HCS-D CERTIFICATION TEST NEWEST 2026 ACTUAL
EXAM| COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+|| BRAND NEW!!
1. When coding a pressure ulcer, which statement is TRUE
regarding staging?
A. Stage the ulcer based on current documentation only
B. Code based on the ulcer at its worst stage documented
C. Always default to the lowest stage if documentation is unclear
D. A healing Stage 3 ulcer is coded as unstageable
Correct Answer: B. Code based on the ulcer at its worst stage
documented
Rationale: For pressure ulcers, the appropriate stage code
should be assigned based on documentation of the ulcer at its
worst stage. Granulation tissue formation indicates healing, but
1
,the ulcer should still be coded at the highest stage previously
documented. If documentation does not provide sufficient
information about the stage, the coder should query the clinician .
2. Which of the following relationships may be assumed in
ICD-10-CM coding without physician confirmation?
A. Hypertension and cardiomegaly
B. Diabetes and osteomyelitis
C. ASHD (CAD) and angina
D. All of the above
Correct Answer: D. All of the above
Rationale: ICD-10-CM allows certain cause-and-effect
relationships to be assumed without additional physician
documentation. These include hypertension with cardiomegaly,
diabetes with many complications including osteomyelitis, and
2
,ASHD/CAD with angina. Osteoporosis with fractures may also be
assumed, even if from a minor fall .
3. V codes (now Z codes) should NOT be used when:
A. The patient is receiving aftercare
B. There is a complication present
C. The patient has a history of a condition
D. The patient is in remission
Correct Answer: B. There is a complication present
Rationale: V/Z codes are not to be used when there is a
complication, unless the code book gives specific instruction to do
so. When a complication is present, the complication diagnosis
should be sequenced first, followed by any appropriate
aftercare or status codes .
3
, 4. What is the correct code for pneumonia due to MRSA?
A. J15.9, B95.62
B. J15.212
C. J15.0, B95.61
D. J15.21
Correct Answer: B. J15.212
Rationale: Pneumonia due to Methicillin-Resistant Staphylococcus
aureus (MRSA) is coded with a combination code. J15.212
specifically identifies pneumonia due to MRSA. Do not code
B95.62 separately as the combination code already includes this
information .
5. Chronic obstructive bronchitis with emphysema requiring
supplemental oxygen. The patient also has hypertension.
How should this be coded?
A. J44.1, J43.9, I10, Z99.81
4
EXAM| COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+|| BRAND NEW!!
1. When coding a pressure ulcer, which statement is TRUE
regarding staging?
A. Stage the ulcer based on current documentation only
B. Code based on the ulcer at its worst stage documented
C. Always default to the lowest stage if documentation is unclear
D. A healing Stage 3 ulcer is coded as unstageable
Correct Answer: B. Code based on the ulcer at its worst stage
documented
Rationale: For pressure ulcers, the appropriate stage code
should be assigned based on documentation of the ulcer at its
worst stage. Granulation tissue formation indicates healing, but
1
,the ulcer should still be coded at the highest stage previously
documented. If documentation does not provide sufficient
information about the stage, the coder should query the clinician .
2. Which of the following relationships may be assumed in
ICD-10-CM coding without physician confirmation?
A. Hypertension and cardiomegaly
B. Diabetes and osteomyelitis
C. ASHD (CAD) and angina
D. All of the above
Correct Answer: D. All of the above
Rationale: ICD-10-CM allows certain cause-and-effect
relationships to be assumed without additional physician
documentation. These include hypertension with cardiomegaly,
diabetes with many complications including osteomyelitis, and
2
,ASHD/CAD with angina. Osteoporosis with fractures may also be
assumed, even if from a minor fall .
3. V codes (now Z codes) should NOT be used when:
A. The patient is receiving aftercare
B. There is a complication present
C. The patient has a history of a condition
D. The patient is in remission
Correct Answer: B. There is a complication present
Rationale: V/Z codes are not to be used when there is a
complication, unless the code book gives specific instruction to do
so. When a complication is present, the complication diagnosis
should be sequenced first, followed by any appropriate
aftercare or status codes .
3
, 4. What is the correct code for pneumonia due to MRSA?
A. J15.9, B95.62
B. J15.212
C. J15.0, B95.61
D. J15.21
Correct Answer: B. J15.212
Rationale: Pneumonia due to Methicillin-Resistant Staphylococcus
aureus (MRSA) is coded with a combination code. J15.212
specifically identifies pneumonia due to MRSA. Do not code
B95.62 separately as the combination code already includes this
information .
5. Chronic obstructive bronchitis with emphysema requiring
supplemental oxygen. The patient also has hypertension.
How should this be coded?
A. J44.1, J43.9, I10, Z99.81
4
