AHIMA CDIP EXAM PREP
WORKSHOP CERTIFICATION
EVALUATION TEST 2026 TESTED
QUESTIONS PRACTICE SOLUTION
GRADE A VERIFIED
◉ 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. 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. 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. 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. 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. 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. 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. 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. 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).
WORKSHOP CERTIFICATION
EVALUATION TEST 2026 TESTED
QUESTIONS PRACTICE SOLUTION
GRADE A VERIFIED
◉ 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. 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. 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. 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. 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. 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. 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. 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. 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).
