CDIP DOMAIN 1: CLINICAL CODING
PRACTICE EXAM WITH QUESTIONS
AND 100% CORRECT SOLUTIONS 2025
LATEST UPDATE.
Coding Clinic - ANS Valuable reference tool for coders that is published by AHA each quarter
CPT - ANS Current Procedural Terminology
MS-DRGs - ANS Medicare Severity-Diagnosis Related Groups
CPT Assistant - ANS Monthly publication by the AMA that provides coding advice for CPT
coding scenarios
Encoder Nosology - ANS Provides coding professionals from the encoder company that are
available to help answer tough coding questions
History & Physical - ANS 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 - ANS 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 - ANS Summarize the invasive procedures performed and any
samples that are removed from the patient's body
Pathology report - ANS Provides detailed information from the pathologist of the facility as to
the status of the tissues or organs removed from the patient's body
Encoder - ANS 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? - ANS 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 - ANS Diagnosis that, after study, is the reason for the patient's admission to
the hospital.
PRACTICE EXAM WITH QUESTIONS
AND 100% CORRECT SOLUTIONS 2025
LATEST UPDATE.
Coding Clinic - ANS Valuable reference tool for coders that is published by AHA each quarter
CPT - ANS Current Procedural Terminology
MS-DRGs - ANS Medicare Severity-Diagnosis Related Groups
CPT Assistant - ANS Monthly publication by the AMA that provides coding advice for CPT
coding scenarios
Encoder Nosology - ANS Provides coding professionals from the encoder company that are
available to help answer tough coding questions
History & Physical - ANS 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 - ANS 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 - ANS Summarize the invasive procedures performed and any
samples that are removed from the patient's body
Pathology report - ANS Provides detailed information from the pathologist of the facility as to
the status of the tissues or organs removed from the patient's body
Encoder - ANS 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? - ANS 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 - ANS Diagnosis that, after study, is the reason for the patient's admission to
the hospital.
