documentation is present to substantiate status asthmaticus, the coder should review the record for what terms and phrases? a.Intractable pneumonia b.Refractory asthma and severe, intractable wheezing c.Airway obstruction relieved by bronchodilators d.Limited but pronounced wheezing - answerb Status asthmaticus is defined as continual wheezing in spite of therapy (Leon-Chisen 2013, 230). Gastrointestinal bleeding can manifest as: a.Hematemesis, which indicates acute upper gastrointestinal hemorrhage b.Petechia c.Vomiting d.Constipation, which indicates upper or lower gastrointestinal hemorrhage - answera Gastrointestinal bleeding manifests itself in several ways. These are hematemesis, melena, occult bleeding, hematochezia (Leon-Chisen 2013, 244). Which types of pacemaker devices have a unique ICD-10-PCS code. a.Dual chamber rate responsive b.Single chamber, single chamber rate responsive, and dual chamber c.Multiple chamber d.Multiple chamber rate responsive - answerb The three types of pacemakers are single chamber, single chamber rate responsive, and dual chamber. A single chamber uses a single lead; a dual chamber requires two leads, one in the atrium and one in the ventricle. The leads should also be coded (Leon-Chisen 2013, 416-418). Mechanical ventilation codes require consideration of which of the following? a.The time when a tracheal tube is inserted b.The replacement of an endotracheal tube c.The start time of endotracheal tube insertion followed by mechanical ventilation d.Mechanical ventilation during surgery - answerc Codes for mechanical ventilation indicate whether the patient was on mechanical ventilation for less than 24 hours, 24-96 consecutive hours and greater than 96 consecutive hours. The start time for calculating the duration begins with the start time of endotracheal tube insertion as the best method, followed by mechanical ventilation or the time that a patient who is on mechanical ventilation is admitted. The time ends with discontinuance of mechanical ventilation (Leon-Chisen 2013, 239-240). Abbreviations can be a source of patient safety issues due to misinterpretation and miscommunication. Abbreviations in the health record: a.Are not permitted by Joint Commission standards b.Should have only one meaning c.Enhance patient safety d.Are critical to an electronic health record system - answerb The Joint Commission has established a cautious quality approach to the use of abbreviations in all its accredited organizations. To comply, every healthcare organization should strive to limit or eliminate the use of abbreviations by developing an organizationspecific abbreviation list so that only those abbreviations approved by the organization are used. When more than one meaning for an approved abbreviation exists, an organization should choose only one meaning or context in which the abbreviation is to be used (Shaw and Carter 2014; Brodnik et al. 2012, 180-181). In ICD-10-PCS, what value is used if there is a character that does not apply to a given code? a.X b.Z c.0 d.- - answerb All ICD-10-PCS codes must be seven characters, and a character cannot be left blank. If a value does not exist for a given character, the Z is used as the value (Shaw and Carter 2014; Kuehn and Jorwic 2013, 5). Which symbol of punctuation is used in the Tabular List to enclose synonyms, alternative wording, or explanatory phrases? a.Parentheses b.Brackets c.Colon d.Comma - answera Punctuation is widely used in coding. Brackets are used in the Alphabetic Index to identify manifestation codes as well as to enclose synonyms, alternative wording or explanatory phrases. (ICD-10-CM Official Guidelines for Coding and Reporting 2016b, 8) When the documentation in the medical record is insufficient to assign a more specific code, a _______ code is assigned. a.MCC b.CC c.NOS d.Unspecified - answerd When documentation in the record is not available to assign a more specific code, an unspecified code is assigned (ICD-10-CM Official Guidelines for Coding and Reporting 2016b, 10) A 30-year-old cerebral palsy patient was admitted with acute bronchitis, possible pneumonia. In reviewing the diagnoses below what additionally will impact the patient's ICD-10 code assignment. a.Spasticity b.Quadriplegia c.Both A and B d.None of the above - answerc ICD-10 Cerebral palsy and other paralytic syndromes (G80- G83) has additional specificity for spasticity as well as state of paralysis if any (AHIMA 2015, 23).