HCS-D Practice 5 Test Questions With
Already Passed Solutions.
1. Sepsis is a systemic inflammatory reaction to an infection and may be coded in homecare.
a. False, sepsis is an infection.
b. False, because sepsis is an acute condition that only occurs in the hospital.
c. False, sepsis is a systemic inflammatory reaction to an infection and may not be coded in homecare.
d. True, and the inflammatory reaction can continue to cause problems even after the infection is
resolved. - Answer d. True, and the inflammatory reaction can continue to cause problems even after
the infection is resolved.
2. Chapter 13 codes that represent laterality include the site of the:
a. Joint
b. Bone
c. Muscle
d. All of the Above - Answer d. All of the Above
3. Patient admitted to HH for observation and assessment of his unstable angina. He had a CABG 2 years
ago and cardiac catheterization shows CAD but the bypass grafts are patent. He also has documented
atrial fibrillation and HTN. How would you code this?
a. I25.110, I20.0, I48.1, I10
b. I20.0, I48.91, I10, Z95.1
c. I25.110, I48.91, I10, Z95.1
d. I25.700, I10, I48.91 - Answer c. I25.110, I48.91, I10, Z95.1
4. The physician documented an infected surgical wound in the abdomen after an appendectomy, and
coded S31.613A. What is the incorrect statement regarding this coding?
,a. We do not have to query the physician for the type of wound.
b. Trauma wounds or open wounds codes are never to be used for surgical wounds or surgical
complications.
c. We have to code what the physician codes.
d. The coder should use the description in the documentation to code, not the code itself. - Answer c.
We have to code what the physician codes.
**We code according to physician documentation, not the coding.
5. How should pneumonia due to an unspecified organism be coded?
a. J18.0
b. J16.8
c. J18.1
d. J18.9 - Answer d. J18.9
6. A patient is seen for right upper quadrant pain. He is morbidly obese and is 5'-7" and weighs 300lbs.
How would this be coded?
a. R10.11, E66.2, Z68.43
b. R10.11, E66.01, Z68.42
c. R10.10, E66.09
d. R10.12, E66.0, Z68.42 - Answer b. R10.11, E66.01, Z68.42
7. Which of the following is NOT assumed related, or due to, diabetes?
a. neuropathic arthropathy
b. Atherosclerotic heart disease
c. myasthenia
, d. renal tubular degeneration - Answer b. Atherosclerotic heart disease
**ASHD is not assumed related because it is not specifically listed under the convention 'with' in the
index under diabetes.
8. Patient is admitted to HH with acute on chronic diastolic heart failure, and has documentation of
congestive heart failure due to hypertension. How would you code this?
a. I11.9, I50.31, I50.9
b. I11.0, I50.33
c. I50.33, I50.9, I10
d. I11.0, I50.33, I50.9 - Answer b. I11.0, I50.33
**The heart failure is documented as due to HTN, so code from Category I11 is used for hypertensive
heart disease. Instructional note states to use additional code for the heart failure, so that code follows
the I11.0 code. The type of heart failure is specified as acute on chronic diastolic, the code I50.33
includes the congestive heart failure so the I50.9 code is not needed.
9. The physician documented that the diabetes is uncontrolled. Which of the following is the correct
statement regarding uncontrolled diabetes?
a. Code Type 2 diabetes with hyperosmolarity
b. Add a 6th character for uncontrolled
c. Code E11.65
d. Query whether the patient has hyperglycemia, hypoglycemia or both - Answer d. Query whether
the patient has hyperglycemia, hypoglycemia or both
**There is no special character or digit for uncontrolled. "Uncontrolled" can mean hyperglycemia or
hypoglycemia
10. The patient has secondary diabetes and polyneuropathy. What is the correct coding?
a. E08.42
Already Passed Solutions.
1. Sepsis is a systemic inflammatory reaction to an infection and may be coded in homecare.
a. False, sepsis is an infection.
b. False, because sepsis is an acute condition that only occurs in the hospital.
c. False, sepsis is a systemic inflammatory reaction to an infection and may not be coded in homecare.
d. True, and the inflammatory reaction can continue to cause problems even after the infection is
resolved. - Answer d. True, and the inflammatory reaction can continue to cause problems even after
the infection is resolved.
2. Chapter 13 codes that represent laterality include the site of the:
a. Joint
b. Bone
c. Muscle
d. All of the Above - Answer d. All of the Above
3. Patient admitted to HH for observation and assessment of his unstable angina. He had a CABG 2 years
ago and cardiac catheterization shows CAD but the bypass grafts are patent. He also has documented
atrial fibrillation and HTN. How would you code this?
a. I25.110, I20.0, I48.1, I10
b. I20.0, I48.91, I10, Z95.1
c. I25.110, I48.91, I10, Z95.1
d. I25.700, I10, I48.91 - Answer c. I25.110, I48.91, I10, Z95.1
4. The physician documented an infected surgical wound in the abdomen after an appendectomy, and
coded S31.613A. What is the incorrect statement regarding this coding?
,a. We do not have to query the physician for the type of wound.
b. Trauma wounds or open wounds codes are never to be used for surgical wounds or surgical
complications.
c. We have to code what the physician codes.
d. The coder should use the description in the documentation to code, not the code itself. - Answer c.
We have to code what the physician codes.
**We code according to physician documentation, not the coding.
5. How should pneumonia due to an unspecified organism be coded?
a. J18.0
b. J16.8
c. J18.1
d. J18.9 - Answer d. J18.9
6. A patient is seen for right upper quadrant pain. He is morbidly obese and is 5'-7" and weighs 300lbs.
How would this be coded?
a. R10.11, E66.2, Z68.43
b. R10.11, E66.01, Z68.42
c. R10.10, E66.09
d. R10.12, E66.0, Z68.42 - Answer b. R10.11, E66.01, Z68.42
7. Which of the following is NOT assumed related, or due to, diabetes?
a. neuropathic arthropathy
b. Atherosclerotic heart disease
c. myasthenia
, d. renal tubular degeneration - Answer b. Atherosclerotic heart disease
**ASHD is not assumed related because it is not specifically listed under the convention 'with' in the
index under diabetes.
8. Patient is admitted to HH with acute on chronic diastolic heart failure, and has documentation of
congestive heart failure due to hypertension. How would you code this?
a. I11.9, I50.31, I50.9
b. I11.0, I50.33
c. I50.33, I50.9, I10
d. I11.0, I50.33, I50.9 - Answer b. I11.0, I50.33
**The heart failure is documented as due to HTN, so code from Category I11 is used for hypertensive
heart disease. Instructional note states to use additional code for the heart failure, so that code follows
the I11.0 code. The type of heart failure is specified as acute on chronic diastolic, the code I50.33
includes the congestive heart failure so the I50.9 code is not needed.
9. The physician documented that the diabetes is uncontrolled. Which of the following is the correct
statement regarding uncontrolled diabetes?
a. Code Type 2 diabetes with hyperosmolarity
b. Add a 6th character for uncontrolled
c. Code E11.65
d. Query whether the patient has hyperglycemia, hypoglycemia or both - Answer d. Query whether
the patient has hyperglycemia, hypoglycemia or both
**There is no special character or digit for uncontrolled. "Uncontrolled" can mean hyperglycemia or
hypoglycemia
10. The patient has secondary diabetes and polyneuropathy. What is the correct coding?
a. E08.42
