HCS-D EXAM 1 QUESTIONS AND ANSWERS 2026
Dementia is part of the disease, so the physician does not have to specifically mention
dementia with Alzheimer's.
True or False?
True
Define atrophy
muscle wasting
Define Alzheimer's disease
Presents with slight memory disturbance or personality changes that progressively
deteriorate to profound memory loss and dementia.
What 7th character should be assigned for Initial Encounter for malunion or nonunion of
fracture
The 7th character A should be assigned for malunion and nonunion of fractures, when
the patient delayed treatment
What 7th character should be assigned for Subsequent Encounter for fractures
The 7th character D should be used when the patient has completed active treatment
and is receiving routine care
True or False Oral antibiotics are considered active medications
True
If the patient is taking oral antibiotics and the infection is still present and more than
routine care is required, is the encounter Initial or Subsequent?
Initial Encounter
If the patient is new to the home health agency it will need to be factored (considered)
into the 7th character assignment? True or false
false
Is a Wound VAC considered active or inactive treatment?
Active Treatment
, What do brackets [ ] in Tabular List indicate?
Synonyms
What do brackets [ ] in Alphabetic List indicate?
Manifestation Codes
What does Excludes 1 mean
"Not coded here"
What does Excludes 2 mean?
"Not included here"
What does the classification of "with" or "in" presume about two conditions?
Casual relationship
True or False?
If the same condition is described as both acute and chronic, and separate subentries
exist in the Alphabetic Index at the same indentation level, code both and sequence the
acute code first.
True
Can diagnosis with the word "borderline" may be coded as confirmed?
True
True or False? A diagnosis with the word "possible", "probable", "suspected",
"questionable" may be coded as confirmed
false
What terms in the alphabetic index that may suggest a manifestation code with the
brackets [ ] ?
In, Due to, With
True or False? A diagnosis with this code title "In diseases classified elsewhere" are a
component of the etiology/manifestation combination in the tabular list and are not to be
coded first
Dementia is part of the disease, so the physician does not have to specifically mention
dementia with Alzheimer's.
True or False?
True
Define atrophy
muscle wasting
Define Alzheimer's disease
Presents with slight memory disturbance or personality changes that progressively
deteriorate to profound memory loss and dementia.
What 7th character should be assigned for Initial Encounter for malunion or nonunion of
fracture
The 7th character A should be assigned for malunion and nonunion of fractures, when
the patient delayed treatment
What 7th character should be assigned for Subsequent Encounter for fractures
The 7th character D should be used when the patient has completed active treatment
and is receiving routine care
True or False Oral antibiotics are considered active medications
True
If the patient is taking oral antibiotics and the infection is still present and more than
routine care is required, is the encounter Initial or Subsequent?
Initial Encounter
If the patient is new to the home health agency it will need to be factored (considered)
into the 7th character assignment? True or false
false
Is a Wound VAC considered active or inactive treatment?
Active Treatment
, What do brackets [ ] in Tabular List indicate?
Synonyms
What do brackets [ ] in Alphabetic List indicate?
Manifestation Codes
What does Excludes 1 mean
"Not coded here"
What does Excludes 2 mean?
"Not included here"
What does the classification of "with" or "in" presume about two conditions?
Casual relationship
True or False?
If the same condition is described as both acute and chronic, and separate subentries
exist in the Alphabetic Index at the same indentation level, code both and sequence the
acute code first.
True
Can diagnosis with the word "borderline" may be coded as confirmed?
True
True or False? A diagnosis with the word "possible", "probable", "suspected",
"questionable" may be coded as confirmed
false
What terms in the alphabetic index that may suggest a manifestation code with the
brackets [ ] ?
In, Due to, With
True or False? A diagnosis with this code title "In diseases classified elsewhere" are a
component of the etiology/manifestation combination in the tabular list and are not to be
coded first
