Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA
6th Edition
1. Carcinoma in situ Tumor cells that are undergoing
malig- nant changes but are still
confined to the point of origin
without invasion of the sur-
rounding normal tissue
2. Examples of carcinoma in situ Intraepithelial infiltrating
3. The patient was admitted from the b
emer- gency department because The CPK elevation with MB enzymes
of chest pain. Following blood work,
ele- vated and the EKG ST changes
it was determined that the patient
denote a possible Ml (Leon-Chisen
had elevated CPKs and MB enzymes.
2013, 386-387).
The EKG shows nonspecific ST
changes.
What type of diagnosis might this
indicate?
a. Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis
4. A patient is admitted and d
diagnosed with fever and urinary Symptoms are not coded when a
burning. The discharge diagnosis· is definitive diagnosis is present on
Escherichia coli, urinary tract discharge. The pa- tient discharge
infection. diagnosis of urinary tract infection.
The organism (E. coli) is cod- ed
Which of the following represents the with a seco diagnosis code
cor- (B96.20)
rect diagnoses and appropriate sequence of which is to be added as an
additional code
those conditions? a. Fever, urinary burning,
, Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA
6th Edition
urosepsis to identify the bacterial agent (HHS
b. Fever, urinary burning, sepsis 2014, Section II.A., 98).
c. Escherichia coli, urinary tract
infection
d. Urinary tract infection,
Escherichia coli
, Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA
6th Edition
5. A patient was admitted with heart failure a
within one week of a heart transplant. Due
to the timing, the coder thought that it may When the documentation is
not clear re-
represent a postoperative transplant garding a potential complication, it is
rejec- tion following heart ap- propriate query the physician
transplant. (HHS 2014, Section I.B.16, 16; Leon-
Chisen 2013,
What action(s) should the coding staff take? 43-44).
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.
6. A patient is admitted to a psychiatric d. Bipolar disorder
unit of an acute-care facility. The
patient experi-
enced 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 diffi- culty making decisions.
What potential diagnosis most closely
fits the patient's overall symptoms?
a. Insomnia
b. Major depression
c. Reye's syndrome
, Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA
6th Edition
b disorder (Leon-Chisen 2013, 175).
The symptoms provided are indicative of a depressive
7. ICD-10-CM: K40.90, B20,
6th Edition
1. Carcinoma in situ Tumor cells that are undergoing
malig- nant changes but are still
confined to the point of origin
without invasion of the sur-
rounding normal tissue
2. Examples of carcinoma in situ Intraepithelial infiltrating
3. The patient was admitted from the b
emer- gency department because The CPK elevation with MB enzymes
of chest pain. Following blood work,
ele- vated and the EKG ST changes
it was determined that the patient
denote a possible Ml (Leon-Chisen
had elevated CPKs and MB enzymes.
2013, 386-387).
The EKG shows nonspecific ST
changes.
What type of diagnosis might this
indicate?
a. Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis
4. A patient is admitted and d
diagnosed with fever and urinary Symptoms are not coded when a
burning. The discharge diagnosis· is definitive diagnosis is present on
Escherichia coli, urinary tract discharge. The pa- tient discharge
infection. diagnosis of urinary tract infection.
The organism (E. coli) is cod- ed
Which of the following represents the with a seco diagnosis code
cor- (B96.20)
rect diagnoses and appropriate sequence of which is to be added as an
additional code
those conditions? a. Fever, urinary burning,
, Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA
6th Edition
urosepsis to identify the bacterial agent (HHS
b. Fever, urinary burning, sepsis 2014, Section II.A., 98).
c. Escherichia coli, urinary tract
infection
d. Urinary tract infection,
Escherichia coli
, Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA
6th Edition
5. A patient was admitted with heart failure a
within one week of a heart transplant. Due
to the timing, the coder thought that it may When the documentation is
not clear re-
represent a postoperative transplant garding a potential complication, it is
rejec- tion following heart ap- propriate query the physician
transplant. (HHS 2014, Section I.B.16, 16; Leon-
Chisen 2013,
What action(s) should the coding staff take? 43-44).
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.
6. A patient is admitted to a psychiatric d. Bipolar disorder
unit of an acute-care facility. The
patient experi-
enced 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 diffi- culty making decisions.
What potential diagnosis most closely
fits the patient's overall symptoms?
a. Insomnia
b. Major depression
c. Reye's syndrome
, Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA
6th Edition
b disorder (Leon-Chisen 2013, 175).
The symptoms provided are indicative of a depressive
7. ICD-10-CM: K40.90, B20,
