CCS Practice Exam with 100% Correct
Answers
If a patient is admitted with a substance-related psychosis, what is coded?
a. The psychosis is coded first and the drug or alcohol dependence is coded second
b. The drug or alcohol dependence is coded first
c. The drug or alcohol dependence is not coded.
d. The psychosis is not coded. a. The psychosis is coded first and the drug or alcohol dependence
is coded second.
When coding a documented ventilator associated pneumonia(VAP), what codes should be
assigned?
a. The pneumonia is coded first.
b. The complication of surgery is coded first.
c. The specific code for ventilator associated pneumonia is coded first and the organism is coded
as a secondary code if known
d. An additional code for the type of pneumonia, that is, lobar or pneumonia NOS, is coded. c.
The specific code for ventilator associated pneumonia is coded first and the organism is coded as
a secondary code if known.
When trying to determine if documentation is present to substantiate status asthmaticus, the
coder should review the record for what terms and phrase?
,a. Intractable pneumonia
b. Refractory asthma and severe, intractable wheezing
c. Airway obstruction relieved by bronchodilators
d. Limited but pronounced wheezing b. Refractory asthma and severe, intractable wheezing
Gastrointestinal bleeding manifests as:
a. Hematemesis which indicates acute upper gastrointestinal hemorrhage
b. Petechia
c. Vomiting
d. Constipation which indicates upper or lower gastrointestinal hemorrhage a. Hematemesis
which indicates acute upper gastrointestinal hemorrhage
Mechanical ventilation codes require consideration of which of the following?
a. The time when a tracheal tube is inserted
b. The replacement of an endotracheal tube
c. The start time of endotracheal tube insertion followed by mechanical ventilation
d. Mechanical ventilation during surgery c. The start time of endotracheal tube insertion
followed by mechanical ventilation
An example of beast reconstruction is:
a. Total reconstruction
b. Insertion of drains
c. Removal of lymph nodes
,d. Mammography a. Total reconstruction
Name the types of pacemaker devices that each have a unique ICD-10-PCS code.
a. Dual chamber rate responsive
b. Single chamber rate responsive, and dual chamber
c. Multiple chamber
d. Multiple chamber rate responsive b. Single chamber rate responsive and dual chamber
If a patient undergoes a biopsy immediately before the definitive surgery for a frozen section,
how should this be coded with ICD-10-PCS code?
a. The approach to the definitive surgery
b. Suture method
c. Exploratory surgery
d. Open biopsy and definitive surgery d. Open biopsy and definitive surgery
A patient was given heparin during hospitalization for a deep vein thrombophlebitis of the right
lower extremity. The patient had back pain and the nurse was not answering the bell, so he
decided to take two aspirin. The interaction between the aspirin and heparin caused a
subcutaneous hemorrhage of the thigh of the right lower extremity. How should the interaction
between the aspirin and heparin be coded?
a. Poisoning codes for aspirin and heparin, and subcutaneous hemorrhage of the thigh of the right
lower extremity as secondary conditions
, b. Poisoning codes for aspirin and heparin, and subcutaneous hemorrhage of the thigh of the
right lower extremity as principal
c. Adverse effects of drugs for aspirin and heparin, and subcutaneous hemorrhage of the thigh of
the right lower extremity as secondary conditions
d. Adverse effects of drugs for aspirin and heparin as secondary diagnoses, and subcutaneous
hemorrhage of t a. Poisoning codes for aspirin and heparin, and subcutaneous hemorrhage of the
thigh of the right lower extremity as secondary conditions
A 77 year old patient has hypertensive heart disease with congestive heart failure and stage 5
renal disease. What codes would be assigned?
a. I11.0, Hypertensive heart disease with heart failure
b. I13.2, Hypertensive heart and chronic kidney disease with heart failure and with stage 5
chronic kidney disease, or end stage renal disease; N18.5 Chronic kidney disease, stage 5; I50.9,
heart failure, unspecified
c. I50.9, Heart failure, unspecified
d. N18.6, End stage renal disease b. I13.2, Hypertensive heart disease and chronic kidney disease
with heart failure and stage 5 chronic kidney disease or end stage renal disease; N18.5, Chronic
kidney disease, stage 5; I50.9, Heart failure, unspecified
According to the UHDDS, the definition of a secondary diagnosis is a condition that:
a. Is recorded in the patient record
b. Receives evaluation and is documented by the physician
Answers
If a patient is admitted with a substance-related psychosis, what is coded?
a. The psychosis is coded first and the drug or alcohol dependence is coded second
b. The drug or alcohol dependence is coded first
c. The drug or alcohol dependence is not coded.
d. The psychosis is not coded. a. The psychosis is coded first and the drug or alcohol dependence
is coded second.
When coding a documented ventilator associated pneumonia(VAP), what codes should be
assigned?
a. The pneumonia is coded first.
b. The complication of surgery is coded first.
c. The specific code for ventilator associated pneumonia is coded first and the organism is coded
as a secondary code if known
d. An additional code for the type of pneumonia, that is, lobar or pneumonia NOS, is coded. c.
The specific code for ventilator associated pneumonia is coded first and the organism is coded as
a secondary code if known.
When trying to determine if documentation is present to substantiate status asthmaticus, the
coder should review the record for what terms and phrase?
,a. Intractable pneumonia
b. Refractory asthma and severe, intractable wheezing
c. Airway obstruction relieved by bronchodilators
d. Limited but pronounced wheezing b. Refractory asthma and severe, intractable wheezing
Gastrointestinal bleeding manifests as:
a. Hematemesis which indicates acute upper gastrointestinal hemorrhage
b. Petechia
c. Vomiting
d. Constipation which indicates upper or lower gastrointestinal hemorrhage a. Hematemesis
which indicates acute upper gastrointestinal hemorrhage
Mechanical ventilation codes require consideration of which of the following?
a. The time when a tracheal tube is inserted
b. The replacement of an endotracheal tube
c. The start time of endotracheal tube insertion followed by mechanical ventilation
d. Mechanical ventilation during surgery c. The start time of endotracheal tube insertion
followed by mechanical ventilation
An example of beast reconstruction is:
a. Total reconstruction
b. Insertion of drains
c. Removal of lymph nodes
,d. Mammography a. Total reconstruction
Name the types of pacemaker devices that each have a unique ICD-10-PCS code.
a. Dual chamber rate responsive
b. Single chamber rate responsive, and dual chamber
c. Multiple chamber
d. Multiple chamber rate responsive b. Single chamber rate responsive and dual chamber
If a patient undergoes a biopsy immediately before the definitive surgery for a frozen section,
how should this be coded with ICD-10-PCS code?
a. The approach to the definitive surgery
b. Suture method
c. Exploratory surgery
d. Open biopsy and definitive surgery d. Open biopsy and definitive surgery
A patient was given heparin during hospitalization for a deep vein thrombophlebitis of the right
lower extremity. The patient had back pain and the nurse was not answering the bell, so he
decided to take two aspirin. The interaction between the aspirin and heparin caused a
subcutaneous hemorrhage of the thigh of the right lower extremity. How should the interaction
between the aspirin and heparin be coded?
a. Poisoning codes for aspirin and heparin, and subcutaneous hemorrhage of the thigh of the right
lower extremity as secondary conditions
, b. Poisoning codes for aspirin and heparin, and subcutaneous hemorrhage of the thigh of the
right lower extremity as principal
c. Adverse effects of drugs for aspirin and heparin, and subcutaneous hemorrhage of the thigh of
the right lower extremity as secondary conditions
d. Adverse effects of drugs for aspirin and heparin as secondary diagnoses, and subcutaneous
hemorrhage of t a. Poisoning codes for aspirin and heparin, and subcutaneous hemorrhage of the
thigh of the right lower extremity as secondary conditions
A 77 year old patient has hypertensive heart disease with congestive heart failure and stage 5
renal disease. What codes would be assigned?
a. I11.0, Hypertensive heart disease with heart failure
b. I13.2, Hypertensive heart and chronic kidney disease with heart failure and with stage 5
chronic kidney disease, or end stage renal disease; N18.5 Chronic kidney disease, stage 5; I50.9,
heart failure, unspecified
c. I50.9, Heart failure, unspecified
d. N18.6, End stage renal disease b. I13.2, Hypertensive heart disease and chronic kidney disease
with heart failure and stage 5 chronic kidney disease or end stage renal disease; N18.5, Chronic
kidney disease, stage 5; I50.9, Heart failure, unspecified
According to the UHDDS, the definition of a secondary diagnosis is a condition that:
a. Is recorded in the patient record
b. Receives evaluation and is documented by the physician
