CDIP Practice Exam 1 Questions and Answers (Graded A+)

Assign code(s) for the following diagnosis: Congestive heart failure due to hypertension. I10 Essential (primary) hypertension I11.9 Hypertensive heart disease without heart failure I11.0 Hypertensive heart disease with heart failure I50.9 Heart failure, unspecified I50.1 Left ventricular failure I50.20 Unspecified systolic (congestive) heart failure I50.21 Acute systolic (congestive) heart failure I50.22 Chronic systolic (congestive) heart failure I50.23 Acute on chronic systolic (congestive) heart failure a.I10, I50.9 b.I11.0 c.I50.23, I10 d.I11.0, I50.9 - ANSWER-d Heart conditions are assigned a combination code when a causal relationship is stated (due to hypertension) or implied (hypertensive). Use an additional code to identify the type of heart failure in those patients with heart failure (ICD-10-CM Official Guidelines for Coding and Reporting 2016b, 41). Assign the best answer to complete the following sentence. The CPT codes for treatment of fractures: a.Use the terminology "manipulation" rather than "reduction" of fracture b.Include internal fixation in all codes c.Do not include application of cast d.Do not differentiate between open and closed treatment; CPT only specifies the site of the fracture - ANSWER-a Manipulation refers to the attempted reduction or restoration of a dislocated joint or fracture (Smith 2015, 84) In CPT, if a patient has two lacerations of the arm that are repaired with simple closures, the coder would assign: a.Two CPT codes expressing each laceration repair b.One CPT code for the largest laceration c.One CPT code, adding the lengths of the lacerations together d.One CPT code for the most complex closure - ANSWER-c When multiple wounds are repaired with the same closure type (for example, simple), lengths of the wounds in the same classification and from all anatomical sites that are grouped together into the same code descriptor should be added together (Smith 2015, 67). Patient admitted for laparoscopic repair of right diaphragmatic hernia. Assign the ICD-10-PCS procedure code for this surgery. 0BQR4ZZ Repair right diaphragm, percutaneous endoscopic approach 0BQROZZ Repair right diaphragm, open approach 0BQS4ZZ Repair left diaphragm, percutaneous endoscopic approach 0BQSOZZ Repair left diaphragm, open approach a.0BQR4ZZ b.0BQR0ZZ c.0BQS4ZZ d.0BQS0ZZ - ANSWER-a Surgery is the only treatment for diaphragmatic hernias. ICD-10-PCS code 0BQR4ZZ, is used for laparoscopic repair of diaphragmatic hernia (Garvin 2015, 192, 284) When trying to determine if documentation is present to substantiate status asthmaticus, the coder should review the record for what terms and phrases? a.Intractable pneumonia b.Refractory asthma and severe, intractable wheezing c.Airway obstruction relieved by bronchodilators d.Limited but pronounced wheezing - ANSWER-b Status asthmaticus is defined as continual wheezing in spite of therapy (Leon-Chisen 2013, 230). Gastrointestinal bleeding can manifest as: a.Hematemesis, which indicates acute upper gastrointestinal hemorrhage b.Petechia c.Vomiting d.Constipation, which indicates upper or lower gastrointestinal hemorrhage - ANSWER-a Gastrointestinal bleeding manifests itself in several ways. These are hematemesis, melena, occult bleeding, hematochezia (Leon-Chisen 2013, 244). Which types of pacemaker devices have a unique ICD-10-PCS code. a.Dual chamber rate responsive b.Single chamber, single chamber rate responsive, and dual chamber c.Multiple chamber d.Multiple chamber rate responsive - ANSWER-b The three types of pacemakers are single chamber, single chamber rate responsive, and dual chamber. A single chamber uses a single lead; a dual chamber requires two leads, one in the atrium and one in the ve