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FIRST PUBLISH SEPTEMBER 2024
CDIP Practice Exam 1 Study Guide with
Complete Solutions
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
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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
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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
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chamber uses a single lead; a dual chamber requires two leads, one in the atrium and
one in the ventricle. The leads should also be coded (Leon-Chisen 2013, 416-418).
Mechanical ventilation codes require consideration of which of the following?
a.The time when a tracheal tube is inserted
b.The replacement of an endotracheal tube
c.The start time of endotracheal tube insertion followed by mechanical ventilation
d.Mechanical ventilation during surgery - Answer✔✔-c Codes for mechanical
ventilation indicate whether the patient was on mechanical ventilation for less than 24
hours, 24-96 consecutive hours and greater than 96 consecutive hours. The start time
for calculating the duration begins with the start time of endotracheal tube insertion as
the best method, followed by mechanical ventilation or the time that a patient who is on
mechanical ventilation is admitted. The time ends with discontinuance of mechanical
ventilation (Leon-Chisen 2013, 239-240).
Abbreviations can be a source of patient safety issues due to misinterpretation and
miscommunication. Abbreviations in the health record:
a.Are not permitted by Joint Commission standards
b.Should have only one meaning
c.Enhance patient safety
d.Are critical to an electronic health record system - Answer✔✔-b The Joint
Commission has established a cautious quality approach to the use of abbreviations in
all its accredited organizations. To comply, every healthcare organization should strive
to limit or eliminate the use of abbreviations by developing an organizationspecific
abbreviation list so that only those abbreviations approved by the organization are used.
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