CDIP COMPLETE EXAMINATION TEST
QUESTIONS WITH VERIFIED SOLUTIONS
●● 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
QUESTIONS WITH VERIFIED SOLUTIONS
●● 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
