HCS-D Certification Practice Questions

A resolved case-mix diagnosis replaced by a Z code in M1021 or M1023 may be placed in:? A. M1025 only. B. M1025 and M1023. C. M1023 only. D. M1025 or M1023.

A.

What is the correct sequence for a patient admitted for PT only following a recent fall due to an ataxic gait? A.) R26.0, Z91.81. B.) R26.0, R29.6, Z91.81. C.) Z91.81, R26.0. D.) R26.0, Z91.81, R29.6

A.

Which statement about other (secondary) diagnoses that should be coded is FALSE? A. Any diagnosis that the patient has in addition to the primary diagnosis. B. Pertinent diagnoses relevant to the care being rendered. C. Any comorbidity that may affect the patient's response to treatment or rehabilitation prognosis. D. Conditions that require clinical evaluation, therapeutic treatment, extended stay or increased monitoring.

A.

The correct code assignment for a gastric bleed resulting from a cumulative effect of Coumadin being taken prophylactically due to a hx of pulmonary embolism is:? A.) Z86.711, Z79.01, T45.515D, K92.2. B.) K92.2, T45.515D, Z86.711, Z79.01. C.) T45.511D, Z79.01, K92.2, Z78.711. D.) K92.2, T45.511D, Z78.711, Z79.01.

B.

Which of the following about etiology/manifestation coding is FALSE? A. The etiology must be sequenced immediately before the manifestation. B. The manifestation may be sequenced before the etiology, if it is the focus of care. C. A manifestation may never be the primary diagnosis or coded without its etiology. D. In most cases, the manifestation codes will have "in diseases classified elsewhere" in the code title.

B.

Which of the following is NOT an example of an etiology/manifestation pairing:? A. G30.0, F02.80, B.M36.1, C90.00, C. E85.9, G99.0, D. A78, I39

B.

Your agency is administering IV antibiotics for three days to a patient with a laceration of the right middle finger with cellulitis. What is the appropriate code sequence? A.) S61.202D, L03.011, Z45.2, Z79.2. B.) S61.212A, L03.011, Z45.2. C.) Z45.2, Z79.2, S61.202D, L03.011, D.) L03.011, S61.202D, Z45.2, Z79.2.

B.

Your agency admitted a patient with cirrhosis of the liver who is awaiting a liver transplant. The patient is bedbound. His symptoms include jaundice, ascites, anorexia, chronic uticaria and generalized weakness. Nursing, PT and OT services have been ordered, with therapy being the primary focus. Which of the following is the correct coding sequence:? A.) K70.31, R17, R63.0, L50.9, R53.1. B.) K74.60, Z76.82, Z74.01. C.) Z74.01, Z76.82, K70.31. D.) Z76.82, K74.60, Z74.01.

B. (symptoms integral to the liver disease would NOT be coded.)

A patient is admitted for treatment of infected diabetic toe ulcers on her left foot and management of her type 2 diabetes mellitus. Her insulin dose has required frequent readjustment. She also has PVD. The proper coding sequence for this scenario is: A.) L97.529, E10.622, I73.9, Z48.00, Z79.4. B.) E11.622, L97.529, I73.9, Z48.00, Z79.4. C.) E11.621, L97.529, E11.51, Z79.4. D.) L97.521, E10.622, I73.9, Z79.4.

C.

Which of the following comorbidities may affect patient care and should be coded, even if it is NOT actively being treated? A. Anemia. B. GERD. C. Hypertension. D. Hypothyroidism.

C.

Which of the following is an INCORRECT coding of a sequela? A.) I69.151. B.) M24.574, T25.321S. C.) I69.398. D.) G81.14, S06.5x9S

C.

Which of the following statements is true? A. All diagnoses treated during an inpatient stay should be coded. B. Z codes require a symptom control rating. C. All diagnoses must match on the OASIS, Plan of Care and billing claim form (UB04). D. All comorbidities should be coded.

C.

Your agency received a referral on a patient who was admitted to the hospital with a fever, persistent cough, dyspnea with minimal exertion, and extreme weakness. She was diagnosed with pneumonia and received IV antibiotics, which were changed to oral when she was discharged to a rehab facility. Therapy services were provided for strengthening, due to muscle weakness, for three weeks. The oral antibiotics for pneumonia were discontinued 10 days prior to discharge. Which of the following statements is true regarding placement of diagnosis in M1011 (Inpatient Diagnoses) and M1017 (Diagnoses Requiring Medical or Treatment Regimen Change during the past 14 days) for this patient? A. All diagnoses, including documented symptoms, which were treated during the hospital stay, will be listed in M1011. B. Pneumonia and muscle weakness will be listed in M1011 and M1017, since these were treated during the rehab stay. C. Pneumonia will be listed in M1011 but not in M1017, since the antibiotics were discontinued due to an improvement in this condition within 14 days prior to SOC. D. No diagnoses would be listed in M1011 or M1017, since the patient was discharged from the hospital greater than 14 days prior to SOC.

C.

A patient with a neurogenic bladder due to multiple sclerosis is being recertified for a monthly Foley catheter change. She is on long-term antibiotics because of her history of recurrent urinary tract infections. The correct coding sequence for this scenario is: A.) Z87.440, Z79.2, Z46.6, G35, N31.9. B.) N31.9, G35, Z46.6, Z79.2, Z87.440. C.) G35, N31.9, Z46.6, Z79.2, Z87.440. D.) Z46.6, N31.9, G35, Z79.2, Z87.440

D.

A term in parenthesis following the main term that may or may not be present in the diagnostic statement but does not affect the code selection is? A. the etiology. B. a manifestation. C. an unspecified code. D. a nonessential modifier.

D.

Which of the following may be listed as the primary diagnosis? A. W codes. B. X codes. C. Y codes. D. Z codes.

D.

Which of the following statements about V, W, X and Y codes is FALSE:? A. They identify external causes of injury or poisoning. B. The full range of external cause codes may be used. C. They may never be used as a primary diagnosis. D. They must always be used to indicate the cause of trauma wounds and trauma fractures.

D.

Which of the following statements about the primary diagnosis is false? A. It is the chief reason for providing skilled services. B. It best reflects the care being provided for the entire episode. C. It is the condition most related to the current home health care plan. D. It may be a V, W, X or Y code.

D.

Z codes are used when:? A. there is a complication of medical or surgical care. B. they are more specific to the care being rendered than a medical diagnosis. C. a patient has a resolving disease or injury. D. b and c.

D.

Code this: Anemia due to chemotherapy for bladder cancer.

D64.81, C67.9, T45.1X5D

Code this: Stage IV gangrenous pressure ulcer on right ischial tuberosity and stable diabetes mellitus.

I96, L89.314, E11.9 (Gangrene is linked to the pressure ulcer, so it is NOT a manifestation of diabetes.)

Code this: Diabetes and neuropathy.

E11.40

Code this: Depression with anxiety.

F41.8

Code this: Parkinson's dementia with wandering.

G20, F02.81, Z91.83

Code this: CHF, systolic heart failure and hypertension with pulmonary edema.

I11.0, I50.20 (pulmonary edema is integral to heart failure)

Code this: Acute MI of inferolateral wall 2 weeks ago.

I21.19

Code this: Therapeutic drug monitoring for anticoagulant use due to new onset of atrial fibrillation.

I48.91, Z51.81, Z79.01

Code this: Blisters on lower legs due to weeping edema caused by CHF.

I50.9, R23.8

Code this: Atherosclerosis with gangrene and ulcer of right calf limited to skin breakdown.

I70.261, L97.211

Code this: Venous thrombosis of the left cephalic vein.

I82.612

Code this: Infection due to gastric band procedure with cellulitis of abdominal wall due to staphylococcus aureus.

K95.01, L03.311, B95.61

Code this: Dermatitis due to Penicillin.

L27.0, T36.0x5D

Code this: Pressure ulcer of left hip covered with eschar and slough.

L89.220

Code this: Memory loss.

R41.3