CDIP Clinical Coding 5

Question 1

Which of the following best describes the difference between a CC and an MCC in the MS-DRG system?

Accepted Answer

MCCs reflect higher severity and resource use than CCs

Answer

MCCs (Major Complications or Comorbidities) represent more severe conditions with greater impact on resources than CCs (Complications or Comorbidities) in the MS-DRG hierarchy.

Question 2

A patient is treated for opioid use disorder with buprenorphine/naloxone. What is the correct ICD-10-CM code category?

Accepted Answer

F11.20 – Opioid dependence, uncomplicated

Answer

A patient on maintenance therapy with buprenorphine/naloxone for opioid use disorder is coded F11.20 (opioid dependence, uncomplicated) per ICD-10-CM guidelines.

Question 3

In CPT, what does the term 'separate procedure' indicate when it appears in a code descriptor?

Accepted Answer

The procedure is commonly part of a larger service and is not reported when performed with related procedures

Answer

A CPT code designated as a 'separate procedure' is typically an integral part of a more comprehensive service and should not be reported when performed with a related procedure.

Question 4

When assigning ICD-10-CM codes for a patient with HIV disease and Pneumocystis jirovecii pneumonia (PCP), which sequencing is correct?

Accepted Answer

B20 (HIV disease) first, then B59 (PCP)

Answer

ICD-10-CM guidelines require B20 (HIV disease) to be sequenced first, followed by additional codes for all HIV-related conditions such as PCP.

Question 5

A CDI query should adhere to which standard to maintain compliance and avoid leading the physician?

Accepted Answer

AHIMA and ACDIS compliant query guidelines requiring non-leading, multiple choice or open-ended format

Answer

AHIMA and ACDIS jointly published query guidelines requiring queries to be non-leading, clinically supported, and formatted as multiple-choice or open-ended.

(CDIP) Certified Documentation Improvement Practitioner Practice Test

(CDIP) Certified Documentation Improvement Practitioner Practice Test

CDIP Clinical Coding 5