1. The physician visits his patient in the hospital
D.
and in- dicates that the patient has diabetes.
If the type of diabetes
Insulin is pre- scribed for and administered
mel- litus is not
to the patient. What is the best decision
documented
that the coding professional can make in
in the health record,
this situation?
the default is type 2
diabetes mellitus. The
A. Assign a code for type 1 diabetes mellitus
coding pro- fessional
because insulin was administered.
would also want to
B. Assign a code for drug-induced diabetes
mellitus. code the insulin use
in addition to the dia-
C. Assign a code for type 2 diabetes mellitus with com- betic code
selected (CMS
plications. 2023a, I.C.4.a.2)
D. Assign a code for type 2 diabetes mellitus
along with a code for the insulin use.
2. The patient is seen in the emergency department (ED) B.
with acute lumbar pain. The ED physician documents A
radiologist's findings
possible kidney stones and orders an x-ray. The radiol- may be used
to clarify an
ogist documents bilateral nephrolithiasis. The outpatient's
coding professional would assign a code for diagnosis or reason
which of the fol- lowing conditions? for services. Based on
A. Acute lumbar pain the fact that the radiol-
B.Bilateral ogist is a physician, a
nephrolithiasis cod- ing professional
C. Possible kidney stones can use
D. Abnormal x-ray findings a diagnosis from the x-
ray (CMS 2023a,
IV.K).
, AHIMA Practice Exam 1 CCS-P Questions & Answers.
3. A female infant was born in the hospital at term and at B.
a normal birth weight. It was a vaginal Infants born to RH-neg-
delivery with a vertex presentation. In the ative mothers often
hours after birth, jaundice was noted and de- velop hemolytic
eventually a diagnosis of erythroblas- tosis disease owing to
fetalis due to an ABO incompatibility was made. fetal-maternal blood
How would this admission be coded? group incompat-
ibility. These
conditions
, AHIMA Practice Exam 1 CCS-P Questions & Answers.
Z38.00 Single liveborn infant, born in hospital, C
deliv- ered vaginally .
P55.0 Rh isoimmunization of newborn H
P55.1 ABO isoimmunization of 4
newborn P55.8 Other hemolytic 0
diseases of newborn .
P55.9 Hemolytic disease of newborn, 9
unspecified
D
A.Z38.00, .
P55.0 H
B.Z38.00, 4
P55.1 0
C.Z38.00, .
P55.8 1
D.Z38.00, 1
P55.9 1
2
4. The patient is seen in his ophthalmologist's
office and treated for bilateral open angle
5. Inpatient
glaucoma, moderate stage. How would this
admission:
encounter be coded?
The patient
H40.10X2 Unspecified open-angle glaucoma, is a 78-
moder- ate stage year-old fe-
H40.1111 Primary open-angle glaucoma, right male with
eye, mild stage heart
H40.1112 Primary open-angle glaucoma, right palpitations
eye, moderate stage and
H40.9 Unspecified glaucoma abdominal
pain who
A.H40.10X2
B.H40.1111