CDIP Practice Exam 1Questions With
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 |- |CORRECT |ANSWER✔✔-d |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 |- |CORRECT |ANSWER✔✔-a |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 |- |CORRECT |ANSWER✔✔-c |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 |- |CORRECT |ANSWER✔✔-a |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 |- |CORRECT |ANSWER✔✔-b |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 |- |CORRECT |
ANSWER✔✔-a |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 |- |CORRECT |ANSWER✔✔-b |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 |- |CORRECT |ANSWER✔✔-c |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 |- |CORRECT |ANSWER✔✔-b |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.- |- |CORRECT |ANSWER✔✔-b |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?
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 |- |CORRECT |ANSWER✔✔-d |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 |- |CORRECT |ANSWER✔✔-a |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 |- |CORRECT |ANSWER✔✔-c |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 |- |CORRECT |ANSWER✔✔-a |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 |- |CORRECT |ANSWER✔✔-b |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 |- |CORRECT |
ANSWER✔✔-a |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 |- |CORRECT |ANSWER✔✔-b |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 |- |CORRECT |ANSWER✔✔-c |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 |- |CORRECT |ANSWER✔✔-b |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.- |- |CORRECT |ANSWER✔✔-b |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?
