CCS Practice Exam 2 Questions and
Correct Detailed Answers (Verified
Answers)
Q: A 23 year old female is admitted for vaginal bleeding
following a 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
Ans: a. O03.1, Delayed or excessive hemorrhage following incomplete
spontaneous abortion
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Q: A psychiatrist documents that a 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
Ans: A. Bipolar disorder
Q: A patient with a cephalic 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
Ans: d. Cephalopelvic disproportion
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Q: A 45 year old woman underwent a carotid bypass and
experienced a 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.
Ans: c. Query the physician to determine if there was a complication of surgery.
Q: If a patient's discharge summary does not contain a diagnosis
that is 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
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c. Code the most severe symptom
d. Query the attending physician regarding the clinical significance
of that diagnosis
Ans: d. Query the attending physician regarding the clinical significance of that
diagnosis
Q: A patient has documentation of esophageal varices. What
condition may be related that may affect the coding?
a. Arthritis
b. Liver disease
c. Chronic obstructive pulmonary disease
d. Erythema
Ans: b. Liver disease
Q: A patient admitted with acute 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
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