HCS-D Practice Questions with Verified
Answers
38. The patient has hypertensive myocarditis. How should this be coded?
a. I11.9, I51.5
b. I51.4, I11
c. I11.9
d. I11.9, I51.4 ✔️✔️c. I11.9
**Hypertension with heart conditions classified to I50.- or I51.4-I51.9, are assigned to a code
from category I11, Hypertensive heart disease. Use an additional code from category I50, Heart
failure, to identify the type of heart failure in those patients with heart failure. Note inclusion
note at I11 includes conditions in I51.4 - I51.9.
39. The patient underwent a CABG after an inferior wall MI. Physician documents CAD with
angina. Agency providing aftercare. How should this be coded?
a. Z48.812, I25.119, I21.19, Z95.1
b. I25.719, I21.19
c. Z48.812, I21.19, Z95.1
d. Z48.812, I25.719, I21.19, Z95.1 ✔️✔️a. Z48.812, I25.119, I21.19, Z95.1
,40. Patient admitted to home health with a diagnosis of Strep B pneumonia and acute
exacerbation of COPD, with orders for IV antibiotics for 4 weeks via PICC line. How would you
code this?
a. J44.1, J44.0, J15.3, Z45.2, Z79.2
b. J44.0, J15.3, Z45.2, Z79.2
c. J44.1, J15.8, B95.1, Z45.2, Z79.2
d. J13, Z45.2, Z79.2 ✔️✔️a. J44.1, J44.0, J15.3, Z45.2, Z79.2
41. How should pneumonia due to an unspecified organism be coded?
a. J16.8
b. J18.0
c. J18.9
d. J18.1 ✔️✔️c. J18.9
**42. The patient has cancer in the left lung with mets to the pleura and malignant pleural
effusion and resulting spontaneous pneumothorax. How should this be coded?
a. C34.11, J91.0, J93.12
b. C34.92, C78.2, J91.0, J93.12
c. C78.2, J91.8, J93.12, C34.92
d. C34.12, J91.0, J93.11 ✔️✔️b. C34.92, C78.2, J91.0, J93.12
**The primary site is coded first, followed by the metastasis sites and the spontaneous
pneumothorax.
,43. The patient was given a tracheostomy for pulmonary hygiene after aspiration pneumonia 5
months ago. The patient then developed an infection of the stoma with cellulitis followed by a
TE fistula. Skilled nursing will provide care to the ostomy until the infection is resolved so that
the TE fistula can be repaired. How should this be coded?
a. Z43.0, Z95.04, J69.0
b. J95.02, L03.221, J95.04, Z87.01
c. Z43.0, L03.8, Z95.04, Z87.01
d. J95.02, L03.8, Z95.04, Z87.01 ✔️✔️b. J95.02, L03.221, J95.04, Z87.01
44. Why are codes in the T30 category not a good choice for coders?
a. That code category is unspecific and should never be used because the location of the burns
should be documented and coded.
b. That code category is prohibited in home care or hospice.
c. That condition would never be present in home care or hospice.
d. T30 is not a valid code category. ✔️✔️a. That code category is unspecific and should never
be used because the location of the burns should be documented and coded.
45. The patient was being assisted with a stand/pivot transfer when there was a pop and he fell to
the floor. The physician has documented that the trochanter of the left femur is fractured. The
patient has a long history of osteoporosis. He had a total hip arthroplasty to repair the fracture.
How should this patient be coded?
a. M80.052D, Z96.642
, b. S72.102D, Z96.642
c. M80.052D, M81.0, Z96.642
d. S72.102D, Z96.642, M81.0 ✔️✔️a. M80.052D, Z96.642
** A fracture sustained without trauma or with a minor fall or trauma in a patient with
osteoporosis is coded as an osteoporosis fracture. Fractures repaired with joint replacements
should be coded with the fracture with 7th character D and the Z96.6- code to indicate the
presence of the joint prosthesis.
46. The patient fell out of his wheelchair when he was leaning forward to get something out of
his closet and broke his ankle. Should this be coded as a pathologic or traumatic fracture?
a. It should be coded as a trauma fracture because it resulted from a fall. If there are any doubts,
the physician should be queried.
b. It should be coded as a pathologic fracture because a fall of this magnitude should not result
in a fracture. The patient fell from a standing height or less. ✔️✔️a. It should be coded as a
trauma fracture because it resulted from a fall. If there are any doubts, the physician should be
queried.
**47. The patient slipped on the ice hitting her ribs on the snow blower on her way down. X rays
indicate a fracture of the left ischium and left second, third, fourth, fifth and sixth ribs. She was
sent home with pain medications and an incentive spirometer. How would this be coded?
a. S32.602D, S22.42xD
b. S32.602A, S22.42xA
