HCS-D new Exam Questions & Answers
100% Correct!!
The phys documented alcoholic fatty liver with alcohol dependence and delirium. Code:
a. K70.0, F10.221
b. K70.30, F10.20,R41.0
c. K70.0, F10.20, R41.0 - ANSWERSa. K70.0, F10.221
A 68 yr old admitted with an infected diabetic ulcer to left midfoot due to stepping on a
tack and being unable to feel the tact. The pt has diabetes, polyneuropathy, and
angiopathy. On MRI, the results show destruction of the bone of the midfoot. The pt
does have a history of ostemyelitis, but is not showing any current signs of active
osteomyelitis. THe pt is also noted to have decubitus to the left buttock covered with
slough. SN to provide wound care to both wounds, and IV antibiotics for 6 weeks. Code:
a. E11.69, M86.571, E11.621, L97.424, L89.320, E11.40, E11.51, Z45.2
b. E11.622, L97.424, L89.320, E11.40, E11.51
c. L97.429, E11.40, E11.51, L89.320, Z79.2, Z45.2
d. E11.621, L97.424, L89.320, E11.42, E11.51, Z79.2, Z45.2 - ANSWERSd. E11.621,
L97.424, L89.320, E11.42, E11.51, Z79.2, Z45.2
Pt has intermittent abdominal pain. The MD has documented that the pt has gallstones,
which causes occasional cholecystitis. Code:
a. K80.00
b. K80.10
c. K80.13
d. K80.01 - ANSWERSb. K80.10
The pt had surgery to excise a benign neoplasm of the brain. He will need no further
treatment to the tumor. The phys has ordered surgical wound care including dressing
changes. Code:
a. Z48.812, Z48.01, D33.2
b. Z48.3, Z48.01, D33.2
c. Z48.3, Z48.01, Z86.011
d. Z48.3, Z48.01, Z85.841 - ANSWERSc. Z48.3, Z48.01, Z86.011
To find the code for use of supplemental oxygen, look under ________ in the
alphabetical index.
a. oxygen, dependence on
b. use of, oxygen, supplemental
c. status, supplemental oxygen
d. dependence, supplemental oxygen - ANSWERSd. dependence, supplemental
oxygen
, The patient is being admitted for anemia related to the chemotherapy (administered
correctly) treatment for cancer. Code:
a. D64.81, T45.1x1, cancer
b. D61.1 and the cancer
c. T45.1x5D, D64.81, cancer
d. D64.81, T45.1x5D, cancer - ANSWERSd. D64.81, T45.1x5D, cancer
The agency or hospice receives a referral for care of an open fracture. What does the
coder need to know from the phy?
a. The Gustilo grade
b. Whether the admission should be coded as initial treatment or subsequent treatment
c. Whether the fracture should still be considered open after repair
d. Whether this is an appropriate patient for admission - ANSWERSa. The Gustilo grade
Acute injuries are not to be coded at the same time as the sequela of the same injury.
However, there is an exception to this rule in the guidelines for coding burns. Why?
a. That statement is not true. You cannot code an acute burn along with a sequela of
the burn. The guideline prohibits it.
b. That statement is not true. Acute injuries can always be coded at the same time as
sequela of the injury.
c. Burns & corrosions do not heal at the same rate and a current healing wound may
still exist with sequela of a healed burn or corrosion. - ANSWERSc. Burns & corrosions
do not heal at the same rate and a current healing wound may still exist with sequela of
a healed burn or corrosion.
96 year old patient being seen for chronic pain management due to her benign brain
tumor. She is on oxycontin TID. On admission, the caregiver tells the SN that the patient
has not had a bowel movement x5 days. The SN calls the MD and gets an order to
check for impaction and finds that the patient is impacted. Code?
a. K56.41, G89.29
b. G89.29, K56.41, C71.9
c. G89.3, D33.2, K56.41
d. K59.00, G89.3 - ANSWERSc. G89.3, D33.2, K56.41
Patient admitted for home health with new meds and teaching of calcimar injections to
the 66 year old patient with osteoporosis. She also has comorbidities of Vitamin D
deficiency, CAD, and HTN and has a history of a osteoporotic fracture. Code:
a. M81.6, E53.9, I25.10, I10
b. M81.0, I11.9, I25.10, E53.9, Z87.310
c. M81.9, E53.9, I25.10, I10
d. M81.0, E53.9, I25.10, I10, Z87.310 - ANSWERSd. M81.0, E53.9, I25.10, I10,
Z87.310
Z85 is used when the primary malignancy has been excised and requires no further
treatment and is never used for secondary malignancies.
a. True
100% Correct!!
The phys documented alcoholic fatty liver with alcohol dependence and delirium. Code:
a. K70.0, F10.221
b. K70.30, F10.20,R41.0
c. K70.0, F10.20, R41.0 - ANSWERSa. K70.0, F10.221
A 68 yr old admitted with an infected diabetic ulcer to left midfoot due to stepping on a
tack and being unable to feel the tact. The pt has diabetes, polyneuropathy, and
angiopathy. On MRI, the results show destruction of the bone of the midfoot. The pt
does have a history of ostemyelitis, but is not showing any current signs of active
osteomyelitis. THe pt is also noted to have decubitus to the left buttock covered with
slough. SN to provide wound care to both wounds, and IV antibiotics for 6 weeks. Code:
a. E11.69, M86.571, E11.621, L97.424, L89.320, E11.40, E11.51, Z45.2
b. E11.622, L97.424, L89.320, E11.40, E11.51
c. L97.429, E11.40, E11.51, L89.320, Z79.2, Z45.2
d. E11.621, L97.424, L89.320, E11.42, E11.51, Z79.2, Z45.2 - ANSWERSd. E11.621,
L97.424, L89.320, E11.42, E11.51, Z79.2, Z45.2
Pt has intermittent abdominal pain. The MD has documented that the pt has gallstones,
which causes occasional cholecystitis. Code:
a. K80.00
b. K80.10
c. K80.13
d. K80.01 - ANSWERSb. K80.10
The pt had surgery to excise a benign neoplasm of the brain. He will need no further
treatment to the tumor. The phys has ordered surgical wound care including dressing
changes. Code:
a. Z48.812, Z48.01, D33.2
b. Z48.3, Z48.01, D33.2
c. Z48.3, Z48.01, Z86.011
d. Z48.3, Z48.01, Z85.841 - ANSWERSc. Z48.3, Z48.01, Z86.011
To find the code for use of supplemental oxygen, look under ________ in the
alphabetical index.
a. oxygen, dependence on
b. use of, oxygen, supplemental
c. status, supplemental oxygen
d. dependence, supplemental oxygen - ANSWERSd. dependence, supplemental
oxygen
, The patient is being admitted for anemia related to the chemotherapy (administered
correctly) treatment for cancer. Code:
a. D64.81, T45.1x1, cancer
b. D61.1 and the cancer
c. T45.1x5D, D64.81, cancer
d. D64.81, T45.1x5D, cancer - ANSWERSd. D64.81, T45.1x5D, cancer
The agency or hospice receives a referral for care of an open fracture. What does the
coder need to know from the phy?
a. The Gustilo grade
b. Whether the admission should be coded as initial treatment or subsequent treatment
c. Whether the fracture should still be considered open after repair
d. Whether this is an appropriate patient for admission - ANSWERSa. The Gustilo grade
Acute injuries are not to be coded at the same time as the sequela of the same injury.
However, there is an exception to this rule in the guidelines for coding burns. Why?
a. That statement is not true. You cannot code an acute burn along with a sequela of
the burn. The guideline prohibits it.
b. That statement is not true. Acute injuries can always be coded at the same time as
sequela of the injury.
c. Burns & corrosions do not heal at the same rate and a current healing wound may
still exist with sequela of a healed burn or corrosion. - ANSWERSc. Burns & corrosions
do not heal at the same rate and a current healing wound may still exist with sequela of
a healed burn or corrosion.
96 year old patient being seen for chronic pain management due to her benign brain
tumor. She is on oxycontin TID. On admission, the caregiver tells the SN that the patient
has not had a bowel movement x5 days. The SN calls the MD and gets an order to
check for impaction and finds that the patient is impacted. Code?
a. K56.41, G89.29
b. G89.29, K56.41, C71.9
c. G89.3, D33.2, K56.41
d. K59.00, G89.3 - ANSWERSc. G89.3, D33.2, K56.41
Patient admitted for home health with new meds and teaching of calcimar injections to
the 66 year old patient with osteoporosis. She also has comorbidities of Vitamin D
deficiency, CAD, and HTN and has a history of a osteoporotic fracture. Code:
a. M81.6, E53.9, I25.10, I10
b. M81.0, I11.9, I25.10, E53.9, Z87.310
c. M81.9, E53.9, I25.10, I10
d. M81.0, E53.9, I25.10, I10, Z87.310 - ANSWERSd. M81.0, E53.9, I25.10, I10,
Z87.310
Z85 is used when the primary malignancy has been excised and requires no further
treatment and is never used for secondary malignancies.
a. True
