HCS-D Practice Questions with Actual
Answers
45. 47 year old Down Syndrome and intellectual disabled female admitted from ER. Family
states that patient has recently exhibited very unsteady gait with rigid lower extremities and
today with the very sharp acute pain in the neck. Patient also with history of DM type 2, HTN,
CHF, obesity and chronic renal insufficiency. CT reveals spondylosis with myelopathy,
predominate cervical/thoracic region. Decompression is advised, but family wants more
conservative measures at this time. Patient discharged to home with soft neck brace and
NSAIDs; SN for med/pain management and PT/OT for exercises and strengthening. How would
this be coded?
(QuestionID: 24065)
a. M47.23, E11.9, I10, N18.9, I50.9, E66.9, Q90.9
b. M47.13, E11.22, I13.0, N18.9, I50.9, E66.9, Q90.9, F79
c. M47.12, M47.14, I13.0, N18.9, I50.9, E11.9, E66.9, Q90.9, F79
d. M47.10, E11.9, I10, N28.9, I50.9, E66.9, Q90.9 ✔️✔️b. M47.13, E11.22, I13.0, N18.9,
I50.9, E66.9, Q90.9, F79
46. A patient was admitted with a new diagnosis of colon cancer. He has fatigue related to his
cancer. He also has comorbid conditions of HTN, diastolic CHF, and diabetes. SN to teach
disease process. How would this be coded?
a. C18.9, R53.0, I10, I50.30, E11.8
b. C19, R53.83, I10, I50.3, E11.9
,c. C18.9, I10, I50.30, E11.9
d. C18.9, R53.32, I10, I50.30, E11.8 ✔️✔️c. C18.9, I10, I50.30, E11.9
47. The patient is admitted for therapy for Parkinson's and abnormal gait with multiple falls.
How should this be coded?
a. G20, Z91.81
b. R26.2, G20, Z91.81
c. G20, R26.89, Z91.81
d. R27.0, G20, Z91.81 ✔️✔️a. G20, Z91.81
48. The patient is being admitted to hospice after a head injury resulting in coma. Documentation
indicates a subarachnoid hemorrhage. How should this be coded?
a. S06.6x9S, R40.20
b. R40.2
c. R40.20, S06.6x9S
d. S06.5x9S, R40.20 ✔️✔️a. S06.6x9S, R40.20
49. Patient had a stroke and is admitted to HH with residual deficits of aphasia and left-sided
hemiparesis on his non-dominant side. How would you code this?
a. I69.354, I69.320
b. I69.354, I69.320, Z86.73
c. I69.352, I69.320
d. I69.354, I69.321 ✔️✔️a. I69.354, I69.320
, 50. The patient was admitted to home health for teaching and monitoring of PT/INRs. The
patient has a history of persistent atrial fibrillation and Wolff-Parkinson-White syndrome, as a
result of Ebstein's anomaly. How would this be coded?
a. I48.92, Q93.3, Q22.4, Z51.81, Z79.01
b. I48.1, I45.6, Q22.5, Z51.81, Z79.01
c. I48.0, I45.6, Q22.5, Z51.81, Z79.01
d. I48.91, I45.6, Q22.4, Z79.01 ✔️✔️b. I48.1, I45.6, Q22.5, Z51.81, Z79.01
51. Coding guidelines indicate that in certain states B20 cannot be coded.
a. True
b. False ✔️✔️b. False
52. When coding bleeding of the eye and adnexa after eye surgery, the coder may assume the
hemorrhage is a complication of the procedure.
a. True
b. False ✔️✔️b. False
53. 45 year old male has a history of recurrent UTIs and a diagnosis of chronic bacterial
prostatitis caused by E Coli. The patient is on oral antibiotics. He is an insulin dependent diabetic
with hypertension and CKD Stage 2 with a GFR of 65. How would this be coded?
a. A41.51, N41.0, E11.22, N18.3, I10
b. N41.1, B96.29, E11.9, I10, Z79.4, Z87.440
