CERTIFIED CODING SPECIALIST CCS AHIMA
CORRECT FINALS QUESTIONS AND ANSWERS SURE
A+
✔✔Inpatient:
This is the first admission for a patient with adenocarcinoma of the right lower lung who
was also found with metastasis to the brain. The patient underwent a right lower lung
lobectomy via laparotomy. - ✔✔ICD-10-CM: C34.31, C79.31,
ICD-10-PCS: OBTFOZZ
(Schraffenberger 2013, Chapter 5, 99).
✔✔Inpatient:
A patient has metastatic adenocarcinoma of bone. - ✔✔ICD-10-CM: C80.1, C79.51
(Schraffenberger 2013, 99).
✔✔Inpatient:
A patient is admitted with metastatic carcinoma from breast to liver with previous
bilateral mastectomy and no reoccurrence at the primary site. - ✔✔ICD-10-CM: C78.7,
Z85.3, Z90.13
(Schraffenberger 2013, 478).
✔✔Inpatient:
, 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. - ✔✔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. - ✔✔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. - ✔✔ICD-10-
CM: T83.51XA, A41.01
(Leon-Chisen 2013, 150, 154, 535).
✔✔Inpatient:
Respiratory distress syndrome, 26-day-old baby, temporary tracheostomy completed. -
✔✔ICD-10-CM: P22.0,
ICD-10-PCS: OB110F4
(Schraffenberger 2013, 339; Coding Clinic 1986 Nov.-Dec., 6; 1" Quarter 1989, 10)
✔✔Ambulatory/Outpatient
CORRECT FINALS QUESTIONS AND ANSWERS SURE
A+
✔✔Inpatient:
This is the first admission for a patient with adenocarcinoma of the right lower lung who
was also found with metastasis to the brain. The patient underwent a right lower lung
lobectomy via laparotomy. - ✔✔ICD-10-CM: C34.31, C79.31,
ICD-10-PCS: OBTFOZZ
(Schraffenberger 2013, Chapter 5, 99).
✔✔Inpatient:
A patient has metastatic adenocarcinoma of bone. - ✔✔ICD-10-CM: C80.1, C79.51
(Schraffenberger 2013, 99).
✔✔Inpatient:
A patient is admitted with metastatic carcinoma from breast to liver with previous
bilateral mastectomy and no reoccurrence at the primary site. - ✔✔ICD-10-CM: C78.7,
Z85.3, Z90.13
(Schraffenberger 2013, 478).
✔✔Inpatient:
, 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. - ✔✔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. - ✔✔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. - ✔✔ICD-10-
CM: T83.51XA, A41.01
(Leon-Chisen 2013, 150, 154, 535).
✔✔Inpatient:
Respiratory distress syndrome, 26-day-old baby, temporary tracheostomy completed. -
✔✔ICD-10-CM: P22.0,
ICD-10-PCS: OB110F4
(Schraffenberger 2013, 339; Coding Clinic 1986 Nov.-Dec., 6; 1" Quarter 1989, 10)
✔✔Ambulatory/Outpatient
