CCS EXAM PRACTICE QUESTIONS
AND ANSWERS
Chronic kidney disease stage 5 - Correct Answers -Code to N18.6 (ESRD) and dialysis
status Z99.2
Severe sepsis - Correct Answers -Underlying infection + R65.2
Septic shock - Correct Answers -Underlying infection + R65.1
Nosocomial infections - Correct Answers -Additional code of Y95
HIV infections - Correct Answers -Code only confirmed cases (diagnosis sufficient)
Sequencing HIV codes - Correct Answers -Admitted for HIV- B20
A/D unrelated- unrelated first then B20
Asymptomatic HIV- Z21
Inconclusive HIV- R75
Previously diagnosed- B20
HIV in pregnancy- O98.7
Asymptomatic HIV in pregnancy- O98.7 + Z21
Encounters for testing of HIV- Z11.4
Return visit for negative test results- Z71.7
Labor pneumonia - Correct Answers -Has a unique category
Respiratory condition occurring in more than one place - Correct Answers -Coded to the
lower anatomic location
Respiratory condition - Correct Answers -Code exposure to tobacco
Gastrointestinal term hemmorrhage - Correct Answers -Means ulcers
Gastrointestinal term bleeding - Correct Answers -Means gastritis, duodenitis,
diverticulosis, diverticulitis
Delivery and pregnancy - Correct Answers -5th or 6th digit represents trimester
Inspection - Correct Answers -Not coded separately if used to achieve the objective of
the procedure
, Multiple tubular parts inspected - Correct Answers -Code the most distal part inspected
Multiple non-tubular parts inspected in a region - Correct Answers -Body part that
specifies the entire area inspected is coded
Inspection and another procedure performed at the same time - Correct Answers -If
using a different approach the inspection is coded seperately
Trimesters - Correct Answers -1- less than 14 wks
2- less than 28 wks, more than 14
3- 28 wks thru delivery
Delivery chart codes should include - Correct Answers -a) Delivery diagnosis code
b) Outcome of delivery
c)Weeks of gestation
d) Procedure code
Normal delivery code - Correct Answers -O80
Weeks of gestation code - Correct Answers -Z3A
Complications of ectopic pregnancy and abortions - Correct Answers -Require
additional codes
Anemia - Correct Answers -Code also the cause
Code first the poisoning and under-dosing of medications
If associated with malignancy, code malignancy first
MI documented as nontransmural or subendocardial with a site provided - Correct
Answers -Code as a subenocardial MI
Subsequent MI within 4 weeks of initial - Correct Answers -Code from I22 and I21
Primary site of neoplasm - Correct Answers -Is where the cancer arises
Secondary neoplasm - Correct Answers -When cancer leaves the original site
Morphology can lead to primary site - Correct Answers -For example: renal cell
carcinoma arises in the kidney
Steps for coding neoplasms - Correct Answers -1. Look up morphology
2. No primary site code- use neoplasm table
3. If the term metastatic is used assume these are secondary sites:
Bones, brain, diaphragm, heart, liver, lymph nodes, mediastinum, meninges,
peritoneum, pleura, retroperitoneum, spinal cord, and sites from C76
AND ANSWERS
Chronic kidney disease stage 5 - Correct Answers -Code to N18.6 (ESRD) and dialysis
status Z99.2
Severe sepsis - Correct Answers -Underlying infection + R65.2
Septic shock - Correct Answers -Underlying infection + R65.1
Nosocomial infections - Correct Answers -Additional code of Y95
HIV infections - Correct Answers -Code only confirmed cases (diagnosis sufficient)
Sequencing HIV codes - Correct Answers -Admitted for HIV- B20
A/D unrelated- unrelated first then B20
Asymptomatic HIV- Z21
Inconclusive HIV- R75
Previously diagnosed- B20
HIV in pregnancy- O98.7
Asymptomatic HIV in pregnancy- O98.7 + Z21
Encounters for testing of HIV- Z11.4
Return visit for negative test results- Z71.7
Labor pneumonia - Correct Answers -Has a unique category
Respiratory condition occurring in more than one place - Correct Answers -Coded to the
lower anatomic location
Respiratory condition - Correct Answers -Code exposure to tobacco
Gastrointestinal term hemmorrhage - Correct Answers -Means ulcers
Gastrointestinal term bleeding - Correct Answers -Means gastritis, duodenitis,
diverticulosis, diverticulitis
Delivery and pregnancy - Correct Answers -5th or 6th digit represents trimester
Inspection - Correct Answers -Not coded separately if used to achieve the objective of
the procedure
, Multiple tubular parts inspected - Correct Answers -Code the most distal part inspected
Multiple non-tubular parts inspected in a region - Correct Answers -Body part that
specifies the entire area inspected is coded
Inspection and another procedure performed at the same time - Correct Answers -If
using a different approach the inspection is coded seperately
Trimesters - Correct Answers -1- less than 14 wks
2- less than 28 wks, more than 14
3- 28 wks thru delivery
Delivery chart codes should include - Correct Answers -a) Delivery diagnosis code
b) Outcome of delivery
c)Weeks of gestation
d) Procedure code
Normal delivery code - Correct Answers -O80
Weeks of gestation code - Correct Answers -Z3A
Complications of ectopic pregnancy and abortions - Correct Answers -Require
additional codes
Anemia - Correct Answers -Code also the cause
Code first the poisoning and under-dosing of medications
If associated with malignancy, code malignancy first
MI documented as nontransmural or subendocardial with a site provided - Correct
Answers -Code as a subenocardial MI
Subsequent MI within 4 weeks of initial - Correct Answers -Code from I22 and I21
Primary site of neoplasm - Correct Answers -Is where the cancer arises
Secondary neoplasm - Correct Answers -When cancer leaves the original site
Morphology can lead to primary site - Correct Answers -For example: renal cell
carcinoma arises in the kidney
Steps for coding neoplasms - Correct Answers -1. Look up morphology
2. No primary site code- use neoplasm table
3. If the term metastatic is used assume these are secondary sites:
Bones, brain, diaphragm, heart, liver, lymph nodes, mediastinum, meninges,
peritoneum, pleura, retroperitoneum, spinal cord, and sites from C76
