Certified Coding Specialist (CCS)
Exam Prep Questions -AHIMA 6th
Edition
1. Carcinoma in situ ...Answer Is...Tumor cells that are undergoing malignant changes but are still
confined to the point of origin without invasion of the surrounding normal tissue
2. Examples of carcinoma in situ ...Answer Is...Intraepithelial infiltrating
3. The patient was admitted from the emergency department because of chest pain. Following
blood work, it was determined that the patient had elevated CPKs and MB enzymes. The EKG
shows nonspecific ST changes.
4. What type of diagnosis might this indicate?
a. Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis ...Answer Is...b
5. The CPK elevation with MB enzymes elevated and the EKG ST changes denote a possible Ml
(Leon-Chisen 2013, 386-387).
6. A patient is admitted and diagnosed with fever and urinary burning. The discharge diagnosis·
is Escherichia coli, urinary tract infection.
7. Which of the following represents the correct diagnoses and appropriate sequence of those
conditions?
a. Fever, urinary burning, urosepsis
b. Fever, urinary burning, sepsis
c. Escherichia coli, urinary tract infection
d. Urinary tract infection, Escherichia coli ...Answer Is...d
8. Symptoms are not coded when a definitive diagnosis is present on discharge. The patient
discharge diagnosis of urinary tract infection. The organism (E. coli) is coded with a seco
, diagnosis code (B96.20) which is to be added as an additional code to identify the bacterial
agent (HHS 2014, Section II.A., 98).
9. A patient was admitted with heart failure within one week of a heart transplant. Due to the
timing, the coder thought that it may represent a postoperative transplant rejection following
heart transplant.
10. What action(s) should the coding staff take?
a. Query the physician.
b. Assign the codes for the postoperative transplant rejection.
c. Assign only the code for the transplant rejection.
d. Assign only the code for heart failure. ...Answer Is...a
11. When the documentation is not clear regarding a potential complication, it is appropriate
query the physician (HHS 2014, Section I.B.16, 16; Leon-Chisen 2013, 43-44).
12. A patient is admitted to a psychiatric unit of an acute-care facility. The patient experienced
the following symptoms almost every day for the last month: loss of interest or pleasure in
most or all activities, which is a change from her prior level of functioning. She has also gained
15 lbs, has difficulty falling asleep, feels fatigued, and has difficulty making decisions.
13. What potential diagnosis most closely fits the patient's overall symptoms?
a. Insomnia
b. Major depression
c. Reye's syndrome
d. Bipolar disorder ...Answer Is...b
14. The symptoms provided are indicative of a depressive disorder (Leon-Chisen 2013, 175).
15. Inpatient:
16. Admission for inguinal hernia repair. This 30-year-old patient has acquired immunodeficiency
syndrome (AIDS) but is not symptomatic at this time due to medication regimen. The
procedure performed was a right indirect inguinal herniorrhaphy via open approach. ...Answer
Is...ICD-10-CM: K40.90, B20,
, 17. ICD-10-PCS: OYQ50ZZ (Schraffenberger 2013, 82-84,252)
18. Inpatient:
19. A 75-year-old male patient was admitted from a nursing home with dehydration and
dysphagia due to a previous stroke. During hospitalization the patient was rehydrated and
transferred back to the nursing home. ...Answer Is...ICD-10-CM: E86.0, I69.391
20. (Schraffenberger 2013, 131, 209-210).
21. Stroke= cerebral infarction
22. Inpatient:
23. A patient is admitted to an acute care facility for detoxification from alcohol and barbiturate
intoxication with chronic alcoholism and barbiturate abuse. The patient also has cirrhosis of
the liver due to alcoholism. ...Answer Is...ICD-10-CM: F10.229, F13.129, K70.30,
24. (Schraffenberger 2013, 140-143.)
25. ICD-10-PCS HZ2ZZZZ
26. (Leon-Chisen 2014, 186).
27. Inpatient:
28. A 30-year-old patient was seen in the emergency department for recurrent epileptic seizures.
The patient also had tic douloureux. ...Answer Is...ICD-10-CM: G40.909, G50.0
29. (Schraffenberger 2013,158-159).
30. Inpatient:
Exam Prep Questions -AHIMA 6th
Edition
1. Carcinoma in situ ...Answer Is...Tumor cells that are undergoing malignant changes but are still
confined to the point of origin without invasion of the surrounding normal tissue
2. Examples of carcinoma in situ ...Answer Is...Intraepithelial infiltrating
3. The patient was admitted from the emergency department because of chest pain. Following
blood work, it was determined that the patient had elevated CPKs and MB enzymes. The EKG
shows nonspecific ST changes.
4. What type of diagnosis might this indicate?
a. Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis ...Answer Is...b
5. The CPK elevation with MB enzymes elevated and the EKG ST changes denote a possible Ml
(Leon-Chisen 2013, 386-387).
6. A patient is admitted and diagnosed with fever and urinary burning. The discharge diagnosis·
is Escherichia coli, urinary tract infection.
7. Which of the following represents the correct diagnoses and appropriate sequence of those
conditions?
a. Fever, urinary burning, urosepsis
b. Fever, urinary burning, sepsis
c. Escherichia coli, urinary tract infection
d. Urinary tract infection, Escherichia coli ...Answer Is...d
8. Symptoms are not coded when a definitive diagnosis is present on discharge. The patient
discharge diagnosis of urinary tract infection. The organism (E. coli) is coded with a seco
, diagnosis code (B96.20) which is to be added as an additional code to identify the bacterial
agent (HHS 2014, Section II.A., 98).
9. A patient was admitted with heart failure within one week of a heart transplant. Due to the
timing, the coder thought that it may represent a postoperative transplant rejection following
heart transplant.
10. What action(s) should the coding staff take?
a. Query the physician.
b. Assign the codes for the postoperative transplant rejection.
c. Assign only the code for the transplant rejection.
d. Assign only the code for heart failure. ...Answer Is...a
11. When the documentation is not clear regarding a potential complication, it is appropriate
query the physician (HHS 2014, Section I.B.16, 16; Leon-Chisen 2013, 43-44).
12. A patient is admitted to a psychiatric unit of an acute-care facility. The patient experienced
the following symptoms almost every day for the last month: loss of interest or pleasure in
most or all activities, which is a change from her prior level of functioning. She has also gained
15 lbs, has difficulty falling asleep, feels fatigued, and has difficulty making decisions.
13. What potential diagnosis most closely fits the patient's overall symptoms?
a. Insomnia
b. Major depression
c. Reye's syndrome
d. Bipolar disorder ...Answer Is...b
14. The symptoms provided are indicative of a depressive disorder (Leon-Chisen 2013, 175).
15. Inpatient:
16. Admission for inguinal hernia repair. This 30-year-old patient has acquired immunodeficiency
syndrome (AIDS) but is not symptomatic at this time due to medication regimen. The
procedure performed was a right indirect inguinal herniorrhaphy via open approach. ...Answer
Is...ICD-10-CM: K40.90, B20,
, 17. ICD-10-PCS: OYQ50ZZ (Schraffenberger 2013, 82-84,252)
18. Inpatient:
19. A 75-year-old male patient was admitted from a nursing home with dehydration and
dysphagia due to a previous stroke. During hospitalization the patient was rehydrated and
transferred back to the nursing home. ...Answer Is...ICD-10-CM: E86.0, I69.391
20. (Schraffenberger 2013, 131, 209-210).
21. Stroke= cerebral infarction
22. Inpatient:
23. A patient is admitted to an acute care facility for detoxification from alcohol and barbiturate
intoxication with chronic alcoholism and barbiturate abuse. The patient also has cirrhosis of
the liver due to alcoholism. ...Answer Is...ICD-10-CM: F10.229, F13.129, K70.30,
24. (Schraffenberger 2013, 140-143.)
25. ICD-10-PCS HZ2ZZZZ
26. (Leon-Chisen 2014, 186).
27. Inpatient:
28. A 30-year-old patient was seen in the emergency department for recurrent epileptic seizures.
The patient also had tic douloureux. ...Answer Is...ICD-10-CM: G40.909, G50.0
29. (Schraffenberger 2013,158-159).
30. Inpatient:
