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Certified Documentation Integrity Practitioner
Last Update: Feb 25, 2024
140 Questions with Explanation
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Certified Documentation Integrity Practitioner Questions and Answers

Questions 1

A 100-year-old female presents to the emergency department with altered mental state and a 3-day history of productive cough, shortness of breath, and fever after a witnessed aspiration 3 days ago. The patient lives in custodial care at a nearby skilled

nursing facility. Patient was treated with Augmentin at the facility without improvement. Exam is notable for Tc 38.9, blood pressure 142/78, respiratory rate 28, pulse 91. There is accessory muscle use with breathing. Patient is moaning and disoriented but

otherwise the neurologic exam is nonfocal.

Labs notable for sodium 126, creatinine 0.5. white blood count 17.5, hemoglobin 13, platelet 200. venous blood gas 7.44/32/45/-3

Chest x-ray shows bilateral lower lobe infiltrates and dense right lower lobe consolidation.

Patient is placed on bilevel positive airway pressure and given vancomycin, pip/tazo, levofloxacin.

Discharge Diagnosis: health care associated pneumonia (HCAP), respiratory distress, altered mental status, low sodium

Which list of diagnoses require a post-discharge query that will result in a more specific principal diagnosis with the highest level of severity of illness and risk of mortality?



Sepsis with acute hypoxemic respiratory failure, hyponatremia, pneumonia


Coma, stroke, HCAP, hypernatremia


Aspiration pneumonia, hyponatremia, septic encephalopathy, and sepsis with acute hypoxemic respiratory failure


Severe sepsis, hypernatremia, delirium, pneumonia

Questions 2

Hospital-acquired condition pay provisions apply only to



inpatient prospective payment system hospitals


critical access hospitals


long-term acute care hospitals


inpatient psychiatric hospitals

Questions 3

The correct coding for insertion of a dialysis catheter into the right internal jugular vein with the tip ending in the cavoatrial junction is



05HM33Z Insertion of infusion device into right internal jugular vein, percutaneous approach


02H633Z Insertion of infusion device into right atrium, percutaneous approach


05HP33Z Insertion of infusion device into right external jugular vein, percutaneous approach


02HV33Z Insertion of infusion device into superior vena cava, percutaneous approach