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CDIP PRACTICE EXAM 2 LATEST 2025/ 2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (100%
VERIFIED ANSWERS) |ALREADY GRADED A+|
||VERIFIED EXAM!!!|| ||LATEST EXAM!!!||
If the physician does not document the diagnosis, the
coding professional cannot assume the patient has a
diagnosis based solely on
a.An abnormal lab finding
b.Abnormal pathology reports
c.Both A and B
d.None of the above - Answer-c The coder cannot assume
diagnoses on abnormal findings such 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).
These documents would be used for are used by clinicians
and providers to identify abnormal temperature, blood
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pressure, pulse, respiration, oxygen levels, 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 often
called nurses' graphic records or vital sign flowsheets
(Hess 2015, 43).
The American Hospital Association (AHA), the American
Health Information Management Association (AHIMA),
Center for Medicare and Medicaid Services (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
(AHIMA), Center for Medicare and Medicaid Services
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(CMS), and National Center for Health Statistics (NCHS)
are all cooperating parties that developed and approved
ICD-10-CM/PCS (ICD-10-CM Official Guidelines for
Coding and Reporting 2016a, 1).
A patient was admitted with HIV and pneumocystic carini.
The patient should 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] disease followed by additional diagnosis codes for all
reported HIV-related conditions (ICD-10-CM Official
Guidelines for Coding and Reporting 2016a, 17).
APR-DRGs have levels (subclasses) of severity entitled:
a.Excessive, Major, Moderate, Minor
b.Extreme, Major, Moderate, Minor
c.Extreme, Major, Moderate, Minimal
d.Excessive, Major - Answer-b The APR-DRG system is
distributed into levels (subclasses) similar to MS-DRGs.
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These levels are entitled Extreme, Major, Moderate, Minor
(Hess 2015, 48)
During an outpatient procedure for removal of a bladder
cyst, the urologist accidentally tore the urethral sphincter
requiring an observation stay. This should be assigned as
the principal diagnosis:
a.The reason for the outpatient surgery
b.The reason for admission
c.Either the reason for the outpatient surgery or the reason
for admission
d.None of the above - Answer-a When a patient presents
for outpatient surgery and develops complications
requiring admission to observation, code the reason for
the surgery as the first reported diagnosis (reason for the
encounter), followed by codes for the complications as
secondary diagnoses (ICD-10-CM Official Guidelines for
Coding and Reporting 2016a, 103).
In 1990, 3M created which DRG system that several
states use for Medicaid reimbursement and is also used
by facilities to analyze some portion of the data for
Medicare Quality Indicators. What is this system called?
a.MS-DRGs
CDIP PRACTICE EXAM 2 LATEST 2025/ 2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (100%
VERIFIED ANSWERS) |ALREADY GRADED A+|
||VERIFIED EXAM!!!|| ||LATEST EXAM!!!||
If the physician does not document the diagnosis, the
coding professional cannot assume the patient has a
diagnosis based solely on
a.An abnormal lab finding
b.Abnormal pathology reports
c.Both A and B
d.None of the above - Answer-c The coder cannot assume
diagnoses on abnormal findings such 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).
These documents would be used for are used by clinicians
and providers to identify abnormal temperature, blood
,2|Page
pressure, pulse, respiration, oxygen levels, 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 often
called nurses' graphic records or vital sign flowsheets
(Hess 2015, 43).
The American Hospital Association (AHA), the American
Health Information Management Association (AHIMA),
Center for Medicare and Medicaid Services (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
(AHIMA), Center for Medicare and Medicaid Services
,3|Page
(CMS), and National Center for Health Statistics (NCHS)
are all cooperating parties that developed and approved
ICD-10-CM/PCS (ICD-10-CM Official Guidelines for
Coding and Reporting 2016a, 1).
A patient was admitted with HIV and pneumocystic carini.
The patient should 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] disease followed by additional diagnosis codes for all
reported HIV-related conditions (ICD-10-CM Official
Guidelines for Coding and Reporting 2016a, 17).
APR-DRGs have levels (subclasses) of severity entitled:
a.Excessive, Major, Moderate, Minor
b.Extreme, Major, Moderate, Minor
c.Extreme, Major, Moderate, Minimal
d.Excessive, Major - Answer-b The APR-DRG system is
distributed into levels (subclasses) similar to MS-DRGs.
, 4|Page
These levels are entitled Extreme, Major, Moderate, Minor
(Hess 2015, 48)
During an outpatient procedure for removal of a bladder
cyst, the urologist accidentally tore the urethral sphincter
requiring an observation stay. This should be assigned as
the principal diagnosis:
a.The reason for the outpatient surgery
b.The reason for admission
c.Either the reason for the outpatient surgery or the reason
for admission
d.None of the above - Answer-a When a patient presents
for outpatient surgery and develops complications
requiring admission to observation, code the reason for
the surgery as the first reported diagnosis (reason for the
encounter), followed by codes for the complications as
secondary diagnoses (ICD-10-CM Official Guidelines for
Coding and Reporting 2016a, 103).
In 1990, 3M created which DRG system that several
states use for Medicaid reimbursement and is also used
by facilities to analyze some portion of the data for
Medicare Quality Indicators. What is this system called?
a.MS-DRGs
