Practice Test GeeksCCDS - Certified Clinical Documentation Specialist Practice Test
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Pressure Ulcers and Wound Care Documentation Flashcards

6 cards from real CCDS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. What characterizes a deep tissue pressure injury (DTPI) and how does it differ from a staged pressure ulcer?

    Answer: It presents as persistent discoloration of intact or non-intact skin from pressure, with its own distinct ICD-10-CM code

    DTPI presents as persistent non-blanchable discoloration (deep red, maroon, or purple) of intact or non-intact skin and has a dedicated ICD-10-CM code separate from Stage 1–4 pressure ulcers.

  2. When a patient has pressure ulcers at multiple different anatomic sites, what is the correct coding approach?

    Answer: Code each pressure ulcer separately with its own site-specific and stage-specific code

    Each pressure ulcer at a distinct anatomic location is assigned its own ICD-10-CM code reflecting the specific site and stage, as ICD-10-CM provides individual codes for each location.

  3. What is the CDI specialist's role in skin substitute graft documentation for wound care procedures?

    Answer: Verify documentation of the specific graft product and wound site to support accurate ICD-10-PCS procedure coding

    Skin substitute graft procedure codes in ICD-10-PCS vary by the specific product used and the anatomic site of application, requiring CDI to verify both elements are documented.

  4. How does the etiology of a lower extremity ulcer affect its ICD-10-CM code assignment?

    Answer: Etiology (venous vs. arterial vs. diabetic) determines the code category and requires documentation of the underlying vascular condition

    Venous, arterial, and diabetic lower extremity ulcers have distinct ICD-10-CM code categories, and the underlying vascular or metabolic diagnosis must be documented for accurate code assignment.

  5. What documentation is required for accurate wound debridement procedure coding in ICD-10-PCS?

    Answer: The deepest tissue level debrided and the method used (excisional vs. non-excisional)

    ICD-10-PCS debridement coding requires documentation of the deepest tissue level reached (skin, subcutaneous, muscle, or bone) and the method (excisional vs. non-excisional) to select the correct code.

  6. Which wound-related condition is a CMS-designated hospital-acquired condition (HAC) that CDI must monitor closely?

    Answer: Stage 3 and Stage 4 pressure ulcers acquired after admission and not documented as POA

    CMS designates Stage 3 and Stage 4 pressure ulcers that are not POA as HACs, resulting in no additional reimbursement for treatment costs and impacting quality reporting.