CDIP Practice Exam 2.pdf file:///C:/Users/HP/Desktop/New%20fl/CDIP%20Practice%20Exam%
CDIP Practice Exam 2 Questions & Answers
1. A physician admits a patient with shortness of breath and chest pain, thentreats the
patient with Lasix, oxygen, and Theophylline. The physician's finaldocumented diagnosis
for the patient is acute exacerbation of COPD. What is missing from this diagnosis that
would make it reliable information in the treatment of this patient?
a.No additional information is needed.b.The
type of COPD
c.The reason the patient was treated with Lasixd.The
reason for the Theophylline
Answer
2. If the physician does not document the diagnosis, the coding professionalcannot
assume the patient has a diagnosis based solely on
a.An abnormal lab finding
b.Abnormal pathology reports
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c.Both A and B
d.None of the above
Answer c The coder cannot assume diagnoses on abnormal findingssuch as lab reports.
Abnormal findings (laboratory, X-ray, pathologic, and other diagnostic results) are not coded
and reported unless the physician indicates their clinical significance. If the findings are outside
the normal range and the physician has ordered other tests to evaluate the condition or
prescribed treatment, it is appropriate to ask the physician whether the diagnosis should be added
(AHA 1990,15).
3. These documents would be used for are used by clinicians and providersto identify
abnormal temperature, blood pressure, pulse, respiration, oxygenlevels, and other
indicators.
a.Nurses' graphic records
b.Vital sign flowsheets c.Both
A and B
d.None of the above
Answer c Clinicians and providers utilize various documents to identify abnormal temperature,
blood pressure, pulse, respiration, oxygen levels, and other indicators. These documents are
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often called nurses' graphic records orvital sign flowsheets (Hess 2015, 43).
4. The American Hospital Association (AHA), the American Health Information
Management Association (AHIMA), Center for Medicare and Medicaid Ser- vices (CMS),
and National Center for Healthcare Statistics (NCHS) are all a.Cooperating parties
b.Governing bodies
c.Coding associations
d.Work independently to develop coding guidelines
Answer a The American Hospital Association (AHA), the American Health Information
Management Association (AHI-
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MA), Center for Medicare and Medicaid Services (CMS), and National Center for Health
Statistics (NCHS) are all cooperating parties that developed and approvedICD-10-CM/PCS
(ICD-10-CM Official Guidelines for Coding and Reporting 2016a,1).
5. A patient was admitted with HIV and pneumocystic carini.The patientshould
have a principal diagnosis in ICD-10 of
a.AIDS
b.Asymptomatic HIV
c.Pneumonia
d.Not enough information
Answer a If a patient is admitted for an HIV-related condition,the principal diagnosis should be
B20, Human immunodeficiency virus [HIV] dis- ease followed by additional diagnosis codes for
all reported HIV-related conditions(ICD-10-CM Official Guidelines for Coding and Reporting
2016a, 17).
6. APR-DRGs have levels (subclasses) of severity entitled
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