CDEO EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS
__________ should not be used for aftercare involving injuries
or poisonings. Correct Answers Z codes
___________________________ are NOT an eligible providers
(EPs) for Medicare under the MIPS Quality Payment Program
Correct Answers Certified social workers
A 4 year-old is getting over his cold and will be getting three
immunizations in the pediatrician's office by the nurse. The first
vaccination administered is the Polio vaccine intramuscularly.
The next vaccination is the live influenza (LAIV3) administered
in the nose. The last vaccination is the Varicella (live) by
subcutaneous route. What CPT® codes are reported for the
administration and vaccines? Correct Answers 90713, 90660,
90716, 90471, 90472, 90474
A 75-year-old patient with a long history of age-related
osteoporosis trips on a rug at home and falls breaking her hip.
How is the diagnosis code reported? Correct Answers
Pathologic fracture due to age related osteoporosis
A CDI professional can determine services that should be
reviewed that are performed by the practice based on services
identified for audit in the Correct Answers OIG Workplan
A code from subcategory R65.2 Severe sepsis is NOT assigned
unless the documentation specifies either severe sepsis or what
,other condition? Correct Answers Associated acute organ
dysfunction
A consultation is requested for a patient with third degree burns
to his entire back that has developed sepsis after admission.
How are the ICD-10-CM codes reported? Correct Answers
T21.33XA, T21.34XA, T31.11, A41.9
A pathology report might show: Correct Answers The
histology of a breast biopsy specimen
A patient is diagnosed with acute on chronic gastrointestinal
bleeding due to a small bowel peripheral arteriovenous
malformation (AVM). Documentation does not indicate whether
the AVM is acquired or congenital. What is the correct ICD-10-
CM code to report? Correct Answers K55.21
A patient presented to the office with a foreign body that
required removal from his ear. The provider performs the
removal and documents the encounter. The next day you review
the medical record and identify the provider did not document
which ear the foreign body was removed from. What should be
done to correct the record? Correct Answers Have the provider
add an addendum with the current date and reference the date of
service and add the laterality.
A patient presents to the physician for evaluation of a suspicious
skin lesion on the right arm. The patient and physician discuss
treatment and agree to excise the lesion of the arm. The size of
the lesion is 3.0 cm. and is removed with a scalpel. Simple
suture repair is performed to close the wound which measured
, 3.5 cm. What are the CPT® and diagnosis codes? Correct
Answers 11403, D49.2
A patient with ESRD on dialysis comes in with an infection at
the peritoneal dialysis catheter site. The provider evaluated the
infected skin and determined a staph infection. The provider
prescribed antibiotics and performed a dressing change.
What are the correct codes and sequence? Correct Answers
T85.71XA, L08.89, B95.8, N18.6, Z99.2
A physician who specializes in elder care undergoes a CDI
audit. Fifteen charts are found with the diagnosis of marasmus.
Your correct response: Correct Answers Display in your query
the Index entry for marasmus and the codes and descriptions for
E41 and R54. Ask for guidance on which to report.
A provider must document the causal link between cigarette
dependence and a ______________ to report F17.218. Correct
Answers respiratory condition
a status code for a BKA is informative because the status...
Correct Answers may affect the course of treatment and its
outcome
A three-year-old presents to the office with his mother for an
MMR vaccine. The nurse confirms the order and physician
counseling is given before the vaccine is administered. The
vaccine is given subcutaneously. The site, vaccine, lot number,
dosage, and date and time are documented in the medical record.
What CPT® codes are reported? Correct Answers 90460,
90461 x 2, 90707
COMPLETE SOLUTIONS
__________ should not be used for aftercare involving injuries
or poisonings. Correct Answers Z codes
___________________________ are NOT an eligible providers
(EPs) for Medicare under the MIPS Quality Payment Program
Correct Answers Certified social workers
A 4 year-old is getting over his cold and will be getting three
immunizations in the pediatrician's office by the nurse. The first
vaccination administered is the Polio vaccine intramuscularly.
The next vaccination is the live influenza (LAIV3) administered
in the nose. The last vaccination is the Varicella (live) by
subcutaneous route. What CPT® codes are reported for the
administration and vaccines? Correct Answers 90713, 90660,
90716, 90471, 90472, 90474
A 75-year-old patient with a long history of age-related
osteoporosis trips on a rug at home and falls breaking her hip.
How is the diagnosis code reported? Correct Answers
Pathologic fracture due to age related osteoporosis
A CDI professional can determine services that should be
reviewed that are performed by the practice based on services
identified for audit in the Correct Answers OIG Workplan
A code from subcategory R65.2 Severe sepsis is NOT assigned
unless the documentation specifies either severe sepsis or what
,other condition? Correct Answers Associated acute organ
dysfunction
A consultation is requested for a patient with third degree burns
to his entire back that has developed sepsis after admission.
How are the ICD-10-CM codes reported? Correct Answers
T21.33XA, T21.34XA, T31.11, A41.9
A pathology report might show: Correct Answers The
histology of a breast biopsy specimen
A patient is diagnosed with acute on chronic gastrointestinal
bleeding due to a small bowel peripheral arteriovenous
malformation (AVM). Documentation does not indicate whether
the AVM is acquired or congenital. What is the correct ICD-10-
CM code to report? Correct Answers K55.21
A patient presented to the office with a foreign body that
required removal from his ear. The provider performs the
removal and documents the encounter. The next day you review
the medical record and identify the provider did not document
which ear the foreign body was removed from. What should be
done to correct the record? Correct Answers Have the provider
add an addendum with the current date and reference the date of
service and add the laterality.
A patient presents to the physician for evaluation of a suspicious
skin lesion on the right arm. The patient and physician discuss
treatment and agree to excise the lesion of the arm. The size of
the lesion is 3.0 cm. and is removed with a scalpel. Simple
suture repair is performed to close the wound which measured
, 3.5 cm. What are the CPT® and diagnosis codes? Correct
Answers 11403, D49.2
A patient with ESRD on dialysis comes in with an infection at
the peritoneal dialysis catheter site. The provider evaluated the
infected skin and determined a staph infection. The provider
prescribed antibiotics and performed a dressing change.
What are the correct codes and sequence? Correct Answers
T85.71XA, L08.89, B95.8, N18.6, Z99.2
A physician who specializes in elder care undergoes a CDI
audit. Fifteen charts are found with the diagnosis of marasmus.
Your correct response: Correct Answers Display in your query
the Index entry for marasmus and the codes and descriptions for
E41 and R54. Ask for guidance on which to report.
A provider must document the causal link between cigarette
dependence and a ______________ to report F17.218. Correct
Answers respiratory condition
a status code for a BKA is informative because the status...
Correct Answers may affect the course of treatment and its
outcome
A three-year-old presents to the office with his mother for an
MMR vaccine. The nurse confirms the order and physician
counseling is given before the vaccine is administered. The
vaccine is given subcutaneously. The site, vaccine, lot number,
dosage, and date and time are documented in the medical record.
What CPT® codes are reported? Correct Answers 90460,
90461 x 2, 90707
