DeVry University-Illinois HIT 111
Certified Coding Specialist (CCS) Exam Prep Questions -
AHIMA 6th Edition
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Terms in this set (49)
Carcinoma in situ Tumor cells that are undergoing malignant changes but are still confined to the
point of origin without invasion of the surrounding normal tissue
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Examples of carcinoma in situ Intraepithelial infiltrating
The patient was admitted from the emergency b
department because of chest pain. Following blood The CPK elevation with MB enzymes elevated and the EKG ST changes denote
work, it was determined that the patient had elevated a possible Ml (Leon-Chisen 2013, 386-387).
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
A patient is admitted and diagnosed with fever and d
urinary burning. The discharge diagnosis· is Escherichia Symptoms are not coded when a definitive diagnosis is present on discharge.
coli, urinary tract infection. 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
Which of the following represents the correct additional code to identify the bacterial agent (HHS 2014, Section II.A., 98).
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
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A patient was admitted with heart failure within one a
week of a heart transplant. Due to the timing, the coder
thought that it may represent a postoperative When the documentation is not clear regarding a potential complication, it is
transplant rejection following heart transplant. appropriate query the physician (HHS 2014, Section I.B.16, 16; Leon-Chisen
2013, 43-44).
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.
A patient is admitted to a psychiatric unit of an acute- b
care facility. The patient experienced the following
symptoms almost every day for the last month: loss of The symptoms provided are indicative of a depressive disorder (Leon-Chisen
interest or pleasure in most or all activities, which is a 2013, 175).
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
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