Certified Documentation Improvement Practitioner (CDIP) Questions with Correct Answers 2025/2026

Certified Documentation Improvement Practitioner (CDIP) Questions with Correct Answers 2025/2026 A 54-year-old female has been seen in outpatient surgery for a laparoscopic appendectomy. The patient has hypertension, diabetes mellitus type II, on insulin, appendicitis, and had a cholecystitis with cholecystectomy in 2015: removed. All diagnosis except _________ would be coded: a. Hypertension b. Diabetes mellitus Type II c. Cholecystitis d. Appendicitis - Correct Answer c. Cholecystitis The cholecystitis with cholecystitis should not be coded as an active condition; it is a history of the condition. Do not code condition that were previously treated and no longer exist. However, history codes (categories Z80-Z87) may be used as secondary codes if the historical condition or family history has an impact on current care or influence treatment. A 63-year-old male presents to outpatient surgery for prostatectomy with benign prostatic hypertrophy. After arriving in the OR and prior to induction of anesthesia, the patient began to experience substernal chest pain. The patient takes Lasix for long-standing history of congestive heart failure. The prostate surgery is cancelled, and the patient was observed for 10 hours and discharged. The patients first listed diagnosis should be: a. Benign prostatic hypertrophy b. Congestive heart failure c. Canceled surgery d. Chest pain - Correct Answer a. Benign prostatic hypertrophy Benign prostatic hypertrophy should be the first listed. 1. Outpatient surgery: When a patient presents for outgoing surgery (same-day surgery), code the reason for the surgery as the first-listed diagnosis (reason for the encounter), even if the surgery is not performed due to a contraindication. 2. Observation stay: When a patient is admitted for observation for a medical condition, assign a code for the