CDIP Practice Exam 1 UPDATED Study
Guide QUESTIONS AND 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 ANSWERS 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 ANSWERS 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 ANSWERS
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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS
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 ANSWERS 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
Guide QUESTIONS AND 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 ANSWERS 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 ANSWERS 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 ANSWERS
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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS
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 ANSWERS 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
