CCS EXAM PREP-DOMAIN #8/COMPLIANCE
1. A female patient is admitted for a second-degree cystocele. A repair isperformed.
In order to code this accurately, what document provided the required additional
information?
ANS Operative report
2. In order to accurately code a catheterization, what needs to be determinedbased on a
review of documentation?
ANS The approach, the side of the heart(cham-bers) into which the catheter was inserted , as
well as any additional procedures performed.
3. A 70 year old patient has congestive heart failure and hypertension with end-stage
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renal disease.What should the codes be?
ANS I13.2, Hypertensive heartand chronic kidney disease with heart failure and with stage 5
chronic kidney disease, or end stage renal disease, I50.9, Heart failure, unspecified, and N18.6
End stage renal disease.
4. A 35 year old woman has hypertension with acute renal failure and stage 3chronic
kidney disease. What code would be assigned?
ANS N17.9, Acute kidney failure, unspecified and I12.9, Hypertensive chronic kidney disease
with stage I through stage 4 chronic kidney disease, or unspecified chronic kidney disease and
N18.3, Chronic kidney disease, stage 3(moderate)
5. A 55 year old patient has hypertensive heart disease with congestive heartfailure. What
codes would be assigned?
ANS I11.0, Hypertensive heart disease withheart failure and I50.9, Heart failure, unspecified
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