CDIP Exam Prep Questions and Answers
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
Ans: B) Refractory asthma and severe, intractable wheezing
Mechanical ventilation codes require consideration of:
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
Ans: C) The start time of endotracheal tube insertion followed by
mechanical ventilation
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
Ans: B) Should have only one meaning
When the documentation in the medical record is insufficient to
assign a more specific code, a ___ code is assigned.
A) MCC
B) CC
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C) NOS
D) Unspecified
Ans: D) Unspecified
A CP patient was admitted with acute bronchitis, possible
pneumonia. In reviewing the diagnoses below what additionally
will impact the patient's ICD-10 code assignment?
A) Spasticity
B) Quadriplegia
C) Both A and B
D) None of the above
Ans: C) Both A and B
If a patient undergoes a biopsy immediately before the definitive
surgery for a frozen section, how should this be coded with ICD-
10_PCS codes?
A) The approach to the definitive surgery
B) Suture method
C) Exploratory surgery
D) Open biopsy and definitive surgery
Ans: D) Open biopsy and definitive surgery
A patient 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 complication of liver transplant
C) Query should not be performed as there are no liver
complications
D) No additional documentation needed for reporting
Ans: A) Query should be performed for complication of liver transplant
When a patient is admitted for treatment of a secondary
malignancy with an active primary site the principle diagnosis
should be:
A) The primary malignancy
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