Certified Coding Specialist (CCS) Exam
Prep Questions -AHIMA 6th Edition With
Correct Answers
Carcinoma |in |situ |- |CORRECT |ANSWER✔✔-Tumor |cells |that |are |undergoing |malignant |changes
|but |are |still |confined |to |the |point |of |origin |without |invasion |of |the |surrounding |normal |tissue
Examples |of |carcinoma |in |situ |- |CORRECT |ANSWER✔✔-Intraepithelial |infiltrating
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. |
What |type |of |diagnosis |might |this |indicate?
| a. |Unstable |angina
| b. |Myocardial |infarction |
c. |Congestive |heart |failure |
d. |Mitral |valve |stenosis |- |CORRECT |ANSWER✔✔-b |
The |CPK |elevation |with |MB |enzymes |elevated |and |the |EKG |ST |changes |denote |a |possible |Ml |
(Leon-Chisen |2013, |386-387).
A |patient |is |admitted |and |diagnosed |with |fever |and |urinary |burning. |The |discharge |diagnosis· |
is |Escherichia |coli, |urinary |tract |infection. |
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 |- |CORRECT |ANSWER✔✔-d |
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).
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. |
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. |- |CORRECT |ANSWER✔✔-a |
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).
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. |
What |potential |diagnosis |most |closely |fits |the |patient's |overall |symptoms? |
a. |Insomnia |
b. |Major |depression |
c. |Reye's |syndrome |
, d. |Bipolar |disorder |- |CORRECT |ANSWER✔✔-b
| The |symptoms |provided |are |indicative |of |a |depressive |disorder |(Leon-Chisen |2013, |175).
Inpatient:
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. |- |
CORRECT |ANSWER✔✔-ICD-10-CM: |K40.90, |B20,
| ICD-10-PCS: |OYQ50ZZ |(Schraffenberger |2013, |82-84,252)
Inpatient:
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. |- |CORRECT |ANSWER✔✔-ICD-10-CM: |E86.0, |I69.391 |
(Schraffenberger |2013, |131, |209-210).
Stroke= |cerebral |infarction
Inpatient:
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. |- |CORRECT |ANSWER✔✔-ICD-10-CM: |F10.229, |F13.129, |K70.30, |
(Schraffenberger |2013, |140-143.)
Prep Questions -AHIMA 6th Edition With
Correct Answers
Carcinoma |in |situ |- |CORRECT |ANSWER✔✔-Tumor |cells |that |are |undergoing |malignant |changes
|but |are |still |confined |to |the |point |of |origin |without |invasion |of |the |surrounding |normal |tissue
Examples |of |carcinoma |in |situ |- |CORRECT |ANSWER✔✔-Intraepithelial |infiltrating
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. |
What |type |of |diagnosis |might |this |indicate?
| a. |Unstable |angina
| b. |Myocardial |infarction |
c. |Congestive |heart |failure |
d. |Mitral |valve |stenosis |- |CORRECT |ANSWER✔✔-b |
The |CPK |elevation |with |MB |enzymes |elevated |and |the |EKG |ST |changes |denote |a |possible |Ml |
(Leon-Chisen |2013, |386-387).
A |patient |is |admitted |and |diagnosed |with |fever |and |urinary |burning. |The |discharge |diagnosis· |
is |Escherichia |coli, |urinary |tract |infection. |
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 |- |CORRECT |ANSWER✔✔-d |
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).
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. |
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. |- |CORRECT |ANSWER✔✔-a |
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).
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. |
What |potential |diagnosis |most |closely |fits |the |patient's |overall |symptoms? |
a. |Insomnia |
b. |Major |depression |
c. |Reye's |syndrome |
, d. |Bipolar |disorder |- |CORRECT |ANSWER✔✔-b
| The |symptoms |provided |are |indicative |of |a |depressive |disorder |(Leon-Chisen |2013, |175).
Inpatient:
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. |- |
CORRECT |ANSWER✔✔-ICD-10-CM: |K40.90, |B20,
| ICD-10-PCS: |OYQ50ZZ |(Schraffenberger |2013, |82-84,252)
Inpatient:
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. |- |CORRECT |ANSWER✔✔-ICD-10-CM: |E86.0, |I69.391 |
(Schraffenberger |2013, |131, |209-210).
Stroke= |cerebral |infarction
Inpatient:
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. |- |CORRECT |ANSWER✔✔-ICD-10-CM: |F10.229, |F13.129, |K70.30, |
(Schraffenberger |2013, |140-143.)
