Page 1 of 71
certified documentation Improvement practitioner
Exam CDIP EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST UPDATE JUST RELEASED THIS YEAR
Question: When a patient is admitted with respiratory failure and another acute condition (e.g.,
myocardial infarction, cerebrovascular, aspiration pneumonia), the principal diagnosis will
_____.
a. be the same in every situation
b. be respiratory failure
c. not be the same in every situation
b. be the acute condition - CORRECT ANSWER✔✔c. not be the same in every situation
When a patient is admitted with respiratory failure and another acute condition (e.g.,
myocardial infarction, cerebrovascular, aspiration pneumonia), the principal diagnosis will not
be the same in every situation.
1
SUCCESS!
,Page 2 of 71
Question: The AMA publishes that current Procedural Terminology (CPT). CPT is updated how
often?
a. Monthly
b. Quarterly
c. Annually
d. Anytime code updates are needed - CORRECT ANSWER✔✔c. Annually
The AMA publishes the Current Procedural Terminology (CPT). CPT is updated annually on
January 1.
Question: What terminology is currently being used in electronic health record (EHR) systems
as a clinical reference terminology to capture data for problem lists and patient assessments at
the point of care?
a. CPT
b. ICD-CM
c. ICD-PCS
d. SNOMED CT - CORRECT ANSWER✔✔d. Etiology/manifestation
2
SUCCESS!
,Page 3 of 71
SNOMED CT is currently being used in EHR systems as a clinical reference terminology to
capture data for problem lists and patient assessments at the point of care. It also supports
alerts, warnings, or reminders used for decision support.
Question: This coding convention must be used in conjunction with an underlying condition;
they must be listed following this underlying condition:
a. Code also
b. Mutiple coding
c. Code pair
d. Etiology/Manifestation - CORRECT ANSWER✔✔d. Etiology/Manifestation
These are codes with "in diseases classified elsewhere." In the code title, titles are a component
of the etiology/manifestation convention. The code title indicates that it is a manifestation code.
"In disease classified elsewhere" codes are never permitted to be used as first listed or principal
diagnosis codes. They must be used in conjunction with underlying condition code, and they
must be listed following the underlying condition.
3
SUCCESS!
, Page 4 of 71
Q:A 54-year-old female has been seen in outpatient surgery for a laparoscopic appendectomy.
The patient has hypertension, diabetes mellitus type II, on insulin, appendicitis, and had a
cholecystitis with cholecystectomy in 2015: removed. All diagnosis except _________ would be
coded:
a. Hypertension
b. Diabetes mellitus Type II
c. Cholecystitis
d. Appendicitis - CORRECT ANSWER✔✔c. Cholecystitis
The cholecystitis with cholecystitis should not be coded as an active condition; it is a history of
the condition. Do not code condition that were previously treated and no longer exist. However,
history codes (categories Z80-Z87) may be used as secondary codes if the historical condition or
family history has an impact on current care or influence treatment.
Question: A 63-year-old male presents to outpatient surgery for prostatectomy with benign
prostatic hypertrophy. After arriving in the OR and prior to induction of anesthesia, the patient
began to experience substernal chest pain. The patient takes Lasix for long-standing history of
congestive heart failure. The prostate surgery is cancelled, and the patient was observed for 10
hours and discharged. The patients first listed diagnosis should be:
4
SUCCESS!
certified documentation Improvement practitioner
Exam CDIP EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST UPDATE JUST RELEASED THIS YEAR
Question: When a patient is admitted with respiratory failure and another acute condition (e.g.,
myocardial infarction, cerebrovascular, aspiration pneumonia), the principal diagnosis will
_____.
a. be the same in every situation
b. be respiratory failure
c. not be the same in every situation
b. be the acute condition - CORRECT ANSWER✔✔c. not be the same in every situation
When a patient is admitted with respiratory failure and another acute condition (e.g.,
myocardial infarction, cerebrovascular, aspiration pneumonia), the principal diagnosis will not
be the same in every situation.
1
SUCCESS!
,Page 2 of 71
Question: The AMA publishes that current Procedural Terminology (CPT). CPT is updated how
often?
a. Monthly
b. Quarterly
c. Annually
d. Anytime code updates are needed - CORRECT ANSWER✔✔c. Annually
The AMA publishes the Current Procedural Terminology (CPT). CPT is updated annually on
January 1.
Question: What terminology is currently being used in electronic health record (EHR) systems
as a clinical reference terminology to capture data for problem lists and patient assessments at
the point of care?
a. CPT
b. ICD-CM
c. ICD-PCS
d. SNOMED CT - CORRECT ANSWER✔✔d. Etiology/manifestation
2
SUCCESS!
,Page 3 of 71
SNOMED CT is currently being used in EHR systems as a clinical reference terminology to
capture data for problem lists and patient assessments at the point of care. It also supports
alerts, warnings, or reminders used for decision support.
Question: This coding convention must be used in conjunction with an underlying condition;
they must be listed following this underlying condition:
a. Code also
b. Mutiple coding
c. Code pair
d. Etiology/Manifestation - CORRECT ANSWER✔✔d. Etiology/Manifestation
These are codes with "in diseases classified elsewhere." In the code title, titles are a component
of the etiology/manifestation convention. The code title indicates that it is a manifestation code.
"In disease classified elsewhere" codes are never permitted to be used as first listed or principal
diagnosis codes. They must be used in conjunction with underlying condition code, and they
must be listed following the underlying condition.
3
SUCCESS!
, Page 4 of 71
Q:A 54-year-old female has been seen in outpatient surgery for a laparoscopic appendectomy.
The patient has hypertension, diabetes mellitus type II, on insulin, appendicitis, and had a
cholecystitis with cholecystectomy in 2015: removed. All diagnosis except _________ would be
coded:
a. Hypertension
b. Diabetes mellitus Type II
c. Cholecystitis
d. Appendicitis - CORRECT ANSWER✔✔c. Cholecystitis
The cholecystitis with cholecystitis should not be coded as an active condition; it is a history of
the condition. Do not code condition that were previously treated and no longer exist. However,
history codes (categories Z80-Z87) may be used as secondary codes if the historical condition or
family history has an impact on current care or influence treatment.
Question: A 63-year-old male presents to outpatient surgery for prostatectomy with benign
prostatic hypertrophy. After arriving in the OR and prior to induction of anesthesia, the patient
began to experience substernal chest pain. The patient takes Lasix for long-standing history of
congestive heart failure. The prostate surgery is cancelled, and the patient was observed for 10
hours and discharged. The patients first listed diagnosis should be:
4
SUCCESS!
