CERTIFIED CODING SPECIALIST CCS AHIMA STUDY
EXAMS QUESTIONS AND ANSWERS SURE A+
✔✔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. - ✔✔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. - ✔✔ICD-10-CM: F10.229, F13.129, K70.30,
(Schraffenberger 2013, 140-143.)
ICD-10-PCS HZ2ZZZZ
(Leon-Chisen 2014, 186).
✔✔Inpatient:
A 30-year-old patient was seen in the emergency department for recurrent epileptic
seizures. The patient also had tic douloureux. - ✔✔ICD-10-CM: G40.909, G50.0
(Schraffenberger 2013,158-159).
✔✔Inpatient:
, A patient was admitted to an acute care facility with a temperature of 102 and atrial
fibrillation. The chest x-ray reveals pneumonia with subsequent documentation by the
physician of pneumonia in the progress notes and discharge summary. The patient was
treated with oral antiarrhythmia medications and IV antibiotics. - ✔✔ICD-10-CM: J18.9,
148.91-
In accordance with the UHDDS, both conditions are not equally treated. The pneumonia
was treated with IV antibiotics. This diagnosis had greater utilization of resources of
medications and staff time compared with the atrial fibrillation, which was treated with
oral medication. Because of this, the pneumonia is sequenced first (HHS 2014, Section
II, C).
✔✔Inpatient:
A patient with chronic cholecystitis and gallbladder stones underwent a laparoscopic
cholecystectomy in an acute care facility. However, due to extensive gallbladder
adhesions the procedure was converted to an open cholecystectomy. - ✔✔ICD-10-CM:
K80.10, K82.8 (Schraffenberger 2013, 249-250, 454); HHS 2011, Section I, 18. d, 14),
ICD-10-PCS: OFT40ZZ, OFJ44ZZ (Leon-Chisen 2014, 250).
✔✔Inpatient:
A patient is admitted to the inpatient setting with hydronephrosis and a staghorn
calculus of the right kidney. The patient underwent an uretetoscopy with placement of
bilateral ureteral stents for dilation purposes and removal of calculus of right kidney. -
✔✔ICD-10-CM: N13.2,
ICD-10-PCS: OT788DZ, OTC08ZZ
(Leon-Chisen 2013, 269).
✔✔Inpatient:
A 77-year-old nursing home patient was admitted to the acute care setting for excisional
debridement of decubitus stage 3 ulcer of the right heel via surgical excision in the OR.
The patient also has degenerative joint disease of both knees. - ✔✔ICD-10-CM:
L89.613, M17.0,
ICD-10-PCS: OJBQOZZ
(Schraffenberger 2013, 265-266, 278, 282-284).
✔✔Inpatient:
45-year-old woman was admitted to the inpatient setting for a displacement of a lumbar
intervertebral disk. This was treated with a laminectomy and diskectomy. - ✔✔ICD-10-
CM: M51.26,
EXAMS QUESTIONS AND ANSWERS SURE A+
✔✔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. - ✔✔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. - ✔✔ICD-10-CM: F10.229, F13.129, K70.30,
(Schraffenberger 2013, 140-143.)
ICD-10-PCS HZ2ZZZZ
(Leon-Chisen 2014, 186).
✔✔Inpatient:
A 30-year-old patient was seen in the emergency department for recurrent epileptic
seizures. The patient also had tic douloureux. - ✔✔ICD-10-CM: G40.909, G50.0
(Schraffenberger 2013,158-159).
✔✔Inpatient:
, A patient was admitted to an acute care facility with a temperature of 102 and atrial
fibrillation. The chest x-ray reveals pneumonia with subsequent documentation by the
physician of pneumonia in the progress notes and discharge summary. The patient was
treated with oral antiarrhythmia medications and IV antibiotics. - ✔✔ICD-10-CM: J18.9,
148.91-
In accordance with the UHDDS, both conditions are not equally treated. The pneumonia
was treated with IV antibiotics. This diagnosis had greater utilization of resources of
medications and staff time compared with the atrial fibrillation, which was treated with
oral medication. Because of this, the pneumonia is sequenced first (HHS 2014, Section
II, C).
✔✔Inpatient:
A patient with chronic cholecystitis and gallbladder stones underwent a laparoscopic
cholecystectomy in an acute care facility. However, due to extensive gallbladder
adhesions the procedure was converted to an open cholecystectomy. - ✔✔ICD-10-CM:
K80.10, K82.8 (Schraffenberger 2013, 249-250, 454); HHS 2011, Section I, 18. d, 14),
ICD-10-PCS: OFT40ZZ, OFJ44ZZ (Leon-Chisen 2014, 250).
✔✔Inpatient:
A patient is admitted to the inpatient setting with hydronephrosis and a staghorn
calculus of the right kidney. The patient underwent an uretetoscopy with placement of
bilateral ureteral stents for dilation purposes and removal of calculus of right kidney. -
✔✔ICD-10-CM: N13.2,
ICD-10-PCS: OT788DZ, OTC08ZZ
(Leon-Chisen 2013, 269).
✔✔Inpatient:
A 77-year-old nursing home patient was admitted to the acute care setting for excisional
debridement of decubitus stage 3 ulcer of the right heel via surgical excision in the OR.
The patient also has degenerative joint disease of both knees. - ✔✔ICD-10-CM:
L89.613, M17.0,
ICD-10-PCS: OJBQOZZ
(Schraffenberger 2013, 265-266, 278, 282-284).
✔✔Inpatient:
45-year-old woman was admitted to the inpatient setting for a displacement of a lumbar
intervertebral disk. This was treated with a laminectomy and diskectomy. - ✔✔ICD-10-
CM: M51.26,
