HCS-D Practice #2 Study Guide Exam
And All Actual Answers.
1. Which of the following statements regarding metastasis is false?
a. The metastatic site is the same type of tumor as the primary cancer
b. Metastasis is the initial location of the cancer
c. Metastatic site is the same thing as secondary site
d. Metastasis means the cancer has migrated to other sites - Answer b. Metastasis is the initial location
of the cancer
2. Patient is exhibiting pain on urination and frank blood in her urine. The nurse has obtained a urine
sample and the physician has started the patient on antibiotics. How would this be coded?
a. R30.9, R31.9
b. N39.0, R31.1
c. R30.0, R31.0
d. R30.0, R31.9 - Answer c. R30.0, R31.0
3. 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. Trauma wounds or open wounds codes are never to be used for surgical wounds or surgical
complications.
b. We do not have to query the physician for the type of wound.
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.
4. How should pneumonia due to an unspecified organism be coded?
a. J18.9
b. J18.1
c. J16.8
,d. J18.0 - Answer a. J18.9
5. The patient has anoxic brain damage secondary to accidental Nembutal overdose last year. She has a
new tracheostomy. How should this be coded?
a. Z43.0, G93.1, T42.591S
b. Z43.0, T42.591A, G93.1
c. T42.591S, G93.1, Z43.0
d. G93.1, Z43.0, T42.595S - Answer c. T42.591S, G93.1, Z43.0
6. Which of the following is a true statement regarding 7th character A?
a. 7th character A should be chosen if home health is providing active treatment of the injury or
complication.
b. Home health and hospice are not allowed to use 7th character A.
c. Examples of appropriately coding 7th character A are routine dressing changes and active teaching.
d. 7th character is always the correct choice for injuries and complications coded in M1011. - Answer
a. 7th character A should be chosen if home health is providing active treatment of the injury or
complication
7. The patient has diabetes related to his cystic fibrosis. What is the correct coding?
a. E84.8, E08.9
b. E08.9, E84.9
c. E13.9, E84.8
d. E08.9 - Answer a. E84.8, E08.9
8. Agency receives a referral on a patient recently hospitalized for TIA and chronic atrial fibrillation.
While in the hospital, patient exhibited signs of neck/back pain requiring oral analgesics with increasing
frequency. MRI was performed revealing spinal stenosis of cervical region. Patient denies recent trauma
that may have caused injury. Patient admitted to agency for pain management, Warfarin therapy with bi-
weekly labs to be obtained and therapeutic exercises and training. How would this be coded?
a. M48.03, I48.2, Z51.81, Z79.01, Z86.73
b. M48.02, I48.2, Z51.81, Z79.01, Z86.73
c. M48.00, I48.0, Z79.01, G45.9
, d. M48.02, I48.2, G45.9, Z51.81, Z79.01, Z86.73 - Answer b. M48.02, I48.2, Z51.81, Z79.01, Z86.73
9. Code basal cell carcinoma on the right eyelid.
a. C44.11
b. C44.112
c. C44.111
d. C43.11 - Answer b. C44.112
10. A 56 year old male presents to the hospital with a history of 2 week fever, and recently placed on
antibiotics, and woke this AM with several fluid filled blisters covering his body, and crusty lesions of his
mouth. Over the next 2 days in the hospital, the skin starts sagging, then sloughing off the body, and his
oral lesions become so severe, a NG tube is placed for nutrition. His exfoliation of skin is estimated at
35%. The MD diagnosed him with Lyell's syndrome caused by the antibiotics, and because insurance will
not pay for inpatient, has been sent home for wound care, prevention of infection and to teach the
family about NG tube care and nutrition. How would this be coded?
a. L51.3, T36.95xD, L49.3
b. L51.2, L49.3, T36.95xD, Z46.82
c. T36.95xD, L51.2
d. L51.2, T36.95xS, L49.3, E46 - Answer b. L51.2, L49.3, T36.95xD, Z46.82
11. The patient has hypertension and chronic diastolic heart failure. How should this be coded?
a. I50.32, I10
b. I11.0, I50.32
c. I11.9, I50.32
d. I10, I50.32 - Answer b. I11.0, I50.32
12. How should major neurocognitive disorder be coded?
a. R41.82
b. I69.310
c. F01.50
d. F03.90 - Answer d. F03.90
And All Actual Answers.
1. Which of the following statements regarding metastasis is false?
a. The metastatic site is the same type of tumor as the primary cancer
b. Metastasis is the initial location of the cancer
c. Metastatic site is the same thing as secondary site
d. Metastasis means the cancer has migrated to other sites - Answer b. Metastasis is the initial location
of the cancer
2. Patient is exhibiting pain on urination and frank blood in her urine. The nurse has obtained a urine
sample and the physician has started the patient on antibiotics. How would this be coded?
a. R30.9, R31.9
b. N39.0, R31.1
c. R30.0, R31.0
d. R30.0, R31.9 - Answer c. R30.0, R31.0
3. 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. Trauma wounds or open wounds codes are never to be used for surgical wounds or surgical
complications.
b. We do not have to query the physician for the type of wound.
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.
4. How should pneumonia due to an unspecified organism be coded?
a. J18.9
b. J18.1
c. J16.8
,d. J18.0 - Answer a. J18.9
5. The patient has anoxic brain damage secondary to accidental Nembutal overdose last year. She has a
new tracheostomy. How should this be coded?
a. Z43.0, G93.1, T42.591S
b. Z43.0, T42.591A, G93.1
c. T42.591S, G93.1, Z43.0
d. G93.1, Z43.0, T42.595S - Answer c. T42.591S, G93.1, Z43.0
6. Which of the following is a true statement regarding 7th character A?
a. 7th character A should be chosen if home health is providing active treatment of the injury or
complication.
b. Home health and hospice are not allowed to use 7th character A.
c. Examples of appropriately coding 7th character A are routine dressing changes and active teaching.
d. 7th character is always the correct choice for injuries and complications coded in M1011. - Answer
a. 7th character A should be chosen if home health is providing active treatment of the injury or
complication
7. The patient has diabetes related to his cystic fibrosis. What is the correct coding?
a. E84.8, E08.9
b. E08.9, E84.9
c. E13.9, E84.8
d. E08.9 - Answer a. E84.8, E08.9
8. Agency receives a referral on a patient recently hospitalized for TIA and chronic atrial fibrillation.
While in the hospital, patient exhibited signs of neck/back pain requiring oral analgesics with increasing
frequency. MRI was performed revealing spinal stenosis of cervical region. Patient denies recent trauma
that may have caused injury. Patient admitted to agency for pain management, Warfarin therapy with bi-
weekly labs to be obtained and therapeutic exercises and training. How would this be coded?
a. M48.03, I48.2, Z51.81, Z79.01, Z86.73
b. M48.02, I48.2, Z51.81, Z79.01, Z86.73
c. M48.00, I48.0, Z79.01, G45.9
, d. M48.02, I48.2, G45.9, Z51.81, Z79.01, Z86.73 - Answer b. M48.02, I48.2, Z51.81, Z79.01, Z86.73
9. Code basal cell carcinoma on the right eyelid.
a. C44.11
b. C44.112
c. C44.111
d. C43.11 - Answer b. C44.112
10. A 56 year old male presents to the hospital with a history of 2 week fever, and recently placed on
antibiotics, and woke this AM with several fluid filled blisters covering his body, and crusty lesions of his
mouth. Over the next 2 days in the hospital, the skin starts sagging, then sloughing off the body, and his
oral lesions become so severe, a NG tube is placed for nutrition. His exfoliation of skin is estimated at
35%. The MD diagnosed him with Lyell's syndrome caused by the antibiotics, and because insurance will
not pay for inpatient, has been sent home for wound care, prevention of infection and to teach the
family about NG tube care and nutrition. How would this be coded?
a. L51.3, T36.95xD, L49.3
b. L51.2, L49.3, T36.95xD, Z46.82
c. T36.95xD, L51.2
d. L51.2, T36.95xS, L49.3, E46 - Answer b. L51.2, L49.3, T36.95xD, Z46.82
11. The patient has hypertension and chronic diastolic heart failure. How should this be coded?
a. I50.32, I10
b. I11.0, I50.32
c. I11.9, I50.32
d. I10, I50.32 - Answer b. I11.0, I50.32
12. How should major neurocognitive disorder be coded?
a. R41.82
b. I69.310
c. F01.50
d. F03.90 - Answer d. F03.90
