top of page
Upload Logo
Inpatient Coding Test
2. The provider must document a causal relationship between anemia and neoplastic disease in order to assign code D63.0 (Anemia in Neoplastic Disease).
3. A patient is admitted for treatment of anemia due to malignancy; the anemia is sequenced first followed by code for malignancy.
4. A patient is admitted with COPD exacerbation and also has documentation of emphysema. Only code J43.9 (Emphysema, unspecified) would be assigned.
5. A Patient was diagnosed with type 2 NSTEMI due to paroxysmal atrial fibrillation. What codes would be assigned?
6. A patient is admitted with an acute GI bleed, the HGB drops from 13 g/dl to 8.0 g/dl, the patient received 2 units of PRBCs. The provider documents anemia in the final discharge statement. Acute blood loss anemia should be coded?
7. Check all the conditions that would be considered a sequela
8. A patient with ESRD due to diabetes mellitus is admitted for an AV graft that has not matured. The patient also has CAD, hypertension, and chronic atrial fibrillation treated with Coumadin. The dialysis dependent patient undergoes removal of the nonautologous AV graft from the left arm artery with insertion of a Gore-Tex dialysis graft in the right radial artery to lower arm vein.
9. A patient was admitted after a fall, resulting in a traumatic head injury without loss of consciousness. History includes atrial fibrillation on daily Coumadin. A head CT revealed a subdural hematoma. The provider indicated the hematoma was trauma-induced but worsened by Coumadin. How should this be coded?
10. A patient with CAD is admitted with Unstable Angina. The patient has a history of CABG. Cardiac cath performed during this admission shows that there is occlusion in both the autologous graft vessels and a native vessel. How should this be coded?
11. A 30-year-old, P4 G3, woman is admitted for delivery at 39 weeks and is given prophylactic antibiotics because she has mitral valve prolapse. Patient is also a chronic smoker of cigarettes. How should this be coded?
12. A patient with known AIDS is admitted to the hospital as an inpatient with acute pyelonephritis and received IV antibiotics. AIDS is under treatment and asymptomatic now. How should this be coded?
13. When a primary malignancy has been excised but further treatment, such as an additional surgery for the malignancy and/or radiation/chemotherapy directed to that site, the primary malignancy code should be used until treatment is completed.
14. Patient is a 92-year-old male with known osteoporosis who fell from a bed at the nursing home with resultant rib fractures. The provider was queried and confirmed that the rib fractures were due to osteoporosis due to his advanced age. How should this be coded?
15. A patient with known left ovarian cancer is admitted for paracentesis due to malignant ascites. Diagnosis code C56.2 is the correct principal diagnosis.
16. What code would be assigned when postoperative anemia is documented but not further specified?
17. If a complication of pregnancy is present at the time of admission, the trimester character should correspond to:
18. When documentation in the record does not describe the circumstances of a poisoning:
19. The provider documents both hypercholesterolemia and mixed hyperlipidemia as diagnoses in the impression and plan. Codes for both hypercholesterolemia and mixed hyperlipidemia would be assigned in this case.
20. A 22-year-old female was readmitted with fever, tachycardia, erythema, and discharge at the cesarean incision site, one week post low transverse cesarean delivery. Blood and wound cultures were positive for MRSA. At discharge, the provider documented MRSA sepsis due to a deep incisional infection of the CS wound. How should this case be coded?
21. Patient is admitted with a stage 3 pressure ulcer to the right heel and an unstageable pressure ulcer on the left heel. The right heel ulcer continues to progress, was evaluated, and treated by wound care and was stage 4 on discharge. The left heel ulcer had eschar removed which revealed a stage 1 pressure ulcer. The left heel ulcer had completely healed by discharge. How should this be coded?
22. Which qualifier would be assigned when both a therapeutic and diagnostic procedure is performed on same body part via the same approach?
23. Which qualifier value would be assigned for an amputation performed through the proximal phalanx?
24. Which root operation is used for procedures that involve coagulation, ablation or fulguration?
25. A metatarsal fracture treated with closed reduction and K-wire fixation would be coded using which approach value?
26. A patient presents with GI bleed due to duodenal AVM. To stop the bleeding the provider placed a hemostatic clip and applied hemospray during EGD. What PCS codes would be reported?
27. The provider performed a sharp excisional debridement using scalpel to excise necrotic subcutaneous tissue of sacral pressure ulcer and also performed a debridement of exposed coccyx bone using Versajet. What PCS code(s) would be assigned for the excisional and non-excisional debridement when the non-excisional debridement is performed at a deeper layer?
28. If a mixture of autologous and non-autologous bone graft is used during a fusion procedure, which device value should be coded?
29. Suture repair of periurethral laceration should be coded to which body part value?
30. What is the correct approach value for a procedure performed using percutaneous endoscopic approach with hand-assistance with an extension of the incision?
31. What root operation is assigned when a wedge resection of the lung is performed?
bottom of page