Certified Coding Specialist (CCS)
Exam Prep Questions -AHIMA 6th
Edition
Carcinoma in situ - 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 - 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 - 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.
A young woman was admitted after a car hit her from behind while she waited for a bus
on the sidewalk. She sustained a fractured fibula shaft and patella on the left leg with a
break in the skin at the midcalf. The patient
required an open reduction of the left fibula fracture. - ANSWER-ICD-10-CM: S82.402A,
S82.002A, T14.8, Y92.480, V03.10XA,
ICD-10-PCS: OQSKOZZ
(Schraffenberger 2013, 380-381, 443, 428).
Inpatient:
Syncope; bradycardia ruled out; due to taking Valium as prescribed by a physician.
Patient also took an antihistamine as directed on the package without consulting a
healthcare provider. - ANSWER-ICD-10-CM: T42.4X1A, T45.0X1A, R55-The patient
, took over-the-counter medications with a prescription medication without consulting the
prescribing physician. This is a poisoning.
Per the Official ICD-10-CM Guidelines for Coding and Reporting, I.C.19.e.5.b.:
Nonprescribed drug taken with correctly prescribed and properly administered drug: If a
nonprescribed drug or medicinal agent was taken in combination jVith a correctly
prescribed and properly administered drug, any drug toxicity or other reaction resulting
from the interaction of the two drugs would be classified as a poisoning (HHS 2014,
Section I, 19, e, Sa; Schraffenberger 2013, 406-407).
Inpatient:
Sepsis due to the presence of an indwelling urinary catheter with a positive blood
culture reflected in the progress notes of Staphylococcus aureus sepsis. - ANSWER-
ICD-10-CM: T83.51XA, A41.01
(Leon-Chisen 2013, 150, 154, 535).
Inpatient:
Respiratory distress syndrome, 26-day-old baby, temporary tracheostomy completed. -
ANSWER-ICD-10-CM: P22.0,
ICD-10-PCS: OB110F4
(Schraffenberger 2013, 339; Coding Clinic 1986 Nov.-Dec., 6; 1" Quarter 1989, 10)
Ambulatory/Outpatient
Noncardiac chest pain, esophageal acid reflux test. - ANSWER-ICD-10-CM: R07.89;
CPT: 91034
(Schraffenberger 2013, 362-363; CPT Assistant May 2005,3)
Ambulatory/Outpatient
Annual screening mammogram. - ANSWER-ICD-10-CM: Z12.31
CPT:77057
(Schraffenberger 2013, 462; CPT Assistant March 2007, 7)
Ambulatory/Outpatient
Excision of basal cell carcinoma, 1.9-cm lesion left upper eyelid. - ANSWER-ICD-10-
CM: C44.119;
Exam Prep Questions -AHIMA 6th
Edition
Carcinoma in situ - 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 - 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 - 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.
A young woman was admitted after a car hit her from behind while she waited for a bus
on the sidewalk. She sustained a fractured fibula shaft and patella on the left leg with a
break in the skin at the midcalf. The patient
required an open reduction of the left fibula fracture. - ANSWER-ICD-10-CM: S82.402A,
S82.002A, T14.8, Y92.480, V03.10XA,
ICD-10-PCS: OQSKOZZ
(Schraffenberger 2013, 380-381, 443, 428).
Inpatient:
Syncope; bradycardia ruled out; due to taking Valium as prescribed by a physician.
Patient also took an antihistamine as directed on the package without consulting a
healthcare provider. - ANSWER-ICD-10-CM: T42.4X1A, T45.0X1A, R55-The patient
, took over-the-counter medications with a prescription medication without consulting the
prescribing physician. This is a poisoning.
Per the Official ICD-10-CM Guidelines for Coding and Reporting, I.C.19.e.5.b.:
Nonprescribed drug taken with correctly prescribed and properly administered drug: If a
nonprescribed drug or medicinal agent was taken in combination jVith a correctly
prescribed and properly administered drug, any drug toxicity or other reaction resulting
from the interaction of the two drugs would be classified as a poisoning (HHS 2014,
Section I, 19, e, Sa; Schraffenberger 2013, 406-407).
Inpatient:
Sepsis due to the presence of an indwelling urinary catheter with a positive blood
culture reflected in the progress notes of Staphylococcus aureus sepsis. - ANSWER-
ICD-10-CM: T83.51XA, A41.01
(Leon-Chisen 2013, 150, 154, 535).
Inpatient:
Respiratory distress syndrome, 26-day-old baby, temporary tracheostomy completed. -
ANSWER-ICD-10-CM: P22.0,
ICD-10-PCS: OB110F4
(Schraffenberger 2013, 339; Coding Clinic 1986 Nov.-Dec., 6; 1" Quarter 1989, 10)
Ambulatory/Outpatient
Noncardiac chest pain, esophageal acid reflux test. - ANSWER-ICD-10-CM: R07.89;
CPT: 91034
(Schraffenberger 2013, 362-363; CPT Assistant May 2005,3)
Ambulatory/Outpatient
Annual screening mammogram. - ANSWER-ICD-10-CM: Z12.31
CPT:77057
(Schraffenberger 2013, 462; CPT Assistant March 2007, 7)
Ambulatory/Outpatient
Excision of basal cell carcinoma, 1.9-cm lesion left upper eyelid. - ANSWER-ICD-10-
CM: C44.119;
