CCS Practice Exam 2
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A 23 year old female is admitted for a. O03.1, Delayed or excessive hemorrhage
vaginal bleeding following a following incomplete spontaneous abortion
miscarriage two weeks prior to this
admission. She afebrile at this time
and is treated with an aspiration
dilation and curettage. Products of
conception are found. Which of the
following should be the principle
diagnosis?
a. O03.1, Delayed or excessive
hemorrhage following incomplete
spontaneous abortion
b. O08.1, Delayed or excessive
hemorrhage following ectopic and
molar pregnancy
c. R57.9, Shock, unspecified
d. T81.10XA, Postprocedural shock
unspecified, initial encounter
,A psychiatrist documents that a A. Bipolar disorder
patient has wide mood swings from
excessive happiness to loss of
energy and crying. What condition is
suspected?
a. Bipolar disorder
b. Major depression
c. Anxiety
d. Psychosis
A patient with a cephalic d. Cephalopelvic disproportion
presentation anticipating a vaginal
delivery failed to progress. After
measurement of the fetal head and a
trial of oxytocin, the patient
underwent a cesarean section. What
condition should the coder suspect
and query the physician about?
a. Twin pregnancy
b. Early delivery
c. Eclampsia
d. Cephalopelvic disproportion
,A 45 year old woman underwent a c. Query the physician to determine if there was a
carotid bypass and experienced a complication of surgery.
significant drop in blood pressure
during the surgery. The
documentation suggested the
patient may have had a myocardial
infarction. In accordance with coding
guidelines, what should the coder
do?
a. Code complication of surgery
NOS.
b. Query the physician to determine
if the patient had hypotension.
c. Query the physician to determine
if there was a complication of
surgery.
d. Code preoperative shock.
If a patient's discharge summary d. Query the attending physician regarding the
does not contain a diagnosis that is clinical significance of that diagnosis
documented by the anesthesiologist
in a preoperative evaluation and that
would impact MS-DRG assignment,
the coder should:
a. Code only from the discharge
diagnosis
b. Code the diagnosis reflected on
the anesthesia preoperative
evaluation
c. Code the most severe symptom
d. Query the attending physician
regarding the clinical significance of
that diagnosis
, A patient has documentation of b. Liver disease
esophageal varices. What condition
may be related that may affect the
coding?
a. Arthritis
b. Liver disease
c. Chronic obstructive pulmonary
disease
d. Erythema
A patient admitted with acute a. Inpatient
abdominal pain, is fount to have
appendicitis, and has an
appendectomy. The patient has a
length of stay for 2 days. What type
of patient encounter is this?
a. Impatient
b. Outpatient
c. Long term care
d. Rehabilitation
Leave the first rating
Save
Terms in this set (97) Hide definitions
A 23 year old female is admitted for a. O03.1, Delayed or excessive hemorrhage
vaginal bleeding following a following incomplete spontaneous abortion
miscarriage two weeks prior to this
admission. She afebrile at this time
and is treated with an aspiration
dilation and curettage. Products of
conception are found. Which of the
following should be the principle
diagnosis?
a. O03.1, Delayed or excessive
hemorrhage following incomplete
spontaneous abortion
b. O08.1, Delayed or excessive
hemorrhage following ectopic and
molar pregnancy
c. R57.9, Shock, unspecified
d. T81.10XA, Postprocedural shock
unspecified, initial encounter
,A psychiatrist documents that a A. Bipolar disorder
patient has wide mood swings from
excessive happiness to loss of
energy and crying. What condition is
suspected?
a. Bipolar disorder
b. Major depression
c. Anxiety
d. Psychosis
A patient with a cephalic d. Cephalopelvic disproportion
presentation anticipating a vaginal
delivery failed to progress. After
measurement of the fetal head and a
trial of oxytocin, the patient
underwent a cesarean section. What
condition should the coder suspect
and query the physician about?
a. Twin pregnancy
b. Early delivery
c. Eclampsia
d. Cephalopelvic disproportion
,A 45 year old woman underwent a c. Query the physician to determine if there was a
carotid bypass and experienced a complication of surgery.
significant drop in blood pressure
during the surgery. The
documentation suggested the
patient may have had a myocardial
infarction. In accordance with coding
guidelines, what should the coder
do?
a. Code complication of surgery
NOS.
b. Query the physician to determine
if the patient had hypotension.
c. Query the physician to determine
if there was a complication of
surgery.
d. Code preoperative shock.
If a patient's discharge summary d. Query the attending physician regarding the
does not contain a diagnosis that is clinical significance of that diagnosis
documented by the anesthesiologist
in a preoperative evaluation and that
would impact MS-DRG assignment,
the coder should:
a. Code only from the discharge
diagnosis
b. Code the diagnosis reflected on
the anesthesia preoperative
evaluation
c. Code the most severe symptom
d. Query the attending physician
regarding the clinical significance of
that diagnosis
, A patient has documentation of b. Liver disease
esophageal varices. What condition
may be related that may affect the
coding?
a. Arthritis
b. Liver disease
c. Chronic obstructive pulmonary
disease
d. Erythema
A patient admitted with acute a. Inpatient
abdominal pain, is fount to have
appendicitis, and has an
appendectomy. The patient has a
length of stay for 2 days. What type
of patient encounter is this?
a. Impatient
b. Outpatient
c. Long term care
d. Rehabilitation
