HCS-D Practice #5 questions with accurate answers
1. Sepsis is a systemic inflammatory reaction to an infection and may be
coded in homecare.
a. False, sepsis is an infection.
b. False, because sepsis is an acute condition that only occurs in the
hospital.
c. False, sepsis is a systemic inflammatory reaction to an infection and
may not be coded in homecare.
d. True, and the inflammatory reaction can continue to cause problems
even after the infection is resolved. Ans✓✓✓ d. True, and the
inflammatory reaction can continue to cause problems even after the
infection is resolved.
2. Chapter 13 codes that represent laterality include the site of the:
a. Joint
b. Bone
c. Muscle
d. All of the Above Ans✓✓✓ d. All of the Above
3. Patient admitted to HH for observation and assessment of his unstable
angina. He had a CABG 2 years ago and cardiac catheterization shows
CAD but the bypass grafts are patent. He also has documented atrial
fibrillation and HTN. How would you code this?
,a. I25.110, I20.0, I48.1, I10
b. I20.0, I48.91, I10, Z95.1
c. I25.110, I48.91, I10, Z95.1
d. I25.700, I10, I48.91 Ans✓✓✓ c. I25.110, I48.91, I10, Z95.1
4. The physician documented an infected surgical wound in the abdomen
after an appendectomy, and coded S31.613A. What is the incorrect
statement regarding this coding?
a. We do not have to query the physician for the type of wound.
b. Trauma wounds or open wounds codes are never to be used for
surgical wounds or surgical complications.
c. We have to code what the physician codes.
d. The coder should use the description in the documentation to code,
not the code itself. Ans✓✓✓ c. We have to code what the physician
codes.
**We code according to physician documentation, not the coding.
5. How should pneumonia due to an unspecified organism be coded?
a. J18.0
b. J16.8
c. J18.1
,d. J18.9 Ans✓✓✓ d. J18.9
6. A patient is seen for right upper quadrant pain. He is morbidly obese
and is 5'-7" and weighs 300lbs. How would this be coded?
a. R10.11, E66.2, Z68.43
b. R10.11, E66.01, Z68.42
c. R10.10, E66.09
d. R10.12, E66.0, Z68.42 Ans✓✓✓ b. R10.11, E66.01, Z68.42
7. Which of the following is NOT assumed related, or due to, diabetes?
a. neuropathic arthropathy
b. Atherosclerotic heart disease
c. myasthenia
d. renal tubular degeneration Ans✓✓✓ b. Atherosclerotic heart disease
**ASHD is not assumed related because it is not specifically listed
under the convention 'with' in the index under diabetes.
8. Patient is admitted to HH with acute on chronic diastolic heart failure,
and has documentation of congestive heart failure due to hypertension.
How would you code this?
a. I11.9, I50.31, I50.9
, b. I11.0, I50.33
c. I50.33, I50.9, I10
d. I11.0, I50.33, I50.9 Ans✓✓✓ b. I11.0, I50.33
**The heart failure is documented as due to HTN, so code from
Category I11 is used for hypertensive heart disease. Instructional note
states to use additional code for the heart failure, so that code follows the
I11.0 code. The type of heart failure is specified as acute on chronic
diastolic, the code I50.33 includes the congestive heart failure so the
I50.9 code is not needed.
9. The physician documented that the diabetes is uncontrolled. Which of
the following is the correct statement regarding uncontrolled diabetes?
a. Code Type 2 diabetes with hyperosmolarity
b. Add a 6th character for uncontrolled
c. Code E11.65
d. Query whether the patient has hyperglycemia, hypoglycemia or both
Ans✓✓✓ d. Query whether the patient has hyperglycemia,
hypoglycemia or both
**There is no special character or digit for uncontrolled. "Uncontrolled"
can mean hyperglycemia or hypoglycemia
10. The patient has secondary diabetes and polyneuropathy. What is the
correct coding?
1. Sepsis is a systemic inflammatory reaction to an infection and may be
coded in homecare.
a. False, sepsis is an infection.
b. False, because sepsis is an acute condition that only occurs in the
hospital.
c. False, sepsis is a systemic inflammatory reaction to an infection and
may not be coded in homecare.
d. True, and the inflammatory reaction can continue to cause problems
even after the infection is resolved. Ans✓✓✓ d. True, and the
inflammatory reaction can continue to cause problems even after the
infection is resolved.
2. Chapter 13 codes that represent laterality include the site of the:
a. Joint
b. Bone
c. Muscle
d. All of the Above Ans✓✓✓ d. All of the Above
3. Patient admitted to HH for observation and assessment of his unstable
angina. He had a CABG 2 years ago and cardiac catheterization shows
CAD but the bypass grafts are patent. He also has documented atrial
fibrillation and HTN. How would you code this?
,a. I25.110, I20.0, I48.1, I10
b. I20.0, I48.91, I10, Z95.1
c. I25.110, I48.91, I10, Z95.1
d. I25.700, I10, I48.91 Ans✓✓✓ c. I25.110, I48.91, I10, Z95.1
4. The physician documented an infected surgical wound in the abdomen
after an appendectomy, and coded S31.613A. What is the incorrect
statement regarding this coding?
a. We do not have to query the physician for the type of wound.
b. Trauma wounds or open wounds codes are never to be used for
surgical wounds or surgical complications.
c. We have to code what the physician codes.
d. The coder should use the description in the documentation to code,
not the code itself. Ans✓✓✓ c. We have to code what the physician
codes.
**We code according to physician documentation, not the coding.
5. How should pneumonia due to an unspecified organism be coded?
a. J18.0
b. J16.8
c. J18.1
,d. J18.9 Ans✓✓✓ d. J18.9
6. A patient is seen for right upper quadrant pain. He is morbidly obese
and is 5'-7" and weighs 300lbs. How would this be coded?
a. R10.11, E66.2, Z68.43
b. R10.11, E66.01, Z68.42
c. R10.10, E66.09
d. R10.12, E66.0, Z68.42 Ans✓✓✓ b. R10.11, E66.01, Z68.42
7. Which of the following is NOT assumed related, or due to, diabetes?
a. neuropathic arthropathy
b. Atherosclerotic heart disease
c. myasthenia
d. renal tubular degeneration Ans✓✓✓ b. Atherosclerotic heart disease
**ASHD is not assumed related because it is not specifically listed
under the convention 'with' in the index under diabetes.
8. Patient is admitted to HH with acute on chronic diastolic heart failure,
and has documentation of congestive heart failure due to hypertension.
How would you code this?
a. I11.9, I50.31, I50.9
, b. I11.0, I50.33
c. I50.33, I50.9, I10
d. I11.0, I50.33, I50.9 Ans✓✓✓ b. I11.0, I50.33
**The heart failure is documented as due to HTN, so code from
Category I11 is used for hypertensive heart disease. Instructional note
states to use additional code for the heart failure, so that code follows the
I11.0 code. The type of heart failure is specified as acute on chronic
diastolic, the code I50.33 includes the congestive heart failure so the
I50.9 code is not needed.
9. The physician documented that the diabetes is uncontrolled. Which of
the following is the correct statement regarding uncontrolled diabetes?
a. Code Type 2 diabetes with hyperosmolarity
b. Add a 6th character for uncontrolled
c. Code E11.65
d. Query whether the patient has hyperglycemia, hypoglycemia or both
Ans✓✓✓ d. Query whether the patient has hyperglycemia,
hypoglycemia or both
**There is no special character or digit for uncontrolled. "Uncontrolled"
can mean hyperglycemia or hypoglycemia
10. The patient has secondary diabetes and polyneuropathy. What is the
correct coding?
