HCS-D Practice #6 Questions and Answers
100% Solved
10. The patient is being admitted for therapy for profuse weakness after a long stay in the rehab
unit after a long stay in ICU for critical illness myopathy. The doctor documents CIM. The coder
should:
a. Code critical illness myopathy as that is what the doctor has documented.
b. Code therapy first and then the critical illness myopathy.
c. Code critical illness myopathy and muscle weakness to support therapy.
d. Code muscle weakness because the patient cannot have critical illness myopathy at home.
Correct Answ_a. Code critical illness myopathy as that is what the doctor has documented.
**11. An elderly female had asked her son to take her walking through her large flower garden
that she used to keep. She commented how it was "grown-up" with weeds. The evening after her
walk, she developed an intense itching on her right ankle. She put lotion on it, and went to bed
that evening. When she awoke the next morning, her bilateral lower extremities were covered in
red blisters, and were itching. She went to see the physician since she has diagnoses of DM and
PVD. Upon examination, it is determined she has allergic contact dermatitis with
hypersensitivity from poison oak and prescribes her a high dose Medrol dose pak. Home Health
,is to monitor for infection of the open wound areas, and monitor blood sugar related to the
prednisone pack. How would this be coded?
a. L23.7, S91.001D, E11.51, Z79.5
b. L23.7, E11.51
c. L23.7, E11.9, I73.9, Z79.52
d. S91.001D, E11.9, I73.89 Correct Answ_b. L23.7, E11.51
**The allergic contact dermatitis is coded first. Her diabetes and PVD (PVD is arterial) are
assumed related and are impacting the POC. Long term use steroids (impacting the diabetes) is
not coded because the dose pack would not be considered long term.
**12. A patient is admitted to home health for physical therapy related to charcot's joint with
documented 'unknown etiology' of the right shoulder, left ankle, and right foot. He also has a
comorbidity of diabetes. How would this be coded?
a. E11.610, M14.611, M14.672, M14.671
b. A52.16
c. E11.610
,d. M14.611, M14.672, M14.671, E11.9 Correct Answ_d. M14.611, M14.672, M14.671,
E11.9
** If the patient had diabetes and charcot's joint, the charcot's would be assumed related to the
diabetes. In this case, the physician documented unknown etiology, so do not code it as a
manifestation of diabetes.
13. The physician documents mild bipolar disorder with depression.
a. F31.31
b. F31.9, F33.0
c. F31.31, F33.0
d. F31.31, F33.9 Correct Answ_a. F31.31
14. The patient with colon cancer has rectal bleeding and, as a result, is anemic. The anemia is
the focus of care. How should this be coded?
a. D63.0, C18.9
b. C18.9, D50.0
, c. C18.9, D63.0
d. D62.9, C18.9 Correct Answ_c. C18.9, D63.0
15. The medical record indicates the patient has bacterial meningitis. How should this be coded?
a. G03.0
b. G00.9
c. G03.9
d. G03.2 Correct Answ_b. G00.9
16. 71 year old male admitted to home care for PT/OT following a CVA with right dominant
hemiplegia, takes Insulin for Type 2 diabetes, is on hemodialysis for ESRD, is obese with a BMI
of 38.4. How would this be coded?
a. I69.351 , E11.22, N18.6, E66.9, Z99.2, Z68.38, Z79.4
b. I69.351 - E11.9 - N18.6 - Z99.2 - Z68.3 - Z79.4
c. I69.351 , E11.22, N18.6, Z99.2 , Z68.x3 , Z79.4
d. I69.351 - E11.9 - N18.6 - Z99.3 - Z68.3 - Z79.4 Correct Answ_a. I69.351 , E11.22,
N18.6, E66.9, Z99.2, Z68.38, Z79.4
100% Solved
10. The patient is being admitted for therapy for profuse weakness after a long stay in the rehab
unit after a long stay in ICU for critical illness myopathy. The doctor documents CIM. The coder
should:
a. Code critical illness myopathy as that is what the doctor has documented.
b. Code therapy first and then the critical illness myopathy.
c. Code critical illness myopathy and muscle weakness to support therapy.
d. Code muscle weakness because the patient cannot have critical illness myopathy at home.
Correct Answ_a. Code critical illness myopathy as that is what the doctor has documented.
**11. An elderly female had asked her son to take her walking through her large flower garden
that she used to keep. She commented how it was "grown-up" with weeds. The evening after her
walk, she developed an intense itching on her right ankle. She put lotion on it, and went to bed
that evening. When she awoke the next morning, her bilateral lower extremities were covered in
red blisters, and were itching. She went to see the physician since she has diagnoses of DM and
PVD. Upon examination, it is determined she has allergic contact dermatitis with
hypersensitivity from poison oak and prescribes her a high dose Medrol dose pak. Home Health
,is to monitor for infection of the open wound areas, and monitor blood sugar related to the
prednisone pack. How would this be coded?
a. L23.7, S91.001D, E11.51, Z79.5
b. L23.7, E11.51
c. L23.7, E11.9, I73.9, Z79.52
d. S91.001D, E11.9, I73.89 Correct Answ_b. L23.7, E11.51
**The allergic contact dermatitis is coded first. Her diabetes and PVD (PVD is arterial) are
assumed related and are impacting the POC. Long term use steroids (impacting the diabetes) is
not coded because the dose pack would not be considered long term.
**12. A patient is admitted to home health for physical therapy related to charcot's joint with
documented 'unknown etiology' of the right shoulder, left ankle, and right foot. He also has a
comorbidity of diabetes. How would this be coded?
a. E11.610, M14.611, M14.672, M14.671
b. A52.16
c. E11.610
,d. M14.611, M14.672, M14.671, E11.9 Correct Answ_d. M14.611, M14.672, M14.671,
E11.9
** If the patient had diabetes and charcot's joint, the charcot's would be assumed related to the
diabetes. In this case, the physician documented unknown etiology, so do not code it as a
manifestation of diabetes.
13. The physician documents mild bipolar disorder with depression.
a. F31.31
b. F31.9, F33.0
c. F31.31, F33.0
d. F31.31, F33.9 Correct Answ_a. F31.31
14. The patient with colon cancer has rectal bleeding and, as a result, is anemic. The anemia is
the focus of care. How should this be coded?
a. D63.0, C18.9
b. C18.9, D50.0
, c. C18.9, D63.0
d. D62.9, C18.9 Correct Answ_c. C18.9, D63.0
15. The medical record indicates the patient has bacterial meningitis. How should this be coded?
a. G03.0
b. G00.9
c. G03.9
d. G03.2 Correct Answ_b. G00.9
16. 71 year old male admitted to home care for PT/OT following a CVA with right dominant
hemiplegia, takes Insulin for Type 2 diabetes, is on hemodialysis for ESRD, is obese with a BMI
of 38.4. How would this be coded?
a. I69.351 , E11.22, N18.6, E66.9, Z99.2, Z68.38, Z79.4
b. I69.351 - E11.9 - N18.6 - Z99.2 - Z68.3 - Z79.4
c. I69.351 , E11.22, N18.6, Z99.2 , Z68.x3 , Z79.4
d. I69.351 - E11.9 - N18.6 - Z99.3 - Z68.3 - Z79.4 Correct Answ_a. I69.351 , E11.22,
N18.6, E66.9, Z99.2, Z68.38, Z79.4
