CCS EXAM DOMAIN 3 AND UP
QUESTIONS AND ANSWERS
The 5th digit 1 is used to indicate the initial episode of care for the myocardial infarction.
The initial care carries over to the second hospital. - Correct Answers -It is used for both
Hospital A as well as Hospital B as the care for the acute infarction continued with the
transfer to Hosp B for a definitive procedure.
In the inpatient setting "Rule Out" diagnosis are coded as if they exist. In this case the
patient has chest pain and the reason for the chest pain is GERD. - Correct Answers -
This requires that the GERD be coded as the first listed diagnosis.
Metastatic carcinoma of the brain, history of carcinoma of the prostate. - Correct
Answers -If the patient is seen for metastatic cancer then it is listed first.
If hemiplegia is on the left side of the brain, what side of the body does it affect. -
Correct Answers -It affects the right side of the body.
The most common language used for both data definition language and data
manipulation language is: - Correct Answers -Structured query language
A data map or crosswalk consists of: - Correct Answers -Terms used to describe paths
between classifications and vocabularies.
An entity relationship diagram was developed to depict: - Correct Answers -Relational
database structures.
Residual effects are coded in addition to the condition. - Correct Answers -Cerebral
infarction, Hemiplegia, aphasia
Medicare reimbursement depends on the following: - Correct Answers -Polices and
procedures of the medical staff
A coder reviews a medical record and determines that a code Medicare has designated
as "unacceptable principal diagnosis" is the correct code to assign. What should the
coder do? - Correct Answers -Assign the code even though the insurer may not pay the
claim.
, A condition is present on admission when: - Correct Answers -A condition that occurs
prior to an inpatient admission.
Documentation from the nursing or other allied health professionals' notes can be used
to establish which of the following diagnoses: - Correct Answers -Body Mass Index BMI
A 64 year old female was discharged with final diagnosis of acute renal failure and
hypertension. What coding rule applies. - Correct Answers -Use separate codes for
hypertension and acute renal failure. Acute kidney failure is not chronic. There is no
combo code.
Cystourethroscopy with removal of two lesions of separate locations in the bladder, one
is 1.5 cm bladder tumor anterior wall and one is 0.75 cm in the lateral wall. What coding
rule applies - Correct Answers -Code the largest tumor. Codes 52234 -52240 should
only be reported once, regardless of the number of tumors removed. Only one of the
three codes may be reported per session. Select the code based on the largest tumor.
Diagnostic related groups (DRGs) and ambulatory patient classifications (APCs) are
similar in that they are both: - Correct Answers -Prospective payment systems.
Generally, data quality is defined as: - Correct Answers -Ensuring the accuracy and
completeness of an organization's data.
A method of checking the accuracy of data is to: - Correct Answers -Ensure that each
record or entry within the database is correct.
When applying Ahima's 10 data characteristics to a patient encounter: a data quality
checkpoint for data timeliness during medication reconciliation would be: - Correct
Answers -Patient's medications are available for patient care.
Before an organization can measure the quality of information it produces it must: -
Correct Answers -Establish data standards within the organization.
The type of hernia is coded. The lipoma is also removed and so should be coded. -
Correct Answers -The hernia location is on the left and laterality is reported. 49505-LT
The lipoma requires excision and therefore is coded. 55520-59 (separate procedure)
The patient has a diagnosis of chronic pain syndrome and a code from the 338 category
should be assigned. - Correct Answers -Category 338 codes as principal or first-listed
diagnosis. Category 338 codes are acceptable as principal diagnosis or the first listed
code when pain control or pain management is the reason for the admission/encounter.
The underlying cause of the pain should be reported as an additional diagnosis.
QUESTIONS AND ANSWERS
The 5th digit 1 is used to indicate the initial episode of care for the myocardial infarction.
The initial care carries over to the second hospital. - Correct Answers -It is used for both
Hospital A as well as Hospital B as the care for the acute infarction continued with the
transfer to Hosp B for a definitive procedure.
In the inpatient setting "Rule Out" diagnosis are coded as if they exist. In this case the
patient has chest pain and the reason for the chest pain is GERD. - Correct Answers -
This requires that the GERD be coded as the first listed diagnosis.
Metastatic carcinoma of the brain, history of carcinoma of the prostate. - Correct
Answers -If the patient is seen for metastatic cancer then it is listed first.
If hemiplegia is on the left side of the brain, what side of the body does it affect. -
Correct Answers -It affects the right side of the body.
The most common language used for both data definition language and data
manipulation language is: - Correct Answers -Structured query language
A data map or crosswalk consists of: - Correct Answers -Terms used to describe paths
between classifications and vocabularies.
An entity relationship diagram was developed to depict: - Correct Answers -Relational
database structures.
Residual effects are coded in addition to the condition. - Correct Answers -Cerebral
infarction, Hemiplegia, aphasia
Medicare reimbursement depends on the following: - Correct Answers -Polices and
procedures of the medical staff
A coder reviews a medical record and determines that a code Medicare has designated
as "unacceptable principal diagnosis" is the correct code to assign. What should the
coder do? - Correct Answers -Assign the code even though the insurer may not pay the
claim.
, A condition is present on admission when: - Correct Answers -A condition that occurs
prior to an inpatient admission.
Documentation from the nursing or other allied health professionals' notes can be used
to establish which of the following diagnoses: - Correct Answers -Body Mass Index BMI
A 64 year old female was discharged with final diagnosis of acute renal failure and
hypertension. What coding rule applies. - Correct Answers -Use separate codes for
hypertension and acute renal failure. Acute kidney failure is not chronic. There is no
combo code.
Cystourethroscopy with removal of two lesions of separate locations in the bladder, one
is 1.5 cm bladder tumor anterior wall and one is 0.75 cm in the lateral wall. What coding
rule applies - Correct Answers -Code the largest tumor. Codes 52234 -52240 should
only be reported once, regardless of the number of tumors removed. Only one of the
three codes may be reported per session. Select the code based on the largest tumor.
Diagnostic related groups (DRGs) and ambulatory patient classifications (APCs) are
similar in that they are both: - Correct Answers -Prospective payment systems.
Generally, data quality is defined as: - Correct Answers -Ensuring the accuracy and
completeness of an organization's data.
A method of checking the accuracy of data is to: - Correct Answers -Ensure that each
record or entry within the database is correct.
When applying Ahima's 10 data characteristics to a patient encounter: a data quality
checkpoint for data timeliness during medication reconciliation would be: - Correct
Answers -Patient's medications are available for patient care.
Before an organization can measure the quality of information it produces it must: -
Correct Answers -Establish data standards within the organization.
The type of hernia is coded. The lipoma is also removed and so should be coded. -
Correct Answers -The hernia location is on the left and laterality is reported. 49505-LT
The lipoma requires excision and therefore is coded. 55520-59 (separate procedure)
The patient has a diagnosis of chronic pain syndrome and a code from the 338 category
should be assigned. - Correct Answers -Category 338 codes as principal or first-listed
diagnosis. Category 338 codes are acceptable as principal diagnosis or the first listed
code when pain control or pain management is the reason for the admission/encounter.
The underlying cause of the pain should be reported as an additional diagnosis.
