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CDIP PRACTICE EXAM 2 NEWEST 2025 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
This is a communication tool used to clarify documentation in
the health record for accurate code assignment.
a. Attestation
b.Query
c.Health record inquiry
d.Additional documentation request - ANSWER- b
RATIONALE: A query is a communication tool used to clarify
documentation in the health record for accurate code
assignment. This tool is usually generated by coding and CDI
staff (AHIMA 2013b, 1).
What coding system is published by the AMA and represents
medical services and procedures performed by physicians and
other healthcare providers.
a. CPT
b. ICD-10-PCS
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c. ICD-10 CM
d. POA - ANSWER- a
RATIONALE: Level I of HCPCS is composed of the CPT codes
as published by the AMA and represents medical services and
procedures performed by physicians and other healthcare
providers. The Level I (CPT) codes (other than the Category II
and III codes) are five-digit numeric codes (Palkie 2013, 394).
A patient has a prostate malignancy that had not been excised,
removed, and still under treatment. The patient presents to the
hospital with irregular heartbeat, malaise and gross hematuria
with large amounts of blood being passed via the urethra with
the inability to urinate. Patient was noted to have a hemoglobin
of
10.8 due to significant blood loss, the patient was transfused and
bladder irrigation was begun. Following significant irrigation,
urine ran clear.
Based on the above scenario, what is the principal diagnosis?
a. Blood loss
b. Prostate malignancy
c. Gross hematuria
d. Query warranted to determine the principal - ANSWER- c
RATIONALE: The diagnosis of gross hematuria should be
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selected as principal as the treatment was not directed toward the
malignancy and the rule of assignment of the principal diagnosis
would apply to this circumstance (AHA Second Quarter 2010).
Based on the diagnosis of gross hematuria, signs and symptoms
of irregular heartbeat, malaise, and hemoglobin of 10.8 with
transfusion, query for anemia due to blood loss may be:
a. Appropriate
b. Inappropriate - ANSWER- a
RATIONALE: The generation of a query should be considered
when the health record documentation:
•Is conflicting, imprecise, incomplete, illegible, ambiguous, or
inconsistent
•Describes or is associated with clinical indicators without a
definitive relationship to an underlying diagnosis
•Includes clinical indicators, diagnostic evaluation, and/or
treatment not related to a specific condition or procedure
•Provides a diagnosis without underlying clinical validation
•Is unclear for present on admission indicator assignment
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after study to be chiefly responsible for occasioning the
admission of the patient to the hospital
a. Secondary
b. DRG diagnosis
c. Most resource intensive
d. Principal - ANSWER- d
RATIONALE: The Principal diagnosis should be assigned as the
first-listed diagnosis for the hospital admission as the cause of
the hospital stay after study and evaluation by the responsible
physician (ICD-10-CM Official Coding Guidelines 2016b, 88).
A patient was admitted for ruptured appendix and an emergent
appendectomy was performed. Abscess was noted on visual
exam. During the admission, the patient had an MI and a stent
was placed. What sequencing order should the procedures be
placed in and which should be principal?
a. The stent placement is more severe and should be first
listed
b. The appendectomy is considered incidental
c. The appendectomy should be first listed
d. Either can be assigned as the principal procedure -
ANSWER- c
RATIONALE: When two definitive procedures have been
performed, the for sequencing should be based on the procedure
CDIP PRACTICE EXAM 2 NEWEST 2025 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
This is a communication tool used to clarify documentation in
the health record for accurate code assignment.
a. Attestation
b.Query
c.Health record inquiry
d.Additional documentation request - ANSWER- b
RATIONALE: A query is a communication tool used to clarify
documentation in the health record for accurate code
assignment. This tool is usually generated by coding and CDI
staff (AHIMA 2013b, 1).
What coding system is published by the AMA and represents
medical services and procedures performed by physicians and
other healthcare providers.
a. CPT
b. ICD-10-PCS
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c. ICD-10 CM
d. POA - ANSWER- a
RATIONALE: Level I of HCPCS is composed of the CPT codes
as published by the AMA and represents medical services and
procedures performed by physicians and other healthcare
providers. The Level I (CPT) codes (other than the Category II
and III codes) are five-digit numeric codes (Palkie 2013, 394).
A patient has a prostate malignancy that had not been excised,
removed, and still under treatment. The patient presents to the
hospital with irregular heartbeat, malaise and gross hematuria
with large amounts of blood being passed via the urethra with
the inability to urinate. Patient was noted to have a hemoglobin
of
10.8 due to significant blood loss, the patient was transfused and
bladder irrigation was begun. Following significant irrigation,
urine ran clear.
Based on the above scenario, what is the principal diagnosis?
a. Blood loss
b. Prostate malignancy
c. Gross hematuria
d. Query warranted to determine the principal - ANSWER- c
RATIONALE: The diagnosis of gross hematuria should be
,3|Page
selected as principal as the treatment was not directed toward the
malignancy and the rule of assignment of the principal diagnosis
would apply to this circumstance (AHA Second Quarter 2010).
Based on the diagnosis of gross hematuria, signs and symptoms
of irregular heartbeat, malaise, and hemoglobin of 10.8 with
transfusion, query for anemia due to blood loss may be:
a. Appropriate
b. Inappropriate - ANSWER- a
RATIONALE: The generation of a query should be considered
when the health record documentation:
•Is conflicting, imprecise, incomplete, illegible, ambiguous, or
inconsistent
•Describes or is associated with clinical indicators without a
definitive relationship to an underlying diagnosis
•Includes clinical indicators, diagnostic evaluation, and/or
treatment not related to a specific condition or procedure
•Provides a diagnosis without underlying clinical validation
•Is unclear for present on admission indicator assignment
, 4|Page
after study to be chiefly responsible for occasioning the
admission of the patient to the hospital
a. Secondary
b. DRG diagnosis
c. Most resource intensive
d. Principal - ANSWER- d
RATIONALE: The Principal diagnosis should be assigned as the
first-listed diagnosis for the hospital admission as the cause of
the hospital stay after study and evaluation by the responsible
physician (ICD-10-CM Official Coding Guidelines 2016b, 88).
A patient was admitted for ruptured appendix and an emergent
appendectomy was performed. Abscess was noted on visual
exam. During the admission, the patient had an MI and a stent
was placed. What sequencing order should the procedures be
placed in and which should be principal?
a. The stent placement is more severe and should be first
listed
b. The appendectomy is considered incidental
c. The appendectomy should be first listed
d. Either can be assigned as the principal procedure -
ANSWER- c
RATIONALE: When two definitive procedures have been
performed, the for sequencing should be based on the procedure
