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Exam (elaborations)

CCS Practice Exam 2 Questions and Correct Detailed Answers (Verified Answers)

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Q: A 23 year old female is admitted for vaginal bleeding following a miscarriage two weeks prior to this admission. She afebrile at this time and is treated with an aspiration dilation and curettage. Products of conception are found. Which of the following should be the principle diagnosis? a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion b. O08.1, Delayed or excessive hemorrhage following ectopic and molar pregnancy c. R57.9, Shock, unspecified d. T81.10XA, Postprocedural shock unspecified, initial encounter Ans: a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion 2 Master01 | 2025/2026 | Latest update Q: A psychiatrist documents that a patient has wide mood swings from excessive happiness to loss of energy and crying. What condition is suspected? a. Bipolar disorder b. Major depression c. Anxiety d. Psychosis Ans: A. Bipolar disorder Q: A patient with a cephalic presentation anticipating a vaginal delivery failed to progress. After measurement of the fetal head and a trial of oxytocin, the patient underwent a cesarean section. What condition should the coder suspect and query the physician about? a. Twin pregnancy b. Early delivery c. Eclampsia d. Cephalopelvic disproportion Ans: d. Cephalopelvic disproportion 3 Master01 | 2025/2026 | Latest update Q: A 45 year old woman underwent a carotid bypass and experienced a significant drop in blood pressure during the surgery. The documentation suggested the patient may have had a myocardial infarction. In accordance with coding guidelines, what should the coder do? a. Code complication of surgery NOS. b. Query the physician to determine if the patient had hypotension. c. Query the physician to determine if there was a complication of surgery. d. Code preoperative shock. Ans: c. Query the physician to determine if there was a complication of surgery. Q: If a patient's discharge summary does not contain a diagnosis that is documented by the anesthesiologist in a preoperative evaluation and that would impact MS-DRG assignment, the coder should: a. Code only from the discharge diagnosis b. Code the diagnosis reflected on the anesthesia preoperative evaluation 4 Master01 | 2025/2026 | Latest update c. Code the most severe symptom d. Query the attending physician regarding the clinical significance of that diagnosis Ans: d. Query the attending physician regarding the clinical significance of that diagnosis

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CCS Practice Exam 2 Questions and
Correct Detailed Answers (Verified
Answers)
Q: A 23 year old female is admitted for vaginal bleeding

following a miscarriage two weeks prior to this admission. She

afebrile at this time and is treated with an aspiration dilation and

curettage. Products of conception are found. Which of the following

should be the principle diagnosis?

a. O03.1, Delayed or excessive hemorrhage following incomplete

spontaneous abortion

b. O08.1, Delayed or excessive hemorrhage following ectopic and

molar pregnancy

c. R57.9, Shock, unspecified

d. T81.10XA, Postprocedural shock unspecified, initial encounter


Ans: a. O03.1, Delayed or excessive hemorrhage following incomplete
spontaneous abortion




Master01 | 2025/2026 | Latest update

, 2



Q: A psychiatrist documents that a patient has wide mood swings

from excessive happiness to loss of energy and crying. What

condition is suspected?

a. Bipolar disorder

b. Major depression

c. Anxiety

d. Psychosis


Ans: A. Bipolar disorder



Q: A patient with a cephalic presentation anticipating a vaginal

delivery failed to progress. After measurement of the fetal head and

a trial of oxytocin, the patient underwent a cesarean section. What

condition should the coder suspect and query the physician about?

a. Twin pregnancy

b. Early delivery

c. Eclampsia

d. Cephalopelvic disproportion


Ans: d. Cephalopelvic disproportion



Master01 | 2025/2026 | Latest update

, 3



Q: A 45 year old woman underwent a carotid bypass and

experienced a significant drop in blood pressure during the surgery.

The documentation suggested the patient may have had a

myocardial infarction. In accordance with coding guidelines, what

should the coder do?

a. Code complication of surgery NOS.

b. Query the physician to determine if the patient had hypotension.

c. Query the physician to determine if there was a complication of

surgery.

d. Code preoperative shock.


Ans: c. Query the physician to determine if there was a complication of surgery.



Q: If a patient's discharge summary does not contain a diagnosis

that is documented by the anesthesiologist in a preoperative

evaluation and that would impact MS-DRG assignment, the coder

should:

a. Code only from the discharge diagnosis

b. Code the diagnosis reflected on the anesthesia preoperative

evaluation

Master01 | 2025/2026 | Latest update

, 4



c. Code the most severe symptom

d. Query the attending physician regarding the clinical significance

of that diagnosis


Ans: d. Query the attending physician regarding the clinical significance of that
diagnosis



Q: A patient has documentation of esophageal varices. What

condition may be related that may affect the coding?

a. Arthritis

b. Liver disease

c. Chronic obstructive pulmonary disease

d. Erythema


Ans: b. Liver disease



Q: A patient admitted with acute abdominal pain, is fount to

have appendicitis, and has an appendectomy. The patient has a

length of stay for 2 days. What type of patient encounter is this?

a. Impatient

b. Outpatient


Master01 | 2025/2026 | Latest update

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