AHIMA CCS Practice Exam [2024]
The root operation of resection applies to which of the following?
a. Removal of the entire body part and removal of an entire lobe of the liver
b. Partial incidental appendectomy and the closure portion of a procedure
c. Blunt, digital, manual, or mechanical lysis of adhesions
d. Partial cholecystectomy
Removal of the entire body part and removal of an entire lobe of the liver.
When coding benign neoplasm of the skin, the section noted above directs the coder to:
D23- Other benign neoplasms of skin Includes:
Benign neoplasm of hair follicles
Benign neoplasm of sebaceous glands
Benign neoplasm of sweat glands
Excludes 1: benign lipomatous neoplasms of skin (D17.0-D17.3)
melanocytic nevi (D22.-)
a. Use category D23 for benign neoplasm of sweat glands
b. Use category D23 for melanocytic nevi
c. Use category D23 for benign lipomatous neoplasms of skin
d. Use category D23 for malignant neoplasm of the skin
Use category D23 for benign neoplasm of sweat glands
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A 64-year-old female was discharged with the final diagnosis of acute renal failure and
hypertension. What coding rule applies?
,a. Use combination code of hypertension and renal failure.
b. Use separate codes for hypertension and chronic renal failure.
c. Use separate codes for hypertension and acute renal failure.
d. Use separate codes for elevated blood pressure and chronic renal failure.
Use separate codes for hypertension and acute renal failure
Coding professionals need to have surgical references in order to discriminate between:
a. Correct and incorrect documentation based on Joint Commission requirements
b. Reportable and non-reportable procedures
c. Chemotherapeutic drugs
d. A comorbid condition and a complication that prolongs the length of stay
Reportable and non-reportable procedures
A patient is admitted with an acute inferior myocardial infarction and discharged alive. Which
condition would increase the MS-DRG weight?
a. Respiratory failure
b. Atrial fibrillation
c. Hypertension
d. History of myocardial infarction
Respiratory failure
If a patient has undergone an outpatient echocardiogram and the cardiologist concludes in the
report that the patient has mitral regurgitation, the coder should:
a. Assign a diagnostic code for mitral regurgitation
b. Query the physician about the diagnosis
c. Code an abnormal finding of the echocardiogram
d. No code can be assigned
Assign a diagnostic code for mitral regurgitation
A patient was treated in the emergency department with lacerations of the neck and underwent
a repair of two (2) wounds of the neck (2.0 cm and 1.4 cm) with layered closure. What are the
diagnosis (excluding external cause codes) and procedure codes assigned?
S11.91XA Laceration without foreign body of unspecified part of neck, initial encounter
S11.92XA Laceration with foreign body of unspecified part of neck, initial encounter
,0HQ4XZZ Repair neck skin, external approach
12041 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or
less
12042 Repair, intermediate, wounds of neck, hands, feet, and/or external genitalia; 2.6 cm to
7.5 cm
a. S11.91XA, 0HQ4XZZ
b. S11.92XA, 0HQ4XZZ
c. S11.92XA, 12041, 12041
d. S11.91XA, 12042
S11.91XA, 12042
Patient with renal tumors received percutaneous cryotherapy ablation of three tumors on the
right kidney in the same operative episode at Memorial Hospital. Assign a CPT code for this
procedure.
50250 Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative
ultrasound guidance and monitoring, if performed
50590 Lithotripsy, extracorporeal shock wave
50592 Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency
50593 Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy
a. 50250
b. 50590
c. 50592
d. 50593
50593
When coding a documented ventilator-associated pneumonia (VAP), what codes should be
assigned first for ICD-10-CM and then supported by CPT?
a. The pneumonia is coded first; the CPT will be from code range 94010 to 94799
b. The complication of surgery diagnosis is coded first, then the VAP, with the CPT will be from
code range 99500 to 99602
c. The specific code for ventilator-associated pneumonia is coded first and the organism is
coded as a secondary code if known; the CPT will be from code range 94002 to 94005
d. An additional code for the type of pneumonia, that is, lobar or pneumonia NOS, is coded; the
CPT will be from code range 33946 to 33989
The specific code for ventilator-associated pneumonia is coded first and the organism is coded
as a secondary code if known; the CPT will be from code range 94002 to 94005
, A nurse inadvertently recorded an incorrect vital sign in a patient electronic health record. The
next day, a correction was made in the electronic health record. This resulted in the corrected
vital sign being recorded at the time the correction was made due to the software. What would
be the result of this correction?
a. The vital signs would be listed in the correct sequence.
b. When a correction is made in an electronic health record, the incorrect data is deleted.
c. The quality of patient care would not be affected.
d. There was a distorted trend line of vital signs data.
There was a distorted trend line of vital signs data.
Poor-quality data collection and reporting can affect:
a. Patient care, documentation, revenue generation, outcomes evaluation, and public health
reporting
b. Use of patient record for legal purposes
c. Patient care, communication, research activities, and public health reporting
d. All of the above
All of the above:
- Patient care, documentation, revenue generation, outcomes evaluation, and public health
reporting
- Use of patient record for legal purposes
- Patient care, communication, research activities, and public health reporting
The billing department has requested that copies of the final coding summary with associated
code meanings for Medicare be printed remotely in the admission department. Currently they
request the summaries only when there is an unspecified procedure. Each time the coding
supervisor goes to the admission department, the coding summaries have been left on a table
near the patient entrance. Of the actions presented here, what would be the best action for the
coding supervisor to take?
a. Comply with the request.
b. Refuse to undertake this without further explanation.
c. Ignore the request.
d. Explain to the billing department supervisor that leaving the coding summary in public view
violates the patient's right to privacy.
Explain to the billing department supervisor that leaving the coding summary in public view
violates the patient's right to privacy.
What percentage will the facility be paid for procedure code 10060?
The root operation of resection applies to which of the following?
a. Removal of the entire body part and removal of an entire lobe of the liver
b. Partial incidental appendectomy and the closure portion of a procedure
c. Blunt, digital, manual, or mechanical lysis of adhesions
d. Partial cholecystectomy
Removal of the entire body part and removal of an entire lobe of the liver.
When coding benign neoplasm of the skin, the section noted above directs the coder to:
D23- Other benign neoplasms of skin Includes:
Benign neoplasm of hair follicles
Benign neoplasm of sebaceous glands
Benign neoplasm of sweat glands
Excludes 1: benign lipomatous neoplasms of skin (D17.0-D17.3)
melanocytic nevi (D22.-)
a. Use category D23 for benign neoplasm of sweat glands
b. Use category D23 for melanocytic nevi
c. Use category D23 for benign lipomatous neoplasms of skin
d. Use category D23 for malignant neoplasm of the skin
Use category D23 for benign neoplasm of sweat glands
Brainpower
Read More
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:00
/
0:15
Full screen
A 64-year-old female was discharged with the final diagnosis of acute renal failure and
hypertension. What coding rule applies?
,a. Use combination code of hypertension and renal failure.
b. Use separate codes for hypertension and chronic renal failure.
c. Use separate codes for hypertension and acute renal failure.
d. Use separate codes for elevated blood pressure and chronic renal failure.
Use separate codes for hypertension and acute renal failure
Coding professionals need to have surgical references in order to discriminate between:
a. Correct and incorrect documentation based on Joint Commission requirements
b. Reportable and non-reportable procedures
c. Chemotherapeutic drugs
d. A comorbid condition and a complication that prolongs the length of stay
Reportable and non-reportable procedures
A patient is admitted with an acute inferior myocardial infarction and discharged alive. Which
condition would increase the MS-DRG weight?
a. Respiratory failure
b. Atrial fibrillation
c. Hypertension
d. History of myocardial infarction
Respiratory failure
If a patient has undergone an outpatient echocardiogram and the cardiologist concludes in the
report that the patient has mitral regurgitation, the coder should:
a. Assign a diagnostic code for mitral regurgitation
b. Query the physician about the diagnosis
c. Code an abnormal finding of the echocardiogram
d. No code can be assigned
Assign a diagnostic code for mitral regurgitation
A patient was treated in the emergency department with lacerations of the neck and underwent
a repair of two (2) wounds of the neck (2.0 cm and 1.4 cm) with layered closure. What are the
diagnosis (excluding external cause codes) and procedure codes assigned?
S11.91XA Laceration without foreign body of unspecified part of neck, initial encounter
S11.92XA Laceration with foreign body of unspecified part of neck, initial encounter
,0HQ4XZZ Repair neck skin, external approach
12041 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or
less
12042 Repair, intermediate, wounds of neck, hands, feet, and/or external genitalia; 2.6 cm to
7.5 cm
a. S11.91XA, 0HQ4XZZ
b. S11.92XA, 0HQ4XZZ
c. S11.92XA, 12041, 12041
d. S11.91XA, 12042
S11.91XA, 12042
Patient with renal tumors received percutaneous cryotherapy ablation of three tumors on the
right kidney in the same operative episode at Memorial Hospital. Assign a CPT code for this
procedure.
50250 Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative
ultrasound guidance and monitoring, if performed
50590 Lithotripsy, extracorporeal shock wave
50592 Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency
50593 Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy
a. 50250
b. 50590
c. 50592
d. 50593
50593
When coding a documented ventilator-associated pneumonia (VAP), what codes should be
assigned first for ICD-10-CM and then supported by CPT?
a. The pneumonia is coded first; the CPT will be from code range 94010 to 94799
b. The complication of surgery diagnosis is coded first, then the VAP, with the CPT will be from
code range 99500 to 99602
c. The specific code for ventilator-associated pneumonia is coded first and the organism is
coded as a secondary code if known; the CPT will be from code range 94002 to 94005
d. An additional code for the type of pneumonia, that is, lobar or pneumonia NOS, is coded; the
CPT will be from code range 33946 to 33989
The specific code for ventilator-associated pneumonia is coded first and the organism is coded
as a secondary code if known; the CPT will be from code range 94002 to 94005
, A nurse inadvertently recorded an incorrect vital sign in a patient electronic health record. The
next day, a correction was made in the electronic health record. This resulted in the corrected
vital sign being recorded at the time the correction was made due to the software. What would
be the result of this correction?
a. The vital signs would be listed in the correct sequence.
b. When a correction is made in an electronic health record, the incorrect data is deleted.
c. The quality of patient care would not be affected.
d. There was a distorted trend line of vital signs data.
There was a distorted trend line of vital signs data.
Poor-quality data collection and reporting can affect:
a. Patient care, documentation, revenue generation, outcomes evaluation, and public health
reporting
b. Use of patient record for legal purposes
c. Patient care, communication, research activities, and public health reporting
d. All of the above
All of the above:
- Patient care, documentation, revenue generation, outcomes evaluation, and public health
reporting
- Use of patient record for legal purposes
- Patient care, communication, research activities, and public health reporting
The billing department has requested that copies of the final coding summary with associated
code meanings for Medicare be printed remotely in the admission department. Currently they
request the summaries only when there is an unspecified procedure. Each time the coding
supervisor goes to the admission department, the coding summaries have been left on a table
near the patient entrance. Of the actions presented here, what would be the best action for the
coding supervisor to take?
a. Comply with the request.
b. Refuse to undertake this without further explanation.
c. Ignore the request.
d. Explain to the billing department supervisor that leaving the coding summary in public view
violates the patient's right to privacy.
Explain to the billing department supervisor that leaving the coding summary in public view
violates the patient's right to privacy.
What percentage will the facility be paid for procedure code 10060?
