CDIP STUDY GUIDE EXAM| CDIP FINAL
EXAM PRACTICE QUESTIONS AND
VERIFIED SOLUTIONS NEWLY
MODIFIED!!!
Certain conditions have both an underlying etiology and multiple body system manifestations
due to the underlying etiology. -- ANSWER--requires the underlying condition be sequenced
first, if applicable, followed by the manifestation.
"And" -- ANSWER--mean either "and" or "or" when it appears in a title.
"With" -- ANSWER--"with" or "in" should be interpreted to mean "associated with" or "due
to" when it appears in a code title, the Alphabetic Index (either under a main term or
subterm), or an instructional note in the Tabular List.
"see" -- ANSWER--following a main term in the Alphabetic Index indicates that another
term should be referenced. It is necessary to go to the main term referenced with the "see"
note to locate the correct code.
"see also" -- ANSWER--following a main term in the Alphabetic Index instructs that there is
another main term that may also be referenced that may provide additional Alphabetic Index
entries that may be useful.
"code also" -- ANSWER--instructs that two codes may be required to fully describe a
condition, but this note does not provide sequencing direction. The sequencing depends on
the circumstances of the encounter.
Page 1 of 168
,Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for --
ANSWER--reporting purposes when a related definitive diagnosis has not been established
(confirmed) by the provider.
When there is a "code first" note and an underlying condition is present, -- ANSWER--the
underlying condition should be sequenced first, if known.
"Code, if applicable, any causal condition first" notes indicate -- ANSWER--that this code
may be assigned as a principal diagnosis when the causal condition is unknown or not
applicable. If a causal condition is known, then the code for that condition should be
sequenced as the principal or first-listed diagnosis.
A combination code is a single code used to classify: -- ANSWER--Two diagnoses, or A
diagnosis with an associated secondary process (manifestation) A diagnosis with an
associated complication
The code for the acute phase of an illness or injury that led to the sequela -- ANSWER--is
never used with a code for the late effect.
Code any condition described at the time of discharge as "impending" or "threatened" as
follows: -- ANSWER--If it did occur, code as confirmed diagnosis. If it did not occur,
reference the Alphabetic Index to determine if the condition has a subentry term for
"impending" or "threatened" and also reference main term entries for "Impending" and for
"Threatened." If the subterms are listed, assign the given code. If the subterms are not listed,
code the existing underlying condition(s) and not the condition described as impending or
threatened.
Page 2 of 168
,If no bilateral code is provided and the condition is bilateral, -- ANSWER--assign separate
codes for both the left and right side.
approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM
-- ANSWER--American Hospital Association (AHA), the American Health Information
Management Association (AHIMA), CMS, and NCHS.
The Alphabetic Index consists of the following parts -- ANSWER--the Index of Diseases and
Injury, the Index of External Causes of Injury, the Table of Neoplasms and the Table of
Drugs and Chemicals.
The ICD-10-CM Tabular List contains -- ANSWER--categories, subcategories and codes
"X" -- ANSWER--used as a placeholder at certain codes to allow for future expansion.
NEC -- ANSWER--"Not elsewhere classifiable" This abbreviation in the Alphabetic Index
represents "other specified." When a specific code is not available for a condition, the
Alphabetic Index directs the coder to the "other specified" code in the Tabular List.
NOS -- ANSWER--"Not otherwise specified" This abbreviation is the equivalent of
unspecified.
NEC -- ANSWER--Not elsewhere classifiable" This abbreviation in the Tabular List
represents "other specified". When a specific code is not available for a condition, the
Alphabetic Index of the ICD-10-CM -- ANSWER--referenced first to identify the diagnostic
term or condition to be coded
Page 3 of 168
, provide the first few characters for the code to then use to locate the appropriate section
within the Tabular List to complete the code.
Tabular List -- ANSWER--provide additional information needed to code the condition
correctly such as Excludes 1 notes (not coded here), Excludes 2 notes (not included here),
Code First, Code Also, and so forth
Excludes 1 notes -- ANSWER--not coded here
Excludes 2 notes -- ANSWER--(not included here)
Coding clinics -- ANSWER--published quarterly by the American Hospital Association
(AHA). These provide clarification and advice on how to implement and interpret the Official
Guidelines for Coding and Reporting. Any person can submit a question to the AHA for
assistance. All questions will receive a response and those deemed most beneficial to the
industry will be published.
CPT® codebook -- ANSWER--copyrighted and published by the American Medical
Association (AMA)
encoder nosology -- ANSWER--platform for the CDI professional to seek guidance and ask
specific questions regarding the correct coding and sequencing for various scenarios
Principal diagnosis: -- ANSWER--"that condition established after study to be chiefly
responsible for occasioning the admission of the patient to the hospital for care"
Page 4 of 168
EXAM PRACTICE QUESTIONS AND
VERIFIED SOLUTIONS NEWLY
MODIFIED!!!
Certain conditions have both an underlying etiology and multiple body system manifestations
due to the underlying etiology. -- ANSWER--requires the underlying condition be sequenced
first, if applicable, followed by the manifestation.
"And" -- ANSWER--mean either "and" or "or" when it appears in a title.
"With" -- ANSWER--"with" or "in" should be interpreted to mean "associated with" or "due
to" when it appears in a code title, the Alphabetic Index (either under a main term or
subterm), or an instructional note in the Tabular List.
"see" -- ANSWER--following a main term in the Alphabetic Index indicates that another
term should be referenced. It is necessary to go to the main term referenced with the "see"
note to locate the correct code.
"see also" -- ANSWER--following a main term in the Alphabetic Index instructs that there is
another main term that may also be referenced that may provide additional Alphabetic Index
entries that may be useful.
"code also" -- ANSWER--instructs that two codes may be required to fully describe a
condition, but this note does not provide sequencing direction. The sequencing depends on
the circumstances of the encounter.
Page 1 of 168
,Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for --
ANSWER--reporting purposes when a related definitive diagnosis has not been established
(confirmed) by the provider.
When there is a "code first" note and an underlying condition is present, -- ANSWER--the
underlying condition should be sequenced first, if known.
"Code, if applicable, any causal condition first" notes indicate -- ANSWER--that this code
may be assigned as a principal diagnosis when the causal condition is unknown or not
applicable. If a causal condition is known, then the code for that condition should be
sequenced as the principal or first-listed diagnosis.
A combination code is a single code used to classify: -- ANSWER--Two diagnoses, or A
diagnosis with an associated secondary process (manifestation) A diagnosis with an
associated complication
The code for the acute phase of an illness or injury that led to the sequela -- ANSWER--is
never used with a code for the late effect.
Code any condition described at the time of discharge as "impending" or "threatened" as
follows: -- ANSWER--If it did occur, code as confirmed diagnosis. If it did not occur,
reference the Alphabetic Index to determine if the condition has a subentry term for
"impending" or "threatened" and also reference main term entries for "Impending" and for
"Threatened." If the subterms are listed, assign the given code. If the subterms are not listed,
code the existing underlying condition(s) and not the condition described as impending or
threatened.
Page 2 of 168
,If no bilateral code is provided and the condition is bilateral, -- ANSWER--assign separate
codes for both the left and right side.
approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM
-- ANSWER--American Hospital Association (AHA), the American Health Information
Management Association (AHIMA), CMS, and NCHS.
The Alphabetic Index consists of the following parts -- ANSWER--the Index of Diseases and
Injury, the Index of External Causes of Injury, the Table of Neoplasms and the Table of
Drugs and Chemicals.
The ICD-10-CM Tabular List contains -- ANSWER--categories, subcategories and codes
"X" -- ANSWER--used as a placeholder at certain codes to allow for future expansion.
NEC -- ANSWER--"Not elsewhere classifiable" This abbreviation in the Alphabetic Index
represents "other specified." When a specific code is not available for a condition, the
Alphabetic Index directs the coder to the "other specified" code in the Tabular List.
NOS -- ANSWER--"Not otherwise specified" This abbreviation is the equivalent of
unspecified.
NEC -- ANSWER--Not elsewhere classifiable" This abbreviation in the Tabular List
represents "other specified". When a specific code is not available for a condition, the
Alphabetic Index of the ICD-10-CM -- ANSWER--referenced first to identify the diagnostic
term or condition to be coded
Page 3 of 168
, provide the first few characters for the code to then use to locate the appropriate section
within the Tabular List to complete the code.
Tabular List -- ANSWER--provide additional information needed to code the condition
correctly such as Excludes 1 notes (not coded here), Excludes 2 notes (not included here),
Code First, Code Also, and so forth
Excludes 1 notes -- ANSWER--not coded here
Excludes 2 notes -- ANSWER--(not included here)
Coding clinics -- ANSWER--published quarterly by the American Hospital Association
(AHA). These provide clarification and advice on how to implement and interpret the Official
Guidelines for Coding and Reporting. Any person can submit a question to the AHA for
assistance. All questions will receive a response and those deemed most beneficial to the
industry will be published.
CPT® codebook -- ANSWER--copyrighted and published by the American Medical
Association (AMA)
encoder nosology -- ANSWER--platform for the CDI professional to seek guidance and ask
specific questions regarding the correct coding and sequencing for various scenarios
Principal diagnosis: -- ANSWER--"that condition established after study to be chiefly
responsible for occasioning the admission of the patient to the hospital for care"
Page 4 of 168
