AHIMA CCS EXAM 2024/2025 ACTUAL QUESTIONS WITH VERIFIED
CCS 2019 AHIMA Exam
COMPLETE SOLUTIONS ( VERIFIED ANSWERS) A+ SCORE
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1. The root operation of resection applies to which of the A. Removal of the entire
following? body part and removal of
an entire lobe of the liver.
a. Removal of the entire body part and removal of an
entire lobe of the liver
b. Partial incidental appendectomy and the closure
portion of a procedure
c. Blunt, digital, manual, or mechanical lysis of adhe-
sions
d. Partial cholecystectomy
2. When coding benign neoplasm of the skin, the section A. Use category D23 for
noted above directs the coder to: benign neoplasm of sweat
glands
D23- Other benign neoplasms of skinIncludes:
Benign neoplasm of hair follicles
Benign neoplasm of sebaceous glands
Benign neoplasm of sweat glands
Excludes 1: benign lipomatous neoplasms of skin
(D17.0-D17.3)
melanocytic nevi (D22.-)
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
3. A 64-year-old female was discharged with the final di-
agnosis of acute renal failure and hypertension. What
, CCS 2019 AHIMA Exam
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coding rule applies? C Use separate codes for
hypertension and acute
a. Use combination code of hypertension and renal renal failure
failure.
b. Use separate codes for hypertension and chronic
renal failure.
c. Use separate codes for hypertension and acute re-
nal failure.
d. Use separate codes for elevated blood pressure and
chronic renal failure.
4. Coding professionals need to have surgical references B. Reportable and non re-
in order to discriminate between: portable procedures
a. Correct and incorrect documentation based on Joint
Commission requirements
b. Reportable and nonreportable procedures
c. Chemotherapeutic drugs
d. A comorbid condition and a complication that pro-
longs the length of stay
5. A patient is admitted with an acute inferior myocar- A. Respiratory failure
dial infarction and discharged alive. Which condition
would increase the MS-DRG weight?
a. Respiratory failure
b. Atrial fibrillation
c. Hypertension
d. History of myocardial infarction
6. If a patient has undergone an outpatient echocar- A. Assign a diagnostic
diogram and the cardiologist concludes in the report code for mitral regurgita-
that the patient has mitral regurgitation, the coder tion
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should:
a. Assign a diagnostic code for mitral regurgitation
b. Query the physician about the diagnosis
c. Code an abnormal finding of the echocardiogram
d. No code can be assigned
7. A patient was treated in the emergency department D. S11.91XA, 12042
with lacerations of the neck and underwent a repair of
two (2) wounds of the neck (2.0 cm and 1.4 cm) with
layered closure. What are the diagnosis (excluding ex-
ternal cause codes) and procedure codes assigned?
S11.91XA Laceration without foreign body of unspec-
ified part of neck, initial encounter
S11.92XA Laceration with foreign body of unspecified
part of neck, initial encounter
0HQ4XZZ Repair neck skin, external approach
12041 Repair, intermediate, wounds of neck, hands,
feet and/or external genitalia; 2.5 cm or less
12042 Repair, intermediate, wounds of neck, hands,
feet, and/or external genitalia; 2.6 cm to 7.5 cm
a. S11.91XA, 0HQ4XZZ
b. S11.92XA, 0HQ4XZZ
c. S11.92XA, 12041, 12041
d. S11.91XA, 12042
8. A patient is admitted to an acute care facility for A. F10.229, F13.129,
detoxification from alcohol and barbiturate intoxica- K70.30, HZ2ZZZZ
tion with chronic alcoholism and barbiturate abuse.
The patient also has cirrhosis of the liver due to alco-
holism. What codes should be assigned?
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a. F10.229, F13.129, K70.30, HZ2ZZZZ
b. F10.129, F13.229, K70.30, HZ2ZZZZ
c. F10.29, F13.129, K70.10, HZ2ZZXZ
d. F10.229, F13.129, K70.9, HZ2ZZZZ
9. Patient with renal tumors received percutaneous D. 50593
cryotherapy ablation of three tumors on the right kid-
ney in the same operative episode at Memorial Hospi-
tal. Assign a CPT code for this procedure.
50250 Ablation, open, 1 or more renal mass le-
sion(s), cryosurgical, including intraoperative ultra-
sound guidance and monitoring, if performed
50590 Lithotripsy, extracorporeal shock wave
50592 Ablation, 1 or more renal tumor(s), percuta-
neous, unilateral, radiofrequency
50593 Ablation, renal tumor(s), unilateral, percuta-
neous, cryotherapy
a. 50250
b. 50590
c. 50592
d. 50593
10. When coding a documented ventilator-associated c. The specific code
pneumonia (VAP), what codes should be assigned first for ventilator-associated
for ICD-10-CM and then supported by CPT? pneumonia is coded first
and the organism is cod-
a. The pneumonia is coded first; the CPT will be from ed as a secondary code
code range 94010 to 94799 if known; the CPT will be
b. The complication of surgery diagnosis is coded first, from code range 94002 to
then the VAP, with the CPT will be from code range 94005
CCS 2019 AHIMA Exam
COMPLETE SOLUTIONS ( VERIFIED ANSWERS) A+ SCORE
Study online at https://quizlet.com/_gdtdnh
ASSURED/ GET IT 100% ACCURATE!!
1. The root operation of resection applies to which of the A. Removal of the entire
following? body part and removal of
an entire lobe of the liver.
a. Removal of the entire body part and removal of an
entire lobe of the liver
b. Partial incidental appendectomy and the closure
portion of a procedure
c. Blunt, digital, manual, or mechanical lysis of adhe-
sions
d. Partial cholecystectomy
2. When coding benign neoplasm of the skin, the section A. Use category D23 for
noted above directs the coder to: benign neoplasm of sweat
glands
D23- Other benign neoplasms of skinIncludes:
Benign neoplasm of hair follicles
Benign neoplasm of sebaceous glands
Benign neoplasm of sweat glands
Excludes 1: benign lipomatous neoplasms of skin
(D17.0-D17.3)
melanocytic nevi (D22.-)
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
3. A 64-year-old female was discharged with the final di-
agnosis of acute renal failure and hypertension. What
, CCS 2019 AHIMA Exam
Study online at https://quizlet.com/_gdtdnh
coding rule applies? C Use separate codes for
hypertension and acute
a. Use combination code of hypertension and renal renal failure
failure.
b. Use separate codes for hypertension and chronic
renal failure.
c. Use separate codes for hypertension and acute re-
nal failure.
d. Use separate codes for elevated blood pressure and
chronic renal failure.
4. Coding professionals need to have surgical references B. Reportable and non re-
in order to discriminate between: portable procedures
a. Correct and incorrect documentation based on Joint
Commission requirements
b. Reportable and nonreportable procedures
c. Chemotherapeutic drugs
d. A comorbid condition and a complication that pro-
longs the length of stay
5. A patient is admitted with an acute inferior myocar- A. Respiratory failure
dial infarction and discharged alive. Which condition
would increase the MS-DRG weight?
a. Respiratory failure
b. Atrial fibrillation
c. Hypertension
d. History of myocardial infarction
6. If a patient has undergone an outpatient echocar- A. Assign a diagnostic
diogram and the cardiologist concludes in the report code for mitral regurgita-
that the patient has mitral regurgitation, the coder tion
, CCS 2019 AHIMA Exam
Study online at https://quizlet.com/_gdtdnh
should:
a. Assign a diagnostic code for mitral regurgitation
b. Query the physician about the diagnosis
c. Code an abnormal finding of the echocardiogram
d. No code can be assigned
7. A patient was treated in the emergency department D. S11.91XA, 12042
with lacerations of the neck and underwent a repair of
two (2) wounds of the neck (2.0 cm and 1.4 cm) with
layered closure. What are the diagnosis (excluding ex-
ternal cause codes) and procedure codes assigned?
S11.91XA Laceration without foreign body of unspec-
ified part of neck, initial encounter
S11.92XA Laceration with foreign body of unspecified
part of neck, initial encounter
0HQ4XZZ Repair neck skin, external approach
12041 Repair, intermediate, wounds of neck, hands,
feet and/or external genitalia; 2.5 cm or less
12042 Repair, intermediate, wounds of neck, hands,
feet, and/or external genitalia; 2.6 cm to 7.5 cm
a. S11.91XA, 0HQ4XZZ
b. S11.92XA, 0HQ4XZZ
c. S11.92XA, 12041, 12041
d. S11.91XA, 12042
8. A patient is admitted to an acute care facility for A. F10.229, F13.129,
detoxification from alcohol and barbiturate intoxica- K70.30, HZ2ZZZZ
tion with chronic alcoholism and barbiturate abuse.
The patient also has cirrhosis of the liver due to alco-
holism. What codes should be assigned?
, CCS 2019 AHIMA Exam
Study online at https://quizlet.com/_gdtdnh
a. F10.229, F13.129, K70.30, HZ2ZZZZ
b. F10.129, F13.229, K70.30, HZ2ZZZZ
c. F10.29, F13.129, K70.10, HZ2ZZXZ
d. F10.229, F13.129, K70.9, HZ2ZZZZ
9. Patient with renal tumors received percutaneous D. 50593
cryotherapy ablation of three tumors on the right kid-
ney in the same operative episode at Memorial Hospi-
tal. Assign a CPT code for this procedure.
50250 Ablation, open, 1 or more renal mass le-
sion(s), cryosurgical, including intraoperative ultra-
sound guidance and monitoring, if performed
50590 Lithotripsy, extracorporeal shock wave
50592 Ablation, 1 or more renal tumor(s), percuta-
neous, unilateral, radiofrequency
50593 Ablation, renal tumor(s), unilateral, percuta-
neous, cryotherapy
a. 50250
b. 50590
c. 50592
d. 50593
10. When coding a documented ventilator-associated c. The specific code
pneumonia (VAP), what codes should be assigned first for ventilator-associated
for ICD-10-CM and then supported by CPT? pneumonia is coded first
and the organism is cod-
a. The pneumonia is coded first; the CPT will be from ed as a secondary code
code range 94010 to 94799 if known; the CPT will be
b. The complication of surgery diagnosis is coded first, from code range 94002 to
then the VAP, with the CPT will be from code range 94005
