BRAINSCAPE1
WGU C808 Exam with complete
solutions latest version
Assign the correct CPT code for the following: A 63-year-old female had a temporal
artery biopsy completed in the outpatient surgical center. - CORRECT ANSWER-37609,
Ligation or biopsy, temporal artery
The patient is 47 years old. What is the correct code for an initial inguinal herniorrhaphy
for incarcerated hernia? - CORRECT ANSWER-49507, Repair initial inguinal hernia,
age 5 years or older; incarcerated or strangulated
In ICD-10-CM this note means "not coded here": - CORRECT ANSWER-Excludes 1
Changes and updates to ICD-10-CM are managed by the ICD-10-CM Coordination and
Maintenance Committee, a federal committee co-chaired by representatives from the
NCHS and:- - CORRECT ANSWER-CMS
The patient has a biopsy of the colon followed by a hemicolectomy. In the ICD-10-PCS
coding system, which procedure(s) are coded? - CORRECT ANSWER-Both the biopsy
and the hemicolectomy
A procedure that attempts to obstruct the blood flow to a malignant tumor would be
coded to which root operation in ICD-10-PCS? - CORRECT ANSWER-Occlusion
The primary responsibility of a coder is to: - CORRECT ANSWER-Ensure accuracy of
coded data
Community Hospital implemented a clinical document improvement (CDI) program six
months ago. The goal of the program was to improve clinical documentation to support
quality of care, data quality, and HIM coding accuracy. Which of the following would be
best to ensure that everyone understands the importance of this program? - CORRECT
ANSWER-Include ancillary clinical staff and medical staff in the process
BRAINSCAPE1
, BRAINSCAPE1
The coder assigned separate codes for individual tests when a combination code exists.
This is an example of which of the following? - CORRECT ANSWER-Unbundling
You are the coding supervisor and you are doing an audit of outpatient coding. Robert
Thompson was seen in the outpatient department with a chronic cough and the record
states, "rule out lung cancer." What should have been coded as the patient's diagnosis?
- CORRECT ANSWER-Chronic cough
In reviewing a patient chart, the coder finds that the patient's chest x-ray is suggestive of
chronic obstructive pulmonary disease (COPD). The attending physician mentions the
x-ray finding in one progress note, but no medication, treatment, or further evaluation is
provided. Which of the following actions should the coder take in this case? -
CORRECT ANSWER-Query the attending physician and ask him to validate a
diagnosis based on the chest x-ray
All of the following are goals for a clinical documentation improvement program except:
- CORRECT ANSWER-Preventing billing for bundled services
Which of the following is the principal goal of internal auditing programs for billing and
coding? - CORRECT ANSWER-Protect providers from sanctions or fines
A coding audit shows that an inpatient coder is using multiple codes that describe the
individual components of a procedure rather than using a single code that describes all
the steps of the procedure performed. Which of the following should be done in this
case? - CORRECT ANSWER-Counsel the coder to stop the practice immediately
You are the coding manager and are completing a review of a new coder's work. The
case facts are that the patient was treated in the emergency department for two forearm
lacerations that were both repaired with simple closure. The new coder assigned one
CPT code for the largest laceration. Which of the following would be the correct CPT
code assignment for this case? - CORRECT ANSWER-One CPT code adding the
lengths of the lacerations together
A patient is admitted to the hospital with shortness of breath and congestive heart
failure. The patient undergoes intubation with mechanical ventilation. The final
diagnoses documented by the attending physician are: Congestive heart failure,
mechanical ventilation, and intubation. Which of the following actions should the coder
take in this case? - CORRECT ANSWER-query the attending physician as to the
reason for the intubation and mechanical ventilation to add as a secondary diagnosis
Which of the following is the definition of revenue cycle management? - CORRECT
ANSWER-The coordination of all administrative and clinical functions that contribute to
the capture, management, and collection of patient service revenue
Which of the following elements is found in a charge description master? - CORRECT
ANSWER-Procedure or service charge
BRAINSCAPE1
WGU C808 Exam with complete
solutions latest version
Assign the correct CPT code for the following: A 63-year-old female had a temporal
artery biopsy completed in the outpatient surgical center. - CORRECT ANSWER-37609,
Ligation or biopsy, temporal artery
The patient is 47 years old. What is the correct code for an initial inguinal herniorrhaphy
for incarcerated hernia? - CORRECT ANSWER-49507, Repair initial inguinal hernia,
age 5 years or older; incarcerated or strangulated
In ICD-10-CM this note means "not coded here": - CORRECT ANSWER-Excludes 1
Changes and updates to ICD-10-CM are managed by the ICD-10-CM Coordination and
Maintenance Committee, a federal committee co-chaired by representatives from the
NCHS and:- - CORRECT ANSWER-CMS
The patient has a biopsy of the colon followed by a hemicolectomy. In the ICD-10-PCS
coding system, which procedure(s) are coded? - CORRECT ANSWER-Both the biopsy
and the hemicolectomy
A procedure that attempts to obstruct the blood flow to a malignant tumor would be
coded to which root operation in ICD-10-PCS? - CORRECT ANSWER-Occlusion
The primary responsibility of a coder is to: - CORRECT ANSWER-Ensure accuracy of
coded data
Community Hospital implemented a clinical document improvement (CDI) program six
months ago. The goal of the program was to improve clinical documentation to support
quality of care, data quality, and HIM coding accuracy. Which of the following would be
best to ensure that everyone understands the importance of this program? - CORRECT
ANSWER-Include ancillary clinical staff and medical staff in the process
BRAINSCAPE1
, BRAINSCAPE1
The coder assigned separate codes for individual tests when a combination code exists.
This is an example of which of the following? - CORRECT ANSWER-Unbundling
You are the coding supervisor and you are doing an audit of outpatient coding. Robert
Thompson was seen in the outpatient department with a chronic cough and the record
states, "rule out lung cancer." What should have been coded as the patient's diagnosis?
- CORRECT ANSWER-Chronic cough
In reviewing a patient chart, the coder finds that the patient's chest x-ray is suggestive of
chronic obstructive pulmonary disease (COPD). The attending physician mentions the
x-ray finding in one progress note, but no medication, treatment, or further evaluation is
provided. Which of the following actions should the coder take in this case? -
CORRECT ANSWER-Query the attending physician and ask him to validate a
diagnosis based on the chest x-ray
All of the following are goals for a clinical documentation improvement program except:
- CORRECT ANSWER-Preventing billing for bundled services
Which of the following is the principal goal of internal auditing programs for billing and
coding? - CORRECT ANSWER-Protect providers from sanctions or fines
A coding audit shows that an inpatient coder is using multiple codes that describe the
individual components of a procedure rather than using a single code that describes all
the steps of the procedure performed. Which of the following should be done in this
case? - CORRECT ANSWER-Counsel the coder to stop the practice immediately
You are the coding manager and are completing a review of a new coder's work. The
case facts are that the patient was treated in the emergency department for two forearm
lacerations that were both repaired with simple closure. The new coder assigned one
CPT code for the largest laceration. Which of the following would be the correct CPT
code assignment for this case? - CORRECT ANSWER-One CPT code adding the
lengths of the lacerations together
A patient is admitted to the hospital with shortness of breath and congestive heart
failure. The patient undergoes intubation with mechanical ventilation. The final
diagnoses documented by the attending physician are: Congestive heart failure,
mechanical ventilation, and intubation. Which of the following actions should the coder
take in this case? - CORRECT ANSWER-query the attending physician as to the
reason for the intubation and mechanical ventilation to add as a secondary diagnosis
Which of the following is the definition of revenue cycle management? - CORRECT
ANSWER-The coordination of all administrative and clinical functions that contribute to
the capture, management, and collection of patient service revenue
Which of the following elements is found in a charge description master? - CORRECT
ANSWER-Procedure or service charge
BRAINSCAPE1
