CDIP Exam Prep 2024 with Complete Solutions(GRADED A+)

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) Refractory asthma and severe, intractable wheezing Mechanical ventilation codes require consideration of: 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) The start time of endotracheal tube insertion followed by mechanical ventilation 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) Should have only one meaning When the documentation in the medical record is insufficient to assign a more specific code, a ___ code is assigned. A) MCC B) CC C) NOS D) Unspecified - ANSWER-D) Unspecified A CP patient was admitted with acute bronchitis, possible pneumonia. In reviewing the diagnoses below what additionally will impact the patient's ICD-10 code assignment? A) Spasticity B) Quadriplegia C) Both A and B D) None of the above - ANSWER-C) Both A and B