CERTIFIED CODING SPECIALIST
EXAM PREP QUESTIONS AHIMA 6TH
EDITION LATEST EXAM ALREADY
GRADED A+
QUESTIONA 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 - 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).
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
QUESTIONExamples of carcinoma in situ - answer-
Intraepithelial infiltrating
QUESTIONThe 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).
QUESTIONA 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. - 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).
QUESTIONA 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 - answer-b
The symptoms provided are indicative of a
depressive disorder (Leon-Chisen 2013, 175).
EXAM PREP QUESTIONS AHIMA 6TH
EDITION LATEST EXAM ALREADY
GRADED A+
QUESTIONA 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 - 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).
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
QUESTIONExamples of carcinoma in situ - answer-
Intraepithelial infiltrating
QUESTIONThe 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).
QUESTIONA 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. - 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).
QUESTIONA 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 - answer-b
The symptoms provided are indicative of a
depressive disorder (Leon-Chisen 2013, 175).
