HCS-D Practice #4 Questions With Complete Solutions
53. A patient was admitted with a new diagnosis of colon
cancer. He has fatigue related to his cancer. He also has
comorbid conditions of HTN, diastolic CHF, and diabetes. SN to
teach disease process. How would this be coded?
a. C18.9, I10, I50.30, E11.9
b. C18.9, R53.0, I10, I50.30, E11.8
c. C18.9, R53.32, I10, I50.30, E11.8
d. C19, R53.83, I10, I50.3, E11.9 Correct Answers a. C18.9,
I10, I50.30, E11.9
**Fatigue is a symptom indicative of several of the conditions
and would not be coded separately.
54. Patient admitted with weakness, loss of appetite and
cachexia. How would this be coded?
a. R64, R63.0, R53.1
b. R63.4, R54
c. R63.0, R54
d. R53.83, R63.4 Correct Answers a. R64, R63.0, R53.1
**The signs and symptoms are coded until the physician has
provided a definitive diagnosis.
55. Non-infectious processes may result in systemic
inflammatory response syndrome (SIRS). Code acute biliary
necrotic pancreatitis resulting in SIRS.
a. R65.20, K85.11
b. K85.11, R65.10
c. A41.9, R65.10, K85.11
,d. A41.9, K85.91, R65.20 Correct Answers b. K85.11, R65.10
56. Patient was admitted with fever and joint pain. Physician
suspects Zika even though patient has no history of travel to
infected areas and is treating accordingly. How would you code
this?
a. A92.5
b. R50.9, M25.50
c. A92.9
d. M25.50, Z20.818 Correct Answers b. R50.9, M25.50
57. Which of the following statements regarding metastasis is
false?
a. Metastasis means the cancer has migrated to other sites
b. Metastatic site is the same thing as secondary site
c. The metastatic site is the same type of tumor as the primary
cancer
d. Metastasis is the initial location of the cancer Correct
Answers d. Metastasis is the initial location of the cancer
58. The physician has documented the primary site of the cancer
as lung and then seven other sites of metastasis. What is the
coder's best action?
a. Only code the primary site because coding the secondary
sites is unnecessary.
b. Code the primary site and all of the metastasis sites.
c. Code only the primary site and 5 of the secondary sites since
there are only 6 spots on the OASIS for diagnoses.
d. Use C80.0 for the disseminated cancer. Correct Answers b.
Code the primary site and all of the metastasis sites.
, The primary site is to be coded first and then any metastasis
sites. C80.0 is not appropriate when primary and secondary sites
are known.
59. The patient has cancer of the distal third of the esophagus
and is unable to swallow without pain. As a result, she is
dehydrated. The patient is being admitted for IV fluid
administration and pain management with IM Morphine. How
should this be coded?
a. C15.5, E86.0, G89.3, Z45.2, Z79.891
b. Z45.2, E86.0, C15.9, G89.21, Z79.891
c. E86.0, G89.3, C15.5, Z45.2, Z79.891
d. E86.0, C15.9, Z45.2, Z79.891 Correct Answers c. E86.0,
G89.3, C15.5, Z45.2, Z79.891
60. The patient had an excision of a malignant neoplasm of the
sublingual salivary gland and the surgical incision is now
infected. The patient is undergoing radiation treatment and has
second degree burns on his face due to the radiation. The
infected surgical wound and burns are the focus of care. He has
a wound vac to the wound. Query indicates burns are to chin and
neck.
a. C08.1, T81.89xA, Z48.01, T20.27xxA, T20.23xxA, Y84.2
b. T81.40xA, T20.00xS, Y84.2, C08.9
c. T20.27xD, T20.23xD, Y84.2, C08.1, T81.89xA
d. T81.4xxA, T20.27xD, T20.23xD, Y84.2, C08.1 Correct
Answers d. T81.4xxA, T20.27xD, T20.23xD, Y84.2, C08.1
61. The patient has agranulocytosis due to chemotherapy used to
treat prostate cancer. Agranulocytosis is the focus of care.
a. D70.2, T45.1x5D, C61
53. A patient was admitted with a new diagnosis of colon
cancer. He has fatigue related to his cancer. He also has
comorbid conditions of HTN, diastolic CHF, and diabetes. SN to
teach disease process. How would this be coded?
a. C18.9, I10, I50.30, E11.9
b. C18.9, R53.0, I10, I50.30, E11.8
c. C18.9, R53.32, I10, I50.30, E11.8
d. C19, R53.83, I10, I50.3, E11.9 Correct Answers a. C18.9,
I10, I50.30, E11.9
**Fatigue is a symptom indicative of several of the conditions
and would not be coded separately.
54. Patient admitted with weakness, loss of appetite and
cachexia. How would this be coded?
a. R64, R63.0, R53.1
b. R63.4, R54
c. R63.0, R54
d. R53.83, R63.4 Correct Answers a. R64, R63.0, R53.1
**The signs and symptoms are coded until the physician has
provided a definitive diagnosis.
55. Non-infectious processes may result in systemic
inflammatory response syndrome (SIRS). Code acute biliary
necrotic pancreatitis resulting in SIRS.
a. R65.20, K85.11
b. K85.11, R65.10
c. A41.9, R65.10, K85.11
,d. A41.9, K85.91, R65.20 Correct Answers b. K85.11, R65.10
56. Patient was admitted with fever and joint pain. Physician
suspects Zika even though patient has no history of travel to
infected areas and is treating accordingly. How would you code
this?
a. A92.5
b. R50.9, M25.50
c. A92.9
d. M25.50, Z20.818 Correct Answers b. R50.9, M25.50
57. Which of the following statements regarding metastasis is
false?
a. Metastasis means the cancer has migrated to other sites
b. Metastatic site is the same thing as secondary site
c. The metastatic site is the same type of tumor as the primary
cancer
d. Metastasis is the initial location of the cancer Correct
Answers d. Metastasis is the initial location of the cancer
58. The physician has documented the primary site of the cancer
as lung and then seven other sites of metastasis. What is the
coder's best action?
a. Only code the primary site because coding the secondary
sites is unnecessary.
b. Code the primary site and all of the metastasis sites.
c. Code only the primary site and 5 of the secondary sites since
there are only 6 spots on the OASIS for diagnoses.
d. Use C80.0 for the disseminated cancer. Correct Answers b.
Code the primary site and all of the metastasis sites.
, The primary site is to be coded first and then any metastasis
sites. C80.0 is not appropriate when primary and secondary sites
are known.
59. The patient has cancer of the distal third of the esophagus
and is unable to swallow without pain. As a result, she is
dehydrated. The patient is being admitted for IV fluid
administration and pain management with IM Morphine. How
should this be coded?
a. C15.5, E86.0, G89.3, Z45.2, Z79.891
b. Z45.2, E86.0, C15.9, G89.21, Z79.891
c. E86.0, G89.3, C15.5, Z45.2, Z79.891
d. E86.0, C15.9, Z45.2, Z79.891 Correct Answers c. E86.0,
G89.3, C15.5, Z45.2, Z79.891
60. The patient had an excision of a malignant neoplasm of the
sublingual salivary gland and the surgical incision is now
infected. The patient is undergoing radiation treatment and has
second degree burns on his face due to the radiation. The
infected surgical wound and burns are the focus of care. He has
a wound vac to the wound. Query indicates burns are to chin and
neck.
a. C08.1, T81.89xA, Z48.01, T20.27xxA, T20.23xxA, Y84.2
b. T81.40xA, T20.00xS, Y84.2, C08.9
c. T20.27xD, T20.23xD, Y84.2, C08.1, T81.89xA
d. T81.4xxA, T20.27xD, T20.23xD, Y84.2, C08.1 Correct
Answers d. T81.4xxA, T20.27xD, T20.23xD, Y84.2, C08.1
61. The patient has agranulocytosis due to chemotherapy used to
treat prostate cancer. Agranulocytosis is the focus of care.
a. D70.2, T45.1x5D, C61
