CCS SAMPLE MULTIPLE CHOICE
QUESTIONS AND ANSWERS
1. A patient was discharged from the hospital with a diagnosis of bronchial asthma.
Upon reviewing the record, the coder notes the patient was described as having
prolonged and intractable wheezing, airway obstruction not relieved by bronchodilators,
and a decreased PAO2 lab value. The physician should be queried to determine
whether the code for ___________is appropriate as the principal diagnosis:
A. Acute viral Bronchitis
B. COPD
C. Respiratory failure
D. Status asthmaticus - Correct Answers -D. Status asthmaticus
2. A patient was admitted to the hospital with severe dehydration and malnutrition. His
blood sugar was elevated. The patient is a known alcohol abuser. Intravenous fluid
replacement was given to hydrate the patient, who signed out against medical advice
after two days. Final diagnoses were: severe dehydration with malnutrition and adult-
onset diabetes vs. early cirrhosis associated with alcoholism. The principal diagnosis is:
A. Adult-onset diabetes
B. Alcohol abuse
C. Cirrhosis of liver due to alcoholism
D. Severe dehydration - Correct Answers -D. Severe dehydration
3. A patient is admitted to the hospital to undergo a radical mastectomy for recurrent
carcinoma of the breast (Previously, she had elected to have a lumpectomy). The
attending physician lists hx of atrial fibrillation as a secondary diagnosis. The patient is
currently not on any medication. For medical clearance prior to surgery, the patient is
seen by a consultant, who says that the patient was satisfactory for the procedure. The
coder should:
A. Report atrial fibrillation as a current condition, because it was documented by the
physician in the history.
B. Code atrial fibrillation as a current condition, because the patient was seen by a
consultant for surgical clearance.
C. Add the code for observation for suspected cardiovascular condition
, D. Omit reporting the code for atrial fibrillation, because it was not treated and did not
affect the course of treatment. - Correct Answers -D. Omit reporting the code for atrial
fibrillation, because it was not treated and did not affect the course of treatment.
17. A 32-year-old female was diagnosed with right upper-outer quadrant breast cancer
during pregnancy and underwent treatment. Now three weeks post-delivery, she is
coming for her third encounter of chemotherapy.
a) O9A.13, C50.411
b) Z51.11, C50.411
c) Z51.11, O9A13, C50.411
d) Z51.11, Z85.3 - Correct Answers -c) Z51.11, O9A13, C50.411
18. The patient is in the 29th week of pregnancy and has deep venous thrombosis of
the left tibial vein.
a) O22.33, I82.442, Z3A.29
b) O22.33
c) I82.442, Z3A.29
d) O22.33, Z3A.29 - Correct Answers -a) O22.33, I82.442, Z3A.29
19. Which statement is true regarding coding excision debridement in ICD-10-PCS?
a) Knife dissection means the same as an excisional debridement.
b) Minor removal of loose fragments with scissors or using a sharp instrument to scrape
away tissue is the same as excisional debridement.
c) Excisional debridement is when the provider documents the excisional debridement
and/or documentation meets the root operation definition of "excision".
Excision of bone, fascia or muscle is always considered excisional - Correct Answers -
c) Excisional debridement is when the provider documents the excisional debridement
and/or documentation meets the root operation definition of "excision".
Excision of bone, fascia or muscle is always considered excisional
4. A patient has liver metastasis due to adenocarcinoma of the rectum which was
resected
two years ago. The patient has been receiving radiotherapy to the liver with some relief
of pain. The patient is being admitted at this time for management of severe anemia due
to the malignancy. The principal diagnosis listed on this admission is:
A. Liver metastasis
B. Adenocarcinoma of the rectum
C. Anemia
D. Admission for radiotherapy - Correct Answers -A. Liver metastasis
5. The first character of an ICD-10-CM code is:
A. Always a number
QUESTIONS AND ANSWERS
1. A patient was discharged from the hospital with a diagnosis of bronchial asthma.
Upon reviewing the record, the coder notes the patient was described as having
prolonged and intractable wheezing, airway obstruction not relieved by bronchodilators,
and a decreased PAO2 lab value. The physician should be queried to determine
whether the code for ___________is appropriate as the principal diagnosis:
A. Acute viral Bronchitis
B. COPD
C. Respiratory failure
D. Status asthmaticus - Correct Answers -D. Status asthmaticus
2. A patient was admitted to the hospital with severe dehydration and malnutrition. His
blood sugar was elevated. The patient is a known alcohol abuser. Intravenous fluid
replacement was given to hydrate the patient, who signed out against medical advice
after two days. Final diagnoses were: severe dehydration with malnutrition and adult-
onset diabetes vs. early cirrhosis associated with alcoholism. The principal diagnosis is:
A. Adult-onset diabetes
B. Alcohol abuse
C. Cirrhosis of liver due to alcoholism
D. Severe dehydration - Correct Answers -D. Severe dehydration
3. A patient is admitted to the hospital to undergo a radical mastectomy for recurrent
carcinoma of the breast (Previously, she had elected to have a lumpectomy). The
attending physician lists hx of atrial fibrillation as a secondary diagnosis. The patient is
currently not on any medication. For medical clearance prior to surgery, the patient is
seen by a consultant, who says that the patient was satisfactory for the procedure. The
coder should:
A. Report atrial fibrillation as a current condition, because it was documented by the
physician in the history.
B. Code atrial fibrillation as a current condition, because the patient was seen by a
consultant for surgical clearance.
C. Add the code for observation for suspected cardiovascular condition
, D. Omit reporting the code for atrial fibrillation, because it was not treated and did not
affect the course of treatment. - Correct Answers -D. Omit reporting the code for atrial
fibrillation, because it was not treated and did not affect the course of treatment.
17. A 32-year-old female was diagnosed with right upper-outer quadrant breast cancer
during pregnancy and underwent treatment. Now three weeks post-delivery, she is
coming for her third encounter of chemotherapy.
a) O9A.13, C50.411
b) Z51.11, C50.411
c) Z51.11, O9A13, C50.411
d) Z51.11, Z85.3 - Correct Answers -c) Z51.11, O9A13, C50.411
18. The patient is in the 29th week of pregnancy and has deep venous thrombosis of
the left tibial vein.
a) O22.33, I82.442, Z3A.29
b) O22.33
c) I82.442, Z3A.29
d) O22.33, Z3A.29 - Correct Answers -a) O22.33, I82.442, Z3A.29
19. Which statement is true regarding coding excision debridement in ICD-10-PCS?
a) Knife dissection means the same as an excisional debridement.
b) Minor removal of loose fragments with scissors or using a sharp instrument to scrape
away tissue is the same as excisional debridement.
c) Excisional debridement is when the provider documents the excisional debridement
and/or documentation meets the root operation definition of "excision".
Excision of bone, fascia or muscle is always considered excisional - Correct Answers -
c) Excisional debridement is when the provider documents the excisional debridement
and/or documentation meets the root operation definition of "excision".
Excision of bone, fascia or muscle is always considered excisional
4. A patient has liver metastasis due to adenocarcinoma of the rectum which was
resected
two years ago. The patient has been receiving radiotherapy to the liver with some relief
of pain. The patient is being admitted at this time for management of severe anemia due
to the malignancy. The principal diagnosis listed on this admission is:
A. Liver metastasis
B. Adenocarcinoma of the rectum
C. Anemia
D. Admission for radiotherapy - Correct Answers -A. Liver metastasis
5. The first character of an ICD-10-CM code is:
A. Always a number
