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CDIP PRACTICE EXAM 1 NEWEST 2025 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A 32-year-old female had a liver transplant 2 years ago. She has
been experiencing problems with her kidneys with a GFR of 20
and Stage IV CKD. She is noted to have some jaundice. Based
on this:
a. Query should be performed for complication of liver
transplant
b. Query should be performed for rejection of liver transplant
c. Query should not be performed as there are no liver
complications
d. No additional documentation needed for reporting -
ANSWER- a It is noted that the patient has a previous liver
transplant and experiencing jaundice. If a transplant
complication such as failure or rejection or other transplant
complication is documented, see section I.C. 19.g for
information on coding complications of a kidney transplant. If
the documentation is unclear as to whether the patient has a
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complication of the transplant, query the provider (ICD-10-CM
Official Guidelines for Coding and Reporting 2016b, 52).
When a patient is admitted for treatment of a secondary
malignancy with an active primary site the principal diagnosis
should be:
a. The primary malignancy
b. The secondary malignancy
c. Either condition
d. Query should be performed - ANSWER- b When a patient
is admitted because of a primary neoplasm with metastasis and
treatment is directed toward the secondary site only, the
secondary neoplasm is designated as the principal diagnosis
even though the primary malignancy is still present (ICD-10-
CM Official Guidelines for Coding and Reporting 2016b, 23).
Assign the following diagnosis code: Permanent atrial
fibrillation I47.2 Ventricular tachycardia
I47.9 Paroxysmal tachycardia, unspecified I48.0 Paroxysmal
atrial fibrillation
I48.1 Persistent atrial fibrillation I48.2 Chronic atrial fibrillation
a.I47.2
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b. I47.0 c.I48.1
d.I48.2 - ANSWER- d In the ICD-10 alphabetic index,
permanent atrial fibrillation is under the main term chronic atrial
fibrillation. Atrial fibrillation can be permanent and medicines or
other treatments can't restore normal heart rhythm (ICD-10-CM
Official Guidelines for Coding and Reporting 2016b; NIH
2014).
The Glasgow Coma Scale includes evaluation of:
a. Eye opening response, verbal response, and motor response
b. Visual response, verbal response, and motor response
c. Eye opening response, verbal Response, and neurological
response
d. None of the above - ANSWER- a The Glasgow Coma
Scale includes Eye Opening Response
•Spontaneous-open with blinking at baseline 4 points
•To verbal stimuli, command, speech 3 points
•To pain only (not applied to face) 2 points
•No response 1 point Verbal Response
•Oriented 5 points
•Confused conversation, but able to answer questions 4 points
•Inappropriate words 3 points
•Incomprehensible speech 2 points
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•No response 1 point Motor Response
•Obeys commands for movement 6 points
•Purposeful movement to painful stimulus 5 points
•Withdraws in response to pain 4 points
•Flexion in response to pain (decorticate posturing) 3 points
•Extension response in response to pain (decerebrate posturing)
2 points
•No response 1 point
When a patient has complete immobility due to severe physical
disability or frailty it is called:
a.paralysis
b.quadriplegia
c.functional quadriplegia
d.debility - ANSWER- c Functional quadriplegia is the lack of
ability to use one's limbs or to ambulate due to extreme debility.
It is not associated with neurologic deficit or injury, should not
be used for cases of neurologic quadriplegia. It should only be
assigned if functional quadriplegia is specifically documented in
the medical record (ICD-10-CM Official Guidelines for Coding
and Reporting 2016b, 65).
CDIP PRACTICE EXAM 1 NEWEST 2025 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A 32-year-old female had a liver transplant 2 years ago. She has
been experiencing problems with her kidneys with a GFR of 20
and Stage IV CKD. She is noted to have some jaundice. Based
on this:
a. Query should be performed for complication of liver
transplant
b. Query should be performed for rejection of liver transplant
c. Query should not be performed as there are no liver
complications
d. No additional documentation needed for reporting -
ANSWER- a It is noted that the patient has a previous liver
transplant and experiencing jaundice. If a transplant
complication such as failure or rejection or other transplant
complication is documented, see section I.C. 19.g for
information on coding complications of a kidney transplant. If
the documentation is unclear as to whether the patient has a
,2|Page
complication of the transplant, query the provider (ICD-10-CM
Official Guidelines for Coding and Reporting 2016b, 52).
When a patient is admitted for treatment of a secondary
malignancy with an active primary site the principal diagnosis
should be:
a. The primary malignancy
b. The secondary malignancy
c. Either condition
d. Query should be performed - ANSWER- b When a patient
is admitted because of a primary neoplasm with metastasis and
treatment is directed toward the secondary site only, the
secondary neoplasm is designated as the principal diagnosis
even though the primary malignancy is still present (ICD-10-
CM Official Guidelines for Coding and Reporting 2016b, 23).
Assign the following diagnosis code: Permanent atrial
fibrillation I47.2 Ventricular tachycardia
I47.9 Paroxysmal tachycardia, unspecified I48.0 Paroxysmal
atrial fibrillation
I48.1 Persistent atrial fibrillation I48.2 Chronic atrial fibrillation
a.I47.2
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b. I47.0 c.I48.1
d.I48.2 - ANSWER- d In the ICD-10 alphabetic index,
permanent atrial fibrillation is under the main term chronic atrial
fibrillation. Atrial fibrillation can be permanent and medicines or
other treatments can't restore normal heart rhythm (ICD-10-CM
Official Guidelines for Coding and Reporting 2016b; NIH
2014).
The Glasgow Coma Scale includes evaluation of:
a. Eye opening response, verbal response, and motor response
b. Visual response, verbal response, and motor response
c. Eye opening response, verbal Response, and neurological
response
d. None of the above - ANSWER- a The Glasgow Coma
Scale includes Eye Opening Response
•Spontaneous-open with blinking at baseline 4 points
•To verbal stimuli, command, speech 3 points
•To pain only (not applied to face) 2 points
•No response 1 point Verbal Response
•Oriented 5 points
•Confused conversation, but able to answer questions 4 points
•Inappropriate words 3 points
•Incomprehensible speech 2 points
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•No response 1 point Motor Response
•Obeys commands for movement 6 points
•Purposeful movement to painful stimulus 5 points
•Withdraws in response to pain 4 points
•Flexion in response to pain (decorticate posturing) 3 points
•Extension response in response to pain (decerebrate posturing)
2 points
•No response 1 point
When a patient has complete immobility due to severe physical
disability or frailty it is called:
a.paralysis
b.quadriplegia
c.functional quadriplegia
d.debility - ANSWER- c Functional quadriplegia is the lack of
ability to use one's limbs or to ambulate due to extreme debility.
It is not associated with neurologic deficit or injury, should not
be used for cases of neurologic quadriplegia. It should only be
assigned if functional quadriplegia is specifically documented in
the medical record (ICD-10-CM Official Guidelines for Coding
and Reporting 2016b, 65).
