CCS EXAM PREP QUESTIONS AND
CORRECT VERIFIED ANSWERS
7A2yoA2ptA2admittedA2toA2EDA2forA2txA2ofA2shortnessA2ofA2breathA2andA2givenA2epinephrineA
2andA2nebulizerA2tx.A2ShortnessA2ofA2breathA2andA2wheezingA2areA2unabatedA2followingA2t
x,A2soA2whatA2dxA2shouldA2beA2suspected?A2-A2Ans--A2AsthmaA2withA2statusA2asthmaticus
PtA2admittedA2withA2highA2temp,A2lethargy,A2hypotension,A2tachycardia,A2oliguria,A2elevate
dA2WBC,A2andA2hasA2moreA2thanA2100KA2organismsA2ofA2E.A2coliA2perA2ccA2ofA2urine.A2Att
endingA2physA2documentsA2"urosepsis",A2soA2whatA2isA2theA2nextA2stepA2forA2theA2coder?
A2-A2Ans--
A2SinceA2PDA2isA2aA2nonspecificA2termA2andA2hasA2noA2codeA2inA2AlphaA2Index,A2queryA2p
hysA2toA2determineA2ifA2ptA2isA2beingA2treatedA2forA2sepsis,A2highlightingA2theA2clinicalA2sig
ns,A2symptoms
DuringA2CABG,A2ptA2underwentA2saphenousA2bypassA2grafts;A2fromA2aortaA2toA2leftA2antA2
descA2branchA2ofA2leftA2mainA2coronaryA2artery,A2andA2theA2leftA2postA2descA2ofA2leftA2main
A2coronaryA2artery.A2PtA2alsoA2underwentA2repositioningA2ofA2theA2mammaryA2arteryA2toA2t
heA2rightA2coronaryA2artery.A2WhatA2isA2theA2bestA2descriptionA2forA2thisA2px?A2-A2Ans--
A22A2aortocoronaryA2graftsA2andA21A2mammary-coronaryA2graft
AccordingA2toA2CPT,A2anA2endoscopyA2thatA2isA2undertakenA2toA2theA2levelA2ofA2midtransv
erseA2colonA2wouldA2beA2codedA2asA2a:A2-A2Ans--
A2ColonoscopyA2sinceA2thisA2isA2anA2examinationA2ofA2entireA2colonA2fromA2rectumA2toA2ce
cumA2thatA2mayA2includeA2terminalA2ileum
InfusionA2ofA2Herceptin,A2aA2monoclonalA2antibodyA2usedA2forA2txA2ofA2breastA2cancerA2inA
2ptsA2carryingA2aA2certainA2mutationA2ofA2theA2HER2A2gene,A2isA2classifiedA2as:A2-A2Ans--
A2MolecularA2TargetsA2whichA2blockA2theA2growth,A2spreadA2ofA2cancerA2byA2interferingA2w
ithA2specificA2moleculesA2involvedA2inA2tumorA2growth,A2progression
PtA2hasA2findingsA2suggestiveA2ofA2COPDA2onA2chestA2x-
rayA2andA2AttendingA2physA2mentionsA2x-
rayA2findingA2inA2oneA2progressA2noteA2butA2noA2meds,A2tx,A2orA2furtherA2eval.A2TheA2code
rA2should:A2-A2Ans--
A2QueryA2physA2regardingA2clinicalA2significanceA2ofA2findingsA2andA2requestA2appropriate
A2documentationA2beA2providedA2asA2thisA2isA2exampleA2ofA2aA2circumstanceA2whereA2chr
onicA2conditionA2mustA2beA2verified;A2allA2secondaryA2conditionsA2mustA2meetA2theA2UHD
DSA2definitionsA2althoughA2itA2isA2notA2clearA2ifA2COPDA2does
PtA2undergoesA2inpatientA2pxA2andA2finalA2summaryA2dxA2isA2differenceA2fromA2dxA2onA2pa
thA2report,A2theA2coderA2should:A2-A2Ans--
A2QueryA2AttendingA2physA2asA2finalA2dxA2asA2codingA2strictlyA2fromA2pathA2reportA2isA2notA
2appropriate A2sinceA2coderA2wouldA2beA2assigningA2dxA2withoutA2AttendingA2phys'A2corrob
oration
,56A2yoA2womanA2admittedA2toA2acute-
careA2facilityA2fromA2SNFA2andA2hasA2multipleA2sclerosisA2andA2hypertension.A2DuringA2co
urseA2ofA2hospitalization,A2decubitusA2ulcerA2isA2foundA2andA2debridedA2atA2bedsideA2byA2
phys.A2ThereA2isA2noA2typedA2opA2reportA2andA2noA2pathA2report.A2TheA2coderA2should:A2-
A2Ans--
A2QueryA2healthcareA2providerA2whoA2performedA2pxA2toA2determineA2ifA2debridementA2wa
sA2excisionalA2asA2codersA2areA2encouragedA2toA2workA2withA2physicians,A2healthcareA2pr
ovidersA2toA2ensureA2documentationA2isA2veryA2specificA2andA2clarified
23A2yoA2femaleA2admittedA2forA2shockA2followingA2txA2ofA2miscarriageA2andA2pathA2reportA2
fromA2prevA2admitA2revealsA2ptA2hadA2noA2deciduaA2orA2POCA2inA2tissueA2removed.A2Enco
unterA2wouldA2beA2codedA2as:A2-A2Ans--
A2O08.9A2=A2complicationA2followingA2abortionA2andA2ectopicA2andA2molarA2pregnanciesA2
sinceA2miscarriageA2wasA2dealtA2withA2inA2aA2priorA2episodeA2ofA2care
MostA2hospitalsA2requireA2aA2medicalA2recordA2isA2completedA2within:A2-A2Ans--
A230A2daysA2dueA2toA2MedicareA2CofPA2andA2TJC
ToA2correctA2anA2entryA2inA2theA2MR,A2theA2providerA2should:A2-A2Ans--
A2DrawA2singleA2lineA2throughA2theA2error,A2addA2aA2noteA2explainingA2theA2error,A2initial,A2
date,A2andA2addA2correctA2infoA2inA2chronologicalA2order
AfterA2ptA2isA2dischargedA2fromA2hospital,A2theA2MRA2mustA2beA2reviewedA2for:A2-A2Ans--
A2CertainA2basicA2reportsA2suchA2asA2historyA2andA2physical,A2dischargeA2summary,A2etc.
PtA2isA2dischargedA2withA2diagnosisA2ofA2acuteA2pulmonaryA2edemaA2dueA2toA2CHFA2soA2
whatA2cn(s)A2shouldA2beA2coded?A2-A2Ans--A2CHF
PtA2isA2admittedA2forA2chestA2pain,A2wasA2stabilizedA2andA2discharged.A2InA2subsequentA2
adm,A2ptA2wasA2admittedA2anA2outptA2forA2leftA2heartA2catheterization,A2coronaryA2arteriog
raphyA2usingA22A2catheters,A2leftA2ventricularA2angiography,A2andA2foundA2toA2haveA2arteri
oscleroticA2heartA2disease.A2PtA2hasA2noA2hxA2ofA2cardiacA2surgery.A2WhatA2isA2theA2prope
rA2sequencingA2ofA2ICD-10-CMA2andA2CPTA2codesA2forA2outptA2catheterization?A2-A2Ans--
A2I25.10A2(AtheroscleroticA2heartA2diseaseA2ofA2nativeA2coronaryA2arteryA2withoutA2angina
A2pectoris)
93458A2(CatheterA2placementA2inA2coronaryA2artery(s)A2forA2coronaryA2angiography,A2incl
A2intraproceduralA2injection(s)A2forA2coronaryA2angiography,A2imagingA2supervisionA2andA2
interpretationA2withA2leftA2heartA2catheterizationA2includingA2intraproceduralA2injection(s)A2
forA2leftA2ventriculography,A2whenA2performed
65yoA2ptA2admA2w/
painA2andA2looseningA2ofA2leftA2totalA2hipA2prosthesisA2alongA2withA2theA2looseningA2ofA2th
eA2acetabularA2componentA2whichA2hasA2becomeA2painful.A2PtA2adA2forA2openA2removal/
replacementA2ofA2acetabularA2componentA2ofA2leftA2hipA2prosthesis,A2soA2whatA2isA2theA2c
,orrectA2codingA2forA2admission?A2-A2Ans--
A2T84.031AA2(mechanicalA2looseningA2ofA2intA2ltA2hipA2prosthA2jt,A2initialA2enc
0SPB0JZA2(removalA2syntheticA2subA2froA2ltA2hipA2jt,A2openA2approach
0SRE0JZA2(replacementA2ltA2hipA2jt,A2acetabularA2surfaceA2w/
syntheticA2sub,A2openA2approach)
MaternityA2ptA2admA2inA2laborA2atA243A2wksA2andA2hasA2normalA2deliveryA2withA2vacuumA2
extractionA2toA2facilitateA2baby'sA2delivery.A2WhatA2isA2theA2PD?A2-A2Ans--
A2O48.1A2(prolongedA2pg)
WithA2regardA2toA2implementationA2ofA2ICD-10-CM,A2allA2ofA2theseA2areA2correct:A2-
A2Ans--A2ICD-10-
CMA2wasA2developedA2byA2NCHS;A2itA2wasA2implementedA2onA210/1/15;A2wasA2alreadyA2
beingA2usedA2byA2deathA2certificateA2codingA2inA2US;A2theA2processA2ofA2adoptingA2ICD-
10-CMA2isA2specifiedA2inA2HIPAA
WhatA2doesA2NCHSA2standA2for?A2-A2Ans--A2NationalA2CenterA2forA2HealthA2Statistics
75yoA2femaleA2wasA2admA2forA2AMIA2andA2underwentA2aA2diagnosticA2cardiacA2cath.A2Foll
owingA2theA2cath,A2ptA2devA2aA2thrombophlebitisA2documentedA2asA2dueA2toA2theA2cathete
rA2inA2theA2commonA2femoralA2artery.A2TheA2thrombophlebitisA2wouldA2beA2codedA2as:A2-
A2Ans--
A2T81.718A,A2complicationA2ofA2otherA2arteryA2followingA2aA2procedure,A2NEC,A2initialA2en
c
PtA2admA2toA2EDA2w/chestA2pain,A2andA2dxA2w/abortA2MIA2w/
acuteA2myocardialA2ischemiaA2withA2noA2priorA2cardiacA2surgery,A2andA2normalA2cardiacA2
enzymes.A2WhatA2isA2codingA2forA2thisA2case?A2-A2Ans--
A2I24.0A2(acuteA2coronaryA2thrombosisA2notA2resultingA2inA2MI)A2PtsA2w/
acuteA2ischemicA2heartA2diseaseA2orA2acuteA2myocardialA2ischemiaA2doA2notA2alwaysA2ind
icateA2anA2infarctionA2andA2itA2isA2oftenA2possibleA2toA2preventA2infarctionA2byA2meansA2ofA
2surgeryA2orA2useA2ofA2thrombolyticA2agentsA2ifA2txA2promptly
PtA2hasA2nausea,A2vomiting,A2abdominalA2painA2dueA2toA2acuteA2cholecystitis.A2PhysA2doc
A2theA2followingA2onA2DS:A2AcuteA2cholecystitis,A2nausea,A2vomiting,A2andA2abdominalA2p
ain.A2WhatA2isA2correctA2coding?A2-A2Ans--A2AcuteA2cholecystitis
PtA2admA2bcA2ofA2CHF,A2andA2alsoA2foundA2toA2haveA2elevatedA2liverA2functionA2tests.A2Ph
ysA2workedA2upA2ELFA2testA2butA2ableA2toA2determineA2dx,A2soA2theA2followingA2dxA2isA2as
signed:A2-A2Ans--A2CHFA2andA2abnormalA2liverA2functionA2tests
PtA2admA2withA2hypotensionA2dueA2toA2dobutamineA2takenA2andA2prescribedA2correctly.A2
HowA2isA2thisA2coded?A2-A2Ans--A2I95.2,A2HypotensionA2dueA2toA2drugs
T44.5X5A,A2adverseA2effectsA2ofA2dobutamine
, PtA2admA22A2wksA2afterA2laminectomyA2forA2spinalA2stenosisA2w/
headacheA2(headacheA2dueA2toA2tearA2inA2duraA2accidentallyA2occurredA2duringA2priorA2la
minectomyA2surgery).A2PtA2takenA2toA2ORA2forA2repairA2ofA2dura.A2HowA2isA2thisA2caseA2co
ded?A2-A2Ans--
A2G97.41,A2AccidentalA2punctureA2orA2lacerationA2ofA2duraA2duringA2procedure
PtA2admA2w/
SOB,A2CHF,A2andA2subsequentlyA2devA2respA2fail.A2PtA2undergoesA2intubationA2w/
ventilatorA2mgmt.A2CorrectA2seqA2ofA2dxA2wouldA2be:A2-A2Ans--A2CHFA2andA2respA2failure
PtA2admA2w/
pneumococcalA2pneumoniaA2andA2pneumococcalA2sepsis,A2soA2theA2coderA2should:A2-
A2Ans--A2AssignA2codeA2forA2sepsis,A2pneumonia,A2andA2severeA2sepsis.A2PtA2w/
pneumococcalA2sepsisA2andA2pneumococcalA2pneumoniaA2alsoA2hasA2severeA2sepsisA2a
ndA2GuidelinesA2provideA2infoA2relatedA2toA2coding,A2seqA2ofA2sepsis,A2severeA2sepsis,A2a
ndA2localizedA2infection,A2suchA2asA2pneumonia
PtA2admA2w/
ESRDA2followingA2kidneyA2transplant,A2whoA2alsoA2hadA2anginaA2andA2COPD,A2soA2dxA2w
ouldA2beA2seqA2as:A2-A2Ans--A2ESRD;A2statusA2postA2kidneyA2transplant;A2COPD;A2angina
PtA2admA2toA2hospA2dueA2toA2fractureA2ofA2rtA2hipA2andA2scheduledA2forA2openA2reductionA2
withA2intA2fix,A2butA2ptA2devA2cardiacA2arrhythmiaA2whichA2resultsA2inA2anA2inabilityA2toA2doA
2plannedA2surgery.A2AssignA2codeA2forA2PD:A2-A2Ans--
A2RtA2hipA2fractureA2(condA2afterA2studyA2thatA2occasionedA2admA2shouldA2beA2seqA2firstA2
evenA2ifA2theA2planA2ofA2txA2wasA2notA2carriedA2outA2dueA2toA2unforeseenA2circumstances)
WhatA2isA2notA2partA2ofA2aA2facilityA2codingA2complianceA2plan?A2-A2Ans--
A2CodingA2auditsA2performedA2byA2payersA2(whileA2thisA2hasA2value,A2payersA2areA2consid
eredA2externalA2reviewing)
WhatA2areA2variousA2partsA2ofA2aA2facilityA2codingA2complianceA2plan?A2-A2Ans--
A2RegularA2internalA2audits,A2auditsA2performedA2byA2objectiveA2externalA2reviewers,A2sha
ring/discussingA2resultsA2withA2codingA2staff
InA2CPT,A2unlistedA2codesA2areA2reportedA2onlyA2if:A2-A2Ans--
A2ThereA2isA2aA2notA2aA2HCPCSA2levelA2IIA2orA2aA2currentA2CPTA2levelA2IIIA2codeA2available
AA2virtualA2screeningA2colonoscopyA2wouldA2beA2codedA2as:A2-A2Ans--
A274263:A2ComputedA2tomographicA2(CT)A2colonography,A2screeningA2includingA2imageA2
postprocessing
PtA2underwentA2excisionA2ofA2malignantA2lesionA2ofA2chestA2measuringA21.0cmA2withA20.2
cmA2margin,A2andA2basedA2onA22015A2CPTA2codes,A2whichA2codeA2isA2usedA2forA2thisA2pr
CORRECT VERIFIED ANSWERS
7A2yoA2ptA2admittedA2toA2EDA2forA2txA2ofA2shortnessA2ofA2breathA2andA2givenA2epinephrineA
2andA2nebulizerA2tx.A2ShortnessA2ofA2breathA2andA2wheezingA2areA2unabatedA2followingA2t
x,A2soA2whatA2dxA2shouldA2beA2suspected?A2-A2Ans--A2AsthmaA2withA2statusA2asthmaticus
PtA2admittedA2withA2highA2temp,A2lethargy,A2hypotension,A2tachycardia,A2oliguria,A2elevate
dA2WBC,A2andA2hasA2moreA2thanA2100KA2organismsA2ofA2E.A2coliA2perA2ccA2ofA2urine.A2Att
endingA2physA2documentsA2"urosepsis",A2soA2whatA2isA2theA2nextA2stepA2forA2theA2coder?
A2-A2Ans--
A2SinceA2PDA2isA2aA2nonspecificA2termA2andA2hasA2noA2codeA2inA2AlphaA2Index,A2queryA2p
hysA2toA2determineA2ifA2ptA2isA2beingA2treatedA2forA2sepsis,A2highlightingA2theA2clinicalA2sig
ns,A2symptoms
DuringA2CABG,A2ptA2underwentA2saphenousA2bypassA2grafts;A2fromA2aortaA2toA2leftA2antA2
descA2branchA2ofA2leftA2mainA2coronaryA2artery,A2andA2theA2leftA2postA2descA2ofA2leftA2main
A2coronaryA2artery.A2PtA2alsoA2underwentA2repositioningA2ofA2theA2mammaryA2arteryA2toA2t
heA2rightA2coronaryA2artery.A2WhatA2isA2theA2bestA2descriptionA2forA2thisA2px?A2-A2Ans--
A22A2aortocoronaryA2graftsA2andA21A2mammary-coronaryA2graft
AccordingA2toA2CPT,A2anA2endoscopyA2thatA2isA2undertakenA2toA2theA2levelA2ofA2midtransv
erseA2colonA2wouldA2beA2codedA2asA2a:A2-A2Ans--
A2ColonoscopyA2sinceA2thisA2isA2anA2examinationA2ofA2entireA2colonA2fromA2rectumA2toA2ce
cumA2thatA2mayA2includeA2terminalA2ileum
InfusionA2ofA2Herceptin,A2aA2monoclonalA2antibodyA2usedA2forA2txA2ofA2breastA2cancerA2inA
2ptsA2carryingA2aA2certainA2mutationA2ofA2theA2HER2A2gene,A2isA2classifiedA2as:A2-A2Ans--
A2MolecularA2TargetsA2whichA2blockA2theA2growth,A2spreadA2ofA2cancerA2byA2interferingA2w
ithA2specificA2moleculesA2involvedA2inA2tumorA2growth,A2progression
PtA2hasA2findingsA2suggestiveA2ofA2COPDA2onA2chestA2x-
rayA2andA2AttendingA2physA2mentionsA2x-
rayA2findingA2inA2oneA2progressA2noteA2butA2noA2meds,A2tx,A2orA2furtherA2eval.A2TheA2code
rA2should:A2-A2Ans--
A2QueryA2physA2regardingA2clinicalA2significanceA2ofA2findingsA2andA2requestA2appropriate
A2documentationA2beA2providedA2asA2thisA2isA2exampleA2ofA2aA2circumstanceA2whereA2chr
onicA2conditionA2mustA2beA2verified;A2allA2secondaryA2conditionsA2mustA2meetA2theA2UHD
DSA2definitionsA2althoughA2itA2isA2notA2clearA2ifA2COPDA2does
PtA2undergoesA2inpatientA2pxA2andA2finalA2summaryA2dxA2isA2differenceA2fromA2dxA2onA2pa
thA2report,A2theA2coderA2should:A2-A2Ans--
A2QueryA2AttendingA2physA2asA2finalA2dxA2asA2codingA2strictlyA2fromA2pathA2reportA2isA2notA
2appropriate A2sinceA2coderA2wouldA2beA2assigningA2dxA2withoutA2AttendingA2phys'A2corrob
oration
,56A2yoA2womanA2admittedA2toA2acute-
careA2facilityA2fromA2SNFA2andA2hasA2multipleA2sclerosisA2andA2hypertension.A2DuringA2co
urseA2ofA2hospitalization,A2decubitusA2ulcerA2isA2foundA2andA2debridedA2atA2bedsideA2byA2
phys.A2ThereA2isA2noA2typedA2opA2reportA2andA2noA2pathA2report.A2TheA2coderA2should:A2-
A2Ans--
A2QueryA2healthcareA2providerA2whoA2performedA2pxA2toA2determineA2ifA2debridementA2wa
sA2excisionalA2asA2codersA2areA2encouragedA2toA2workA2withA2physicians,A2healthcareA2pr
ovidersA2toA2ensureA2documentationA2isA2veryA2specificA2andA2clarified
23A2yoA2femaleA2admittedA2forA2shockA2followingA2txA2ofA2miscarriageA2andA2pathA2reportA2
fromA2prevA2admitA2revealsA2ptA2hadA2noA2deciduaA2orA2POCA2inA2tissueA2removed.A2Enco
unterA2wouldA2beA2codedA2as:A2-A2Ans--
A2O08.9A2=A2complicationA2followingA2abortionA2andA2ectopicA2andA2molarA2pregnanciesA2
sinceA2miscarriageA2wasA2dealtA2withA2inA2aA2priorA2episodeA2ofA2care
MostA2hospitalsA2requireA2aA2medicalA2recordA2isA2completedA2within:A2-A2Ans--
A230A2daysA2dueA2toA2MedicareA2CofPA2andA2TJC
ToA2correctA2anA2entryA2inA2theA2MR,A2theA2providerA2should:A2-A2Ans--
A2DrawA2singleA2lineA2throughA2theA2error,A2addA2aA2noteA2explainingA2theA2error,A2initial,A2
date,A2andA2addA2correctA2infoA2inA2chronologicalA2order
AfterA2ptA2isA2dischargedA2fromA2hospital,A2theA2MRA2mustA2beA2reviewedA2for:A2-A2Ans--
A2CertainA2basicA2reportsA2suchA2asA2historyA2andA2physical,A2dischargeA2summary,A2etc.
PtA2isA2dischargedA2withA2diagnosisA2ofA2acuteA2pulmonaryA2edemaA2dueA2toA2CHFA2soA2
whatA2cn(s)A2shouldA2beA2coded?A2-A2Ans--A2CHF
PtA2isA2admittedA2forA2chestA2pain,A2wasA2stabilizedA2andA2discharged.A2InA2subsequentA2
adm,A2ptA2wasA2admittedA2anA2outptA2forA2leftA2heartA2catheterization,A2coronaryA2arteriog
raphyA2usingA22A2catheters,A2leftA2ventricularA2angiography,A2andA2foundA2toA2haveA2arteri
oscleroticA2heartA2disease.A2PtA2hasA2noA2hxA2ofA2cardiacA2surgery.A2WhatA2isA2theA2prope
rA2sequencingA2ofA2ICD-10-CMA2andA2CPTA2codesA2forA2outptA2catheterization?A2-A2Ans--
A2I25.10A2(AtheroscleroticA2heartA2diseaseA2ofA2nativeA2coronaryA2arteryA2withoutA2angina
A2pectoris)
93458A2(CatheterA2placementA2inA2coronaryA2artery(s)A2forA2coronaryA2angiography,A2incl
A2intraproceduralA2injection(s)A2forA2coronaryA2angiography,A2imagingA2supervisionA2andA2
interpretationA2withA2leftA2heartA2catheterizationA2includingA2intraproceduralA2injection(s)A2
forA2leftA2ventriculography,A2whenA2performed
65yoA2ptA2admA2w/
painA2andA2looseningA2ofA2leftA2totalA2hipA2prosthesisA2alongA2withA2theA2looseningA2ofA2th
eA2acetabularA2componentA2whichA2hasA2becomeA2painful.A2PtA2adA2forA2openA2removal/
replacementA2ofA2acetabularA2componentA2ofA2leftA2hipA2prosthesis,A2soA2whatA2isA2theA2c
,orrectA2codingA2forA2admission?A2-A2Ans--
A2T84.031AA2(mechanicalA2looseningA2ofA2intA2ltA2hipA2prosthA2jt,A2initialA2enc
0SPB0JZA2(removalA2syntheticA2subA2froA2ltA2hipA2jt,A2openA2approach
0SRE0JZA2(replacementA2ltA2hipA2jt,A2acetabularA2surfaceA2w/
syntheticA2sub,A2openA2approach)
MaternityA2ptA2admA2inA2laborA2atA243A2wksA2andA2hasA2normalA2deliveryA2withA2vacuumA2
extractionA2toA2facilitateA2baby'sA2delivery.A2WhatA2isA2theA2PD?A2-A2Ans--
A2O48.1A2(prolongedA2pg)
WithA2regardA2toA2implementationA2ofA2ICD-10-CM,A2allA2ofA2theseA2areA2correct:A2-
A2Ans--A2ICD-10-
CMA2wasA2developedA2byA2NCHS;A2itA2wasA2implementedA2onA210/1/15;A2wasA2alreadyA2
beingA2usedA2byA2deathA2certificateA2codingA2inA2US;A2theA2processA2ofA2adoptingA2ICD-
10-CMA2isA2specifiedA2inA2HIPAA
WhatA2doesA2NCHSA2standA2for?A2-A2Ans--A2NationalA2CenterA2forA2HealthA2Statistics
75yoA2femaleA2wasA2admA2forA2AMIA2andA2underwentA2aA2diagnosticA2cardiacA2cath.A2Foll
owingA2theA2cath,A2ptA2devA2aA2thrombophlebitisA2documentedA2asA2dueA2toA2theA2cathete
rA2inA2theA2commonA2femoralA2artery.A2TheA2thrombophlebitisA2wouldA2beA2codedA2as:A2-
A2Ans--
A2T81.718A,A2complicationA2ofA2otherA2arteryA2followingA2aA2procedure,A2NEC,A2initialA2en
c
PtA2admA2toA2EDA2w/chestA2pain,A2andA2dxA2w/abortA2MIA2w/
acuteA2myocardialA2ischemiaA2withA2noA2priorA2cardiacA2surgery,A2andA2normalA2cardiacA2
enzymes.A2WhatA2isA2codingA2forA2thisA2case?A2-A2Ans--
A2I24.0A2(acuteA2coronaryA2thrombosisA2notA2resultingA2inA2MI)A2PtsA2w/
acuteA2ischemicA2heartA2diseaseA2orA2acuteA2myocardialA2ischemiaA2doA2notA2alwaysA2ind
icateA2anA2infarctionA2andA2itA2isA2oftenA2possibleA2toA2preventA2infarctionA2byA2meansA2ofA
2surgeryA2orA2useA2ofA2thrombolyticA2agentsA2ifA2txA2promptly
PtA2hasA2nausea,A2vomiting,A2abdominalA2painA2dueA2toA2acuteA2cholecystitis.A2PhysA2doc
A2theA2followingA2onA2DS:A2AcuteA2cholecystitis,A2nausea,A2vomiting,A2andA2abdominalA2p
ain.A2WhatA2isA2correctA2coding?A2-A2Ans--A2AcuteA2cholecystitis
PtA2admA2bcA2ofA2CHF,A2andA2alsoA2foundA2toA2haveA2elevatedA2liverA2functionA2tests.A2Ph
ysA2workedA2upA2ELFA2testA2butA2ableA2toA2determineA2dx,A2soA2theA2followingA2dxA2isA2as
signed:A2-A2Ans--A2CHFA2andA2abnormalA2liverA2functionA2tests
PtA2admA2withA2hypotensionA2dueA2toA2dobutamineA2takenA2andA2prescribedA2correctly.A2
HowA2isA2thisA2coded?A2-A2Ans--A2I95.2,A2HypotensionA2dueA2toA2drugs
T44.5X5A,A2adverseA2effectsA2ofA2dobutamine
, PtA2admA22A2wksA2afterA2laminectomyA2forA2spinalA2stenosisA2w/
headacheA2(headacheA2dueA2toA2tearA2inA2duraA2accidentallyA2occurredA2duringA2priorA2la
minectomyA2surgery).A2PtA2takenA2toA2ORA2forA2repairA2ofA2dura.A2HowA2isA2thisA2caseA2co
ded?A2-A2Ans--
A2G97.41,A2AccidentalA2punctureA2orA2lacerationA2ofA2duraA2duringA2procedure
PtA2admA2w/
SOB,A2CHF,A2andA2subsequentlyA2devA2respA2fail.A2PtA2undergoesA2intubationA2w/
ventilatorA2mgmt.A2CorrectA2seqA2ofA2dxA2wouldA2be:A2-A2Ans--A2CHFA2andA2respA2failure
PtA2admA2w/
pneumococcalA2pneumoniaA2andA2pneumococcalA2sepsis,A2soA2theA2coderA2should:A2-
A2Ans--A2AssignA2codeA2forA2sepsis,A2pneumonia,A2andA2severeA2sepsis.A2PtA2w/
pneumococcalA2sepsisA2andA2pneumococcalA2pneumoniaA2alsoA2hasA2severeA2sepsisA2a
ndA2GuidelinesA2provideA2infoA2relatedA2toA2coding,A2seqA2ofA2sepsis,A2severeA2sepsis,A2a
ndA2localizedA2infection,A2suchA2asA2pneumonia
PtA2admA2w/
ESRDA2followingA2kidneyA2transplant,A2whoA2alsoA2hadA2anginaA2andA2COPD,A2soA2dxA2w
ouldA2beA2seqA2as:A2-A2Ans--A2ESRD;A2statusA2postA2kidneyA2transplant;A2COPD;A2angina
PtA2admA2toA2hospA2dueA2toA2fractureA2ofA2rtA2hipA2andA2scheduledA2forA2openA2reductionA2
withA2intA2fix,A2butA2ptA2devA2cardiacA2arrhythmiaA2whichA2resultsA2inA2anA2inabilityA2toA2doA
2plannedA2surgery.A2AssignA2codeA2forA2PD:A2-A2Ans--
A2RtA2hipA2fractureA2(condA2afterA2studyA2thatA2occasionedA2admA2shouldA2beA2seqA2firstA2
evenA2ifA2theA2planA2ofA2txA2wasA2notA2carriedA2outA2dueA2toA2unforeseenA2circumstances)
WhatA2isA2notA2partA2ofA2aA2facilityA2codingA2complianceA2plan?A2-A2Ans--
A2CodingA2auditsA2performedA2byA2payersA2(whileA2thisA2hasA2value,A2payersA2areA2consid
eredA2externalA2reviewing)
WhatA2areA2variousA2partsA2ofA2aA2facilityA2codingA2complianceA2plan?A2-A2Ans--
A2RegularA2internalA2audits,A2auditsA2performedA2byA2objectiveA2externalA2reviewers,A2sha
ring/discussingA2resultsA2withA2codingA2staff
InA2CPT,A2unlistedA2codesA2areA2reportedA2onlyA2if:A2-A2Ans--
A2ThereA2isA2aA2notA2aA2HCPCSA2levelA2IIA2orA2aA2currentA2CPTA2levelA2IIIA2codeA2available
AA2virtualA2screeningA2colonoscopyA2wouldA2beA2codedA2as:A2-A2Ans--
A274263:A2ComputedA2tomographicA2(CT)A2colonography,A2screeningA2includingA2imageA2
postprocessing
PtA2underwentA2excisionA2ofA2malignantA2lesionA2ofA2chestA2measuringA21.0cmA2withA20.2
cmA2margin,A2andA2basedA2onA22015A2CPTA2codes,A2whichA2codeA2isA2usedA2forA2thisA2pr
