HCS-D Practice #6 Questions With Complete Solutions
**1. 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. I11.0, I50.33
b. I11.0, I50.33, I50.9
c. I11.9, I50.31, I50.9
d. I50.33, I50.9, I10 Correct Answers a. 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.
**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 Answers 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 Answers 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.
**5. 62 year old male admitted to home care following radical
prostatectomy for prostate CA, will require post op assessment
and instruction in care of foley catheter and procedure for
intermittent catheterizations, CA is resolved by surgery (removal
, of prostate) and no further treatment planned. How would this
be coded?
a. Z48.816 - C61 - Z46.6
b. Z48.816 - Z46.6 - Z85.46
c. Z46.6 - Z48.3 - Z85.46
d. Z48.3 - Z46.6 - Z85.46 - Z90.79 Correct Answers d. Z48.3
- Z46.6 - Z85.46 - Z90.79
** Aftercare following surgery for neoplasm should be chosen
when surgery is related to any neoplasm, not the aftercare for the
body system (Z48.81-). Z85.46 can be found under history,
personal and the absence code can be found under absence.
**6. The physician documents Parkinson's and dementia. How
should this be coded?
a. G20, F03.90
b. F03.90, G20
c. G20, F02.80
d. G31.83, F02.80 Correct Answers c. G20, F02.80
**Parkinson's and Parkinsonism are both coded G20.
Referencing dementia in the index, there is an assumed link
between Parkinson's and Parkinsonism with dementia. In this
case, the physician stated Parkinson's so G20, F02.80 is correct.
Also reference the 'Code first underlying condition' note at F02.
10. The patient is being admitted for therapy for profuse
weakness after a long stay in the rehab unit after a long stay in
**1. 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. I11.0, I50.33
b. I11.0, I50.33, I50.9
c. I11.9, I50.31, I50.9
d. I50.33, I50.9, I10 Correct Answers a. 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.
**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 Answers 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 Answers 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.
**5. 62 year old male admitted to home care following radical
prostatectomy for prostate CA, will require post op assessment
and instruction in care of foley catheter and procedure for
intermittent catheterizations, CA is resolved by surgery (removal
, of prostate) and no further treatment planned. How would this
be coded?
a. Z48.816 - C61 - Z46.6
b. Z48.816 - Z46.6 - Z85.46
c. Z46.6 - Z48.3 - Z85.46
d. Z48.3 - Z46.6 - Z85.46 - Z90.79 Correct Answers d. Z48.3
- Z46.6 - Z85.46 - Z90.79
** Aftercare following surgery for neoplasm should be chosen
when surgery is related to any neoplasm, not the aftercare for the
body system (Z48.81-). Z85.46 can be found under history,
personal and the absence code can be found under absence.
**6. The physician documents Parkinson's and dementia. How
should this be coded?
a. G20, F03.90
b. F03.90, G20
c. G20, F02.80
d. G31.83, F02.80 Correct Answers c. G20, F02.80
**Parkinson's and Parkinsonism are both coded G20.
Referencing dementia in the index, there is an assumed link
between Parkinson's and Parkinsonism with dementia. In this
case, the physician stated Parkinson's so G20, F02.80 is correct.
Also reference the 'Code first underlying condition' note at F02.
10. The patient is being admitted for therapy for profuse
weakness after a long stay in the rehab unit after a long stay in
