CCDS Exam with Questions and Answers

CCDS Exam with Questions and Answers An elderly patient with a history of CAD, GERD, and HTN is admitted with chest pain. Pain was unrelieved with nitroglycerin at home. A GI cocktail is administered in the ED with relief. Cardiac workup is negative, and patient is scheduled for an EGD. The physician documents atypical chest pain. A concurrent query: A. Is not necessary to code GERD as the principal diagnosis B. Would be needed to specify the cause of the chest pain C. Would not be necessary as chest pain is the principal diagnosis D. Would be needed to specify the type of GERD ANSWER B. Would be needed to specify the cause of the chest pain A patient is admitted with syncope. Typical considerations for the underlying cause of syncope include: A. Cardiac arrhythmia and fluid overload B. CHF and renal failure C. Diabetes, bradycardia, and dehydration D. Obesity and colon cancer ANSWER C. Diabetes, bradycardia, and dehydration When a patient's admission includes a reimbursable surgical procedure, assignment of the final MS-DRG will: A. Always be in the same MDC as the principal medical diagnosis B. Always include a comorbid condition (CC/MCC) C. Depend on the patient's age D. Be driven by the surgical hierarchy established by CMS ANSWER D. Be driven by the surgical hierarchy established by CMS