Online Access Free CCDS Practice Test

A patient is admitted with confusion and a history of alcoholic cirrhosis. Ammonia level is 100 µ/L and the blood alcohol level is 2.9. Based on these clinical indicators, the CDI specialist should query the physician for which of the following conditions?

• A.Hepatic failure
• B.Delirium
• C.Alcohol poisoning
• D.ETOH dependence

A patient is admitted with hypertension and acute systolic heart failure. The provider does not explicitly link the two conditions and does not state that they are unrelated. Which coding principle applies?

• A.A relationship may only be recognized when hypertension is the principal diagnosis
• B.Acute heart failure cannot be associated with hypertension
• C.Hypertension and heart failure must always be coded separately unless the physician states
  "hypertensive"
• D.ICD-10-CM presumes a relationship between hypertension and qualifying heart disease unless documented as unrelated

A patient accidentally takes twice the prescribed dose of warfarin and develops gastrointestinal bleeding.
Which coding concept applies?

• A.Underdosing because the therapeutic effect was excessive
• B.Adverse effect because the drug was correctly prescribed
• C.Poisoning because the medication was taken incorrectly
• D.No drug-related code is needed

A patient develops a surgical-site infection after abdominal surgery and is admitted with sepsis. The surgeon clearly documents "sepsis due to postoperative wound infection." Which diagnosis category is generally sequenced first?

• A.The postprocedural infection code identifying the surgical-site infection
• B.Fever
• C.Severe sepsis
• D.The systemic sepsis code

When a physician documents the abbreviation "HCAP" in the health record, the BEST action for a CDI specialist to take is to:

• A.Assign the working code for complex pneumonia
• B.Query the physician for the specificity of the pneumonia
• C.Assign the working code for pneumonia
• D.Query the physician for healthcare-acquired pneumonia