Certified Coding Specialist (CCS)
Exam Prep Questions -AHIMA 6th
Edition Exam/49 Q’s and A’s
023-Other benign neoplasms of skin Includes: Benign neoplasm of hair
follicles Benign neoplasm of sebaceous glands Benign neoplasm of sweat
glands Excludes 1: benign lipomatous neoplasms of skin (017.0-017.3)
melanocytic nevi (022.-)
When coding benign lipomatous neoplasms of skin, the section noted above
directs the coder to:
a. Use category D23
b. Use a code from D17.0-D17.3
c. Use code E88.2
d. Use category D22 - -b
Excludes note 1 is defined as never code here (HHS 2014, I.A.12.a, 10).
-023-Other benign neoplasms of skin Includes: Benign neoplasm of hair
follicles Benign neoplasm of sebaceous glands Benign neoplasm of sweat
glands Excludes 1: benign lipomatous neoplasms of skin (017.0-017.3)
melanocytic nevi (022.-)
When coding benign neoplasm of the skin, the section noted above directs
the coder to:
a. Use category D23 for benign neoplasm of sweat glands
b. Use category D23 for melanocytic nevi
c. Use category D23 for benign lipomatous neoplasms of skin
d. Use category D23 for malignant neoplasm of the skin - -a
Excludes note 1 is defined as never code here (HHS 2014, I.A.12.a, 10).
-A patient has a principal diagnosis of pneumonia (118.9) (MS-DRG 195).
, Which of the following may legitimately change the coding of the pneumonia
in accordance with the UHDDS and relevant clinical documentation?
a. Sputum culture reflects growth of normal flora.
b. Patient has a positive gram stain.
c. Patient is found to have dysphagia with aspiration.
d. Patient has nonproductive sputum. - -c
Patient is found to have dysphagia with aspiration is the correct answer
because it changes the coding to aspiration pneumonia and would result in
MS-DRG 179 RESPIRATORY INFECTIONS & INFLAMMATIONS W/0 CC/MCC,
which has a weight of 0.9718 (Medicare Grouper Version Used: 31). This is in
comparison to MS-DRG 0195, SIMPLE PNEUMONIA & PLEURISY W/0 CC/MCC
MDC: 04 which has a DRG weight of 0.6978 (Medicare Grouper Version Used:
31).
-A 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 - -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).
-A 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 - -b
The symptoms provided are indicative of a depressive disorder (Leon-Chisen
2013, 175).
Exam Prep Questions -AHIMA 6th
Edition Exam/49 Q’s and A’s
023-Other benign neoplasms of skin Includes: Benign neoplasm of hair
follicles Benign neoplasm of sebaceous glands Benign neoplasm of sweat
glands Excludes 1: benign lipomatous neoplasms of skin (017.0-017.3)
melanocytic nevi (022.-)
When coding benign lipomatous neoplasms of skin, the section noted above
directs the coder to:
a. Use category D23
b. Use a code from D17.0-D17.3
c. Use code E88.2
d. Use category D22 - -b
Excludes note 1 is defined as never code here (HHS 2014, I.A.12.a, 10).
-023-Other benign neoplasms of skin Includes: Benign neoplasm of hair
follicles Benign neoplasm of sebaceous glands Benign neoplasm of sweat
glands Excludes 1: benign lipomatous neoplasms of skin (017.0-017.3)
melanocytic nevi (022.-)
When coding benign neoplasm of the skin, the section noted above directs
the coder to:
a. Use category D23 for benign neoplasm of sweat glands
b. Use category D23 for melanocytic nevi
c. Use category D23 for benign lipomatous neoplasms of skin
d. Use category D23 for malignant neoplasm of the skin - -a
Excludes note 1 is defined as never code here (HHS 2014, I.A.12.a, 10).
-A patient has a principal diagnosis of pneumonia (118.9) (MS-DRG 195).
, Which of the following may legitimately change the coding of the pneumonia
in accordance with the UHDDS and relevant clinical documentation?
a. Sputum culture reflects growth of normal flora.
b. Patient has a positive gram stain.
c. Patient is found to have dysphagia with aspiration.
d. Patient has nonproductive sputum. - -c
Patient is found to have dysphagia with aspiration is the correct answer
because it changes the coding to aspiration pneumonia and would result in
MS-DRG 179 RESPIRATORY INFECTIONS & INFLAMMATIONS W/0 CC/MCC,
which has a weight of 0.9718 (Medicare Grouper Version Used: 31). This is in
comparison to MS-DRG 0195, SIMPLE PNEUMONIA & PLEURISY W/0 CC/MCC
MDC: 04 which has a DRG weight of 0.6978 (Medicare Grouper Version Used:
31).
-A 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 - -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).
-A 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 - -b
The symptoms provided are indicative of a depressive disorder (Leon-Chisen
2013, 175).
