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CDIP EXAM QUESTION BANK – CERTIFIED
DOCUMENTATION INTEGRITY PRACTITIONER EXAM
2025/2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {250 Q & A} ALREADY
GRADED A+/ DOCUMENTATION INTEGRIY
PRACTITIONER (CDI) | BRAND NEW!
The CDS performs case review after admission to obtain the:
a.Case Mix Index
b.Core Measure Score
c.working DRG
d.final DRG - ✔✔✔ Correct Answer > c The CDS performs case review
after admission to obtain the "working DRG." Goal should be
facility specific but usually 24-48 hours after admission (Hess
2015, 376).
A 32-year-old female fractured her ankle when she stumbled
over the shopping cart while pushing it in the supermarket. The
orthopedic surgeon recommended open fusion of the right ankle
with direct internal fixation, which was performed. Complete the
coding of this procedure using the chart below
OSGF _ _ _
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ApproachDeviceQualifier0 Open4 Internal Fixation DeviceZ No
Qualifier3 Percutaneous5 External Fixation Device4
Percutaneous endoscopic7 Autologous Tissues SubstituteJ
Synthetic SubstituteK Nonautologous Tissues SubstituteZ No
device
a.OSGF34Z
b.OSGF05Z
c.OSGF04Z
d.OSGF35Z - ✔✔✔ Correct Answer > c The correct code assignment for
Fusion of the right ankle open with internal fixation is OSGF04Z
(Leon-Chisen 2013, 102).
A patient is being seen in the clinic for possible CHF. She has
pedal edema and shortness of breath. The physician's office note
states rule out, CHF; shortness of breath. The patient's reported
diagnosis for this outpatient visit should be:
a.CHF
b.Rule out CHF
c.Shortness of breath
d.Shortness of breath and pedal edema - ✔✔✔ Correct Answer > d The
shortness of breath and pedal edema would be reported for this
outpatient visit. Do not code diagnoses documented as
"probable," "suspected," "questionable," "rule out," or "working
diagnosis" or other similar terms indicating uncertainty. Rather,
code the condition(s) to the highest degree of certainty for that
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encounter/visit, such as symptoms, signs, abnormal test results,
or other reason for the visit (ICD-10-CM Official Guidelines for
Coding and Reporting 2016b, 104).
When a patient is admitted for treatment of a secondary
malignancy with an active primary site the principal diagnosis
should be:
a.The primary malignancy
b.The secondary malignancy
c.Either condition
d.Query should be performed - ✔✔✔ Correct Answer > b When a
patient is admitted because of a primary neoplasm with
metastasis and treatment is directed toward the secondary site
only, the secondary neoplasm is designated as the principal
diagnosis even though the primary malignancy is still present
(ICD-10-CM Official Guidelines for Coding and Reporting 2016b,
23).
A 32-year-old female had a liver transplant 2 years ago. She has
been experiencing problems with her kidneys with a GFR of 20
and Stage IV CKD. She is noted to have some jaundice. Based on
this:
a.Query should be performed for complication of liver transplant
b.Query should be performed for rejection of liver transplant
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c.Query should not be performed as there are no liver
complications
d.No additional documentation needed for reporting - ✔✔✔ Correct
Answer > a It is noted that the patient has a previous liver
transplant and experiencing jaundice. If a transplant complication
such as failure or rejection or other transplant complication is
documented, see section I.C. 19.g for information on coding
complications of a kidney transplant. If the documentation is
unclear as to whether the patient has a complication of the
transplant, query the provider (ICD-10-CM Official Guidelines for
Coding and Reporting 2016b, 52).
Assign the following diagnosis code: Permanent atrial fibrillation
I47.2 Ventricular tachycardia
I47.9 Paroxysmal tachycardia, unspecified
I48.0 Paroxysmal atrial fibrillation
I48.1 Persistent atrial fibrillation
I48.2 Chronic atrial fibrillation
a.I47.2
b.I47.0
c.I48.1
d.I48.2 - ✔✔✔ Correct Answer > d In the ICD-10 alphabetic index,
permanent atrial fibrillation is under the main term chronic atrial
fibrillation. Atrial fibrillation can be permanent and medicines or
CDIP EXAM QUESTION BANK – CERTIFIED
DOCUMENTATION INTEGRITY PRACTITIONER EXAM
2025/2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {250 Q & A} ALREADY
GRADED A+/ DOCUMENTATION INTEGRIY
PRACTITIONER (CDI) | BRAND NEW!
The CDS performs case review after admission to obtain the:
a.Case Mix Index
b.Core Measure Score
c.working DRG
d.final DRG - ✔✔✔ Correct Answer > c The CDS performs case review
after admission to obtain the "working DRG." Goal should be
facility specific but usually 24-48 hours after admission (Hess
2015, 376).
A 32-year-old female fractured her ankle when she stumbled
over the shopping cart while pushing it in the supermarket. The
orthopedic surgeon recommended open fusion of the right ankle
with direct internal fixation, which was performed. Complete the
coding of this procedure using the chart below
OSGF _ _ _
,2|Page
ApproachDeviceQualifier0 Open4 Internal Fixation DeviceZ No
Qualifier3 Percutaneous5 External Fixation Device4
Percutaneous endoscopic7 Autologous Tissues SubstituteJ
Synthetic SubstituteK Nonautologous Tissues SubstituteZ No
device
a.OSGF34Z
b.OSGF05Z
c.OSGF04Z
d.OSGF35Z - ✔✔✔ Correct Answer > c The correct code assignment for
Fusion of the right ankle open with internal fixation is OSGF04Z
(Leon-Chisen 2013, 102).
A patient is being seen in the clinic for possible CHF. She has
pedal edema and shortness of breath. The physician's office note
states rule out, CHF; shortness of breath. The patient's reported
diagnosis for this outpatient visit should be:
a.CHF
b.Rule out CHF
c.Shortness of breath
d.Shortness of breath and pedal edema - ✔✔✔ Correct Answer > d The
shortness of breath and pedal edema would be reported for this
outpatient visit. Do not code diagnoses documented as
"probable," "suspected," "questionable," "rule out," or "working
diagnosis" or other similar terms indicating uncertainty. Rather,
code the condition(s) to the highest degree of certainty for that
,3|Page
encounter/visit, such as symptoms, signs, abnormal test results,
or other reason for the visit (ICD-10-CM Official Guidelines for
Coding and Reporting 2016b, 104).
When a patient is admitted for treatment of a secondary
malignancy with an active primary site the principal diagnosis
should be:
a.The primary malignancy
b.The secondary malignancy
c.Either condition
d.Query should be performed - ✔✔✔ Correct Answer > b When a
patient is admitted because of a primary neoplasm with
metastasis and treatment is directed toward the secondary site
only, the secondary neoplasm is designated as the principal
diagnosis even though the primary malignancy is still present
(ICD-10-CM Official Guidelines for Coding and Reporting 2016b,
23).
A 32-year-old female had a liver transplant 2 years ago. She has
been experiencing problems with her kidneys with a GFR of 20
and Stage IV CKD. She is noted to have some jaundice. Based on
this:
a.Query should be performed for complication of liver transplant
b.Query should be performed for rejection of liver transplant
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c.Query should not be performed as there are no liver
complications
d.No additional documentation needed for reporting - ✔✔✔ Correct
Answer > a It is noted that the patient has a previous liver
transplant and experiencing jaundice. If a transplant complication
such as failure or rejection or other transplant complication is
documented, see section I.C. 19.g for information on coding
complications of a kidney transplant. If the documentation is
unclear as to whether the patient has a complication of the
transplant, query the provider (ICD-10-CM Official Guidelines for
Coding and Reporting 2016b, 52).
Assign the following diagnosis code: Permanent atrial fibrillation
I47.2 Ventricular tachycardia
I47.9 Paroxysmal tachycardia, unspecified
I48.0 Paroxysmal atrial fibrillation
I48.1 Persistent atrial fibrillation
I48.2 Chronic atrial fibrillation
a.I47.2
b.I47.0
c.I48.1
d.I48.2 - ✔✔✔ Correct Answer > d In the ICD-10 alphabetic index,
permanent atrial fibrillation is under the main term chronic atrial
fibrillation. Atrial fibrillation can be permanent and medicines or
