CDIP CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Assign code(s) for the following diagnosis: Congestive heart failure due to
hypertension.I10 Essential (primary) hypertensionI11.9 Hypertensive heart
disease without heart failureI11.0 Hypertensive heart disease with heart
failureI50.9 Heart failure, unspecifiedI50.1 Left ventricular failureI50.20
Unspecified systolic (congestive) heart failureI50.21 Acute systolic
(congestive) heart failureI50.22 Chronic systolic (congestive) heart
failureI50.23 Acute on chronic systolic (congestive) heart failurea.I10,
I50.9b.I11.0c.I50.23, I10d.I11.0, I50.9.
Answer: d Heart conditions are assigned a combination code when a causal
relationship is stated (due to hypertension) or implied (hypertensive). Use an
additional code to identify the type of heart failure in those patients with
heart failure (ICD-10-CM Official Guidelines for Coding and Reporting
2016b, 41).
◍ Coding Clinic.
Answer: Valuable reference tool for coders that is published by AHA each
quarter
◍ MS-DRGs.
Answer: Medicare Severity-Diagnosis Related Groups
◍ Assign the best answer to complete the following sentence. The CPT codes
for treatment of fractures:a.Use the terminology "manipulation" rather than
"reduction" of fractureb.Include internal fixation in all codesc.Do not
include application of castd.Do not differentiate between open and closed
treatment; CPT only specifies the site of the fracture.
Answer: a Manipulation refers to the attempted reduction or restoration of a
, dislocated joint or fracture (Smith 2015, 84)
◍ CPT Assistant.
Answer: Monthly publication by the AMA that provides coding advice for
CPT coding scenarios
◍ Encoder Nosology.
Answer: Provides coding professionals from the encoder company that are
available to help answer tough coding questions
◍ In CPT, if a patient has two lacerations of the arm that are repaired with
simple closures, the coder would assign:a.Two CPT codes expressing each
laceration repairb.One CPT code for the largest lacerationc.One CPT code,
adding the lengths of the lacerations togetherd.One CPT code for the most
complex closure.
Answer: c When multiple wounds are repaired with the same closure type
(for example, simple), lengths of the wounds in the same classification and
from all anatomical sites that are grouped together into the same code
descriptor should be added together (Smith 2015, 67).
◍ History & Physical.
Answer: Provides the initial chief complaint and initial impressions of the
provider when the patient is first admitted. It also has a comprehensive
physical review of the patient's body systems and vital signs, and provides
the initial treatment plan, medications, and tests that are being ordered to
treat the patient.
◍ Progress Notes.
Answer: Provide information about what is going on with the patient on a
day-to-day basis; they should include the diagnoses that are being treated as
well as any information about any changes in the patient's well-being and
tests/procedures being performed.
◍ Operative and Pathology Reports.
Answer: Summarize the invasive procedures performed and any samples
that are removed from the patient's body
,◍ Patient admitted for laparoscopic repair of right diaphragmatic hernia.
Assign the ICD-10-PCS procedure code for this surgery.0BQR4ZZ Repair
right diaphragm, percutaneous endoscopic approach0BQROZZ Repair right
diaphragm, open approach0BQS4ZZ Repair left diaphragm, percutaneous
endoscopic approach0BQSOZZ Repair left diaphragm, open
approacha.0BQR4ZZb.0BQR0ZZc.0BQS4ZZd.0BQS0ZZ.
Answer: a Surgery is the only treatment for diaphragmatic hernias.
ICD-10-PCS code 0BQR4ZZ, is used for laparoscopic repair of
diaphragmatic hernia (Garvin 2015, 192, 284)
◍ Pathology report.
Answer: Provides detailed information from the pathologist of the facility as
to the status of the tissues or organs removed from the patient's body
◍ 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 pneumoniab.Refractory asthma and severe, intractable
wheezingc.Airway obstruction relieved by bronchodilatorsd.Limited but
pronounced wheezing.
Answer: b Status asthmaticus is defined as continual wheezing in spite of
therapy (Leon-Chisen 2013, 230).
◍ Encoder.
Answer: Specialty software used to facilitate the assignment of diagnostic
and procedural codes according to the rules of the coding system
◍ What is the value of utilizing coding software?.
Answer: It facilitates accurate coding by providing links to coding resources,
groups diagnosis and procedure codes to the correct MS-DRG, and provides
edits with additional information for the coder to consider when placing
codes into the encoder
◍ Principal diagnosis.
Answer: Diagnosis that, after study, is the reason for the patient's admission
to the hospital.
, ◍ Secondary diagnoses.
Answer: Additional supporting information for the conditions the patient is
being cared for
◍ MCC.
Answer: Major Complication or Comorbidity
◍ CC.
Answer: Complication or Comorbidity
◍ Gastrointestinal bleeding can manifest as:a.Hematemesis, which indicates
acute upper gastrointestinal
hemorrhageb.Petechiac.Vomitingd.Constipation, which indicates upper or
lower gastrointestinal hemorrhage.
Answer: a Gastrointestinal bleeding manifests itself in several ways. These
are hematemesis, melena, occult bleeding, hematochezia (Leon-Chisen
2013, 244).
◍ CMI.
Answer: Case Mix Index
◍ Which types of pacemaker devices have a unique ICD-10-PCS code.a.Dual
chamber rate responsiveb.Single chamber, single chamber rate responsive,
and dual chamberc.Multiple chamberd.Multiple chamber rate responsive.
Answer: b The three types of pacemakers are single chamber, single
chamber rate responsive, and dual chamber. A single chamber uses a single
lead; a dual chamber requires two leads, one in the atrium and one in the
ventricle. The leads should also be coded (Leon-Chisen 2013, 416-418).
◍ LOS.
Answer: Length of Stay
◍ Mechanical ventilation codes require consideration of which of the
following?a.The time when a tracheal tube is insertedb.The replacement of
an endotracheal tubec.The start time of endotracheal tube insertion followed
by mechanical ventilationd.Mechanical ventilation during surgery.
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Assign code(s) for the following diagnosis: Congestive heart failure due to
hypertension.I10 Essential (primary) hypertensionI11.9 Hypertensive heart
disease without heart failureI11.0 Hypertensive heart disease with heart
failureI50.9 Heart failure, unspecifiedI50.1 Left ventricular failureI50.20
Unspecified systolic (congestive) heart failureI50.21 Acute systolic
(congestive) heart failureI50.22 Chronic systolic (congestive) heart
failureI50.23 Acute on chronic systolic (congestive) heart failurea.I10,
I50.9b.I11.0c.I50.23, I10d.I11.0, I50.9.
Answer: d Heart conditions are assigned a combination code when a causal
relationship is stated (due to hypertension) or implied (hypertensive). Use an
additional code to identify the type of heart failure in those patients with
heart failure (ICD-10-CM Official Guidelines for Coding and Reporting
2016b, 41).
◍ Coding Clinic.
Answer: Valuable reference tool for coders that is published by AHA each
quarter
◍ MS-DRGs.
Answer: Medicare Severity-Diagnosis Related Groups
◍ Assign the best answer to complete the following sentence. The CPT codes
for treatment of fractures:a.Use the terminology "manipulation" rather than
"reduction" of fractureb.Include internal fixation in all codesc.Do not
include application of castd.Do not differentiate between open and closed
treatment; CPT only specifies the site of the fracture.
Answer: a Manipulation refers to the attempted reduction or restoration of a
, dislocated joint or fracture (Smith 2015, 84)
◍ CPT Assistant.
Answer: Monthly publication by the AMA that provides coding advice for
CPT coding scenarios
◍ Encoder Nosology.
Answer: Provides coding professionals from the encoder company that are
available to help answer tough coding questions
◍ In CPT, if a patient has two lacerations of the arm that are repaired with
simple closures, the coder would assign:a.Two CPT codes expressing each
laceration repairb.One CPT code for the largest lacerationc.One CPT code,
adding the lengths of the lacerations togetherd.One CPT code for the most
complex closure.
Answer: c When multiple wounds are repaired with the same closure type
(for example, simple), lengths of the wounds in the same classification and
from all anatomical sites that are grouped together into the same code
descriptor should be added together (Smith 2015, 67).
◍ History & Physical.
Answer: Provides the initial chief complaint and initial impressions of the
provider when the patient is first admitted. It also has a comprehensive
physical review of the patient's body systems and vital signs, and provides
the initial treatment plan, medications, and tests that are being ordered to
treat the patient.
◍ Progress Notes.
Answer: Provide information about what is going on with the patient on a
day-to-day basis; they should include the diagnoses that are being treated as
well as any information about any changes in the patient's well-being and
tests/procedures being performed.
◍ Operative and Pathology Reports.
Answer: Summarize the invasive procedures performed and any samples
that are removed from the patient's body
,◍ Patient admitted for laparoscopic repair of right diaphragmatic hernia.
Assign the ICD-10-PCS procedure code for this surgery.0BQR4ZZ Repair
right diaphragm, percutaneous endoscopic approach0BQROZZ Repair right
diaphragm, open approach0BQS4ZZ Repair left diaphragm, percutaneous
endoscopic approach0BQSOZZ Repair left diaphragm, open
approacha.0BQR4ZZb.0BQR0ZZc.0BQS4ZZd.0BQS0ZZ.
Answer: a Surgery is the only treatment for diaphragmatic hernias.
ICD-10-PCS code 0BQR4ZZ, is used for laparoscopic repair of
diaphragmatic hernia (Garvin 2015, 192, 284)
◍ Pathology report.
Answer: Provides detailed information from the pathologist of the facility as
to the status of the tissues or organs removed from the patient's body
◍ 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 pneumoniab.Refractory asthma and severe, intractable
wheezingc.Airway obstruction relieved by bronchodilatorsd.Limited but
pronounced wheezing.
Answer: b Status asthmaticus is defined as continual wheezing in spite of
therapy (Leon-Chisen 2013, 230).
◍ Encoder.
Answer: Specialty software used to facilitate the assignment of diagnostic
and procedural codes according to the rules of the coding system
◍ What is the value of utilizing coding software?.
Answer: It facilitates accurate coding by providing links to coding resources,
groups diagnosis and procedure codes to the correct MS-DRG, and provides
edits with additional information for the coder to consider when placing
codes into the encoder
◍ Principal diagnosis.
Answer: Diagnosis that, after study, is the reason for the patient's admission
to the hospital.
, ◍ Secondary diagnoses.
Answer: Additional supporting information for the conditions the patient is
being cared for
◍ MCC.
Answer: Major Complication or Comorbidity
◍ CC.
Answer: Complication or Comorbidity
◍ Gastrointestinal bleeding can manifest as:a.Hematemesis, which indicates
acute upper gastrointestinal
hemorrhageb.Petechiac.Vomitingd.Constipation, which indicates upper or
lower gastrointestinal hemorrhage.
Answer: a Gastrointestinal bleeding manifests itself in several ways. These
are hematemesis, melena, occult bleeding, hematochezia (Leon-Chisen
2013, 244).
◍ CMI.
Answer: Case Mix Index
◍ Which types of pacemaker devices have a unique ICD-10-PCS code.a.Dual
chamber rate responsiveb.Single chamber, single chamber rate responsive,
and dual chamberc.Multiple chamberd.Multiple chamber rate responsive.
Answer: b The three types of pacemakers are single chamber, single
chamber rate responsive, and dual chamber. A single chamber uses a single
lead; a dual chamber requires two leads, one in the atrium and one in the
ventricle. The leads should also be coded (Leon-Chisen 2013, 416-418).
◍ LOS.
Answer: Length of Stay
◍ Mechanical ventilation codes require consideration of which of the
following?a.The time when a tracheal tube is insertedb.The replacement of
an endotracheal tubec.The start time of endotracheal tube insertion followed
by mechanical ventilationd.Mechanical ventilation during surgery.
