CCS exam practice with complete solution
2024/2025
Chronic kidney disease stage 5 - ANSWER- Code to N18.6 (ESRD) and dialysis
status Z99.2
Severe sepsis - ANSWER- Underlying infection + R65.2
Septic shock - ANSWER- Underlying infection + R65.1
Nosocomial infections - ANSWER- Additional code of Y95
HIV infections - ANSWER- Code only confirmed cases (diagnosis sufficient)
Sequencing HIV codes - ANSWER- Admitted for HIV- B20
A/D unrelated- unrelated first then B20
Asymptomatic HIV- Z21
Inconclusive HIV- R75
Previously diagnosed- B20
HIV in pregnancy- O98.7
Asymptomatic HIV in pregnancy- O98.7 + Z21
Encounters for testing of HIV- Z11.4
Return visit for negative test results- Z71.7
Labor pneumonia - ANSWER- Has a unique category
Respiratory condition occurring in more than one place - ANSWER- Coded to the
lower anatomic location
Respiratory condition - ANSWER- Code exposure to tobacco
Gastrointestinal term hemmorrhage - ANSWER- Means ulcers
, Gastrointestinal term bleeding - ANSWER- Means gastritis, duodenitis,
diverticulosis, diverticulitis
Delivery and pregnancy - ANSWER- 5th or 6th digit represents trimester
Trimesters - ANSWER- 1- less than 14 wks
2- less than 28 wks, more than 14
3- 28 wks thru delivery
Delivery chart codes should include - ANSWER- a) Delivery diagnosis code
b) Outcome of delivery
c)Weeks of gestation
d) Procedure code
Normal delivery code - ANSWER- O80
Weeks of gestation code - ANSWER- Z3A
Complications of ectopic pregnancy and abortions - ANSWER- Require additional
codes
Anemia - ANSWER- Code also the cause
Code first the poisoning and under-dosing of medications
If associated with malignancy, code malignancy first
MI documented as nontransmural or subendocardial with a site provided -
ANSWER- Code as a subenocardial MI
Subsequent MI within 4 weeks of initial - ANSWER- Code from I22 and I21
Primary site of neoplasm - ANSWER- Is where the cancer arises
Secondary neoplasm - ANSWER- When cancer leaves the original site
Morphology can lead to primary site - ANSWER- For example: renal cell
carcinoma arises in the kidney
Steps for coding neoplasms - ANSWER- 1. Look up morphology
2. No primary site code- use neoplasm table
3. If the term metastatic is used assume these are secondary sites:
2024/2025
Chronic kidney disease stage 5 - ANSWER- Code to N18.6 (ESRD) and dialysis
status Z99.2
Severe sepsis - ANSWER- Underlying infection + R65.2
Septic shock - ANSWER- Underlying infection + R65.1
Nosocomial infections - ANSWER- Additional code of Y95
HIV infections - ANSWER- Code only confirmed cases (diagnosis sufficient)
Sequencing HIV codes - ANSWER- Admitted for HIV- B20
A/D unrelated- unrelated first then B20
Asymptomatic HIV- Z21
Inconclusive HIV- R75
Previously diagnosed- B20
HIV in pregnancy- O98.7
Asymptomatic HIV in pregnancy- O98.7 + Z21
Encounters for testing of HIV- Z11.4
Return visit for negative test results- Z71.7
Labor pneumonia - ANSWER- Has a unique category
Respiratory condition occurring in more than one place - ANSWER- Coded to the
lower anatomic location
Respiratory condition - ANSWER- Code exposure to tobacco
Gastrointestinal term hemmorrhage - ANSWER- Means ulcers
, Gastrointestinal term bleeding - ANSWER- Means gastritis, duodenitis,
diverticulosis, diverticulitis
Delivery and pregnancy - ANSWER- 5th or 6th digit represents trimester
Trimesters - ANSWER- 1- less than 14 wks
2- less than 28 wks, more than 14
3- 28 wks thru delivery
Delivery chart codes should include - ANSWER- a) Delivery diagnosis code
b) Outcome of delivery
c)Weeks of gestation
d) Procedure code
Normal delivery code - ANSWER- O80
Weeks of gestation code - ANSWER- Z3A
Complications of ectopic pregnancy and abortions - ANSWER- Require additional
codes
Anemia - ANSWER- Code also the cause
Code first the poisoning and under-dosing of medications
If associated with malignancy, code malignancy first
MI documented as nontransmural or subendocardial with a site provided -
ANSWER- Code as a subenocardial MI
Subsequent MI within 4 weeks of initial - ANSWER- Code from I22 and I21
Primary site of neoplasm - ANSWER- Is where the cancer arises
Secondary neoplasm - ANSWER- When cancer leaves the original site
Morphology can lead to primary site - ANSWER- For example: renal cell
carcinoma arises in the kidney
Steps for coding neoplasms - ANSWER- 1. Look up morphology
2. No primary site code- use neoplasm table
3. If the term metastatic is used assume these are secondary sites:
