CCS Exam Practice Questions With Step-by-Step
Solutions
Chronic kidney disease stage 5 Correct Answer - Code to N18.6 (ESRD)
and dialysis status Z99.2
Severe sepsis Correct Answer - Underlying infection + R65.2
Septic shock Correct Answer - Underlying infection + R65.1
Nosocomial infections Correct Answer - Additional code of Y95
HIV infections Correct Answer - Code only confirmed cases (diagnosis
sufficient)
Sequencing HIV codes Correct 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 Correct Answer - Has a unique category
Respiratory condition occurring in more than one place Correct Answer -
Coded to the lower anatomic location
Respiratory condition Correct Answer - Code exposure to tobacco
Gastrointestinal term hemmorrhage Correct Answer - Means ulcers
Gastrointestinal term bleeding Correct Answer - Means gastritis,
duodenitis, diverticulosis, diverticulitis
, Delivery and pregnancy Correct Answer - 5th or 6th digit represents
trimester
Trimesters Correct Answer - 1- less than 14 wks
2- less than 28 wks, more than 14
3- 28 wks thru delivery
Delivery chart codes should include Correct Answer - a) Delivery
diagnosis code
b) Outcome of delivery
c)Weeks of gestation
d) Procedure code
Normal delivery code Correct Answer - O80
Weeks of gestation code Correct Answer - Z3A
Complications of ectopic pregnancy and abortions Correct Answer -
Require additional codes
Anemia Correct 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
Correct Answer - Code as a subenocardial MI
Subsequent MI within 4 weeks of initial Correct Answer - Code from I22
and I21
Primary site of neoplasm Correct Answer - Is where the cancer arises
Secondary neoplasm Correct Answer - When cancer leaves the original
site
Morphology can lead to primary site Correct Answer - For example:
renal cell carcinoma arises in the kidney
Steps for coding neoplasms Correct Answer - 1. Look up morphology
Solutions
Chronic kidney disease stage 5 Correct Answer - Code to N18.6 (ESRD)
and dialysis status Z99.2
Severe sepsis Correct Answer - Underlying infection + R65.2
Septic shock Correct Answer - Underlying infection + R65.1
Nosocomial infections Correct Answer - Additional code of Y95
HIV infections Correct Answer - Code only confirmed cases (diagnosis
sufficient)
Sequencing HIV codes Correct 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 Correct Answer - Has a unique category
Respiratory condition occurring in more than one place Correct Answer -
Coded to the lower anatomic location
Respiratory condition Correct Answer - Code exposure to tobacco
Gastrointestinal term hemmorrhage Correct Answer - Means ulcers
Gastrointestinal term bleeding Correct Answer - Means gastritis,
duodenitis, diverticulosis, diverticulitis
, Delivery and pregnancy Correct Answer - 5th or 6th digit represents
trimester
Trimesters Correct Answer - 1- less than 14 wks
2- less than 28 wks, more than 14
3- 28 wks thru delivery
Delivery chart codes should include Correct Answer - a) Delivery
diagnosis code
b) Outcome of delivery
c)Weeks of gestation
d) Procedure code
Normal delivery code Correct Answer - O80
Weeks of gestation code Correct Answer - Z3A
Complications of ectopic pregnancy and abortions Correct Answer -
Require additional codes
Anemia Correct 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
Correct Answer - Code as a subenocardial MI
Subsequent MI within 4 weeks of initial Correct Answer - Code from I22
and I21
Primary site of neoplasm Correct Answer - Is where the cancer arises
Secondary neoplasm Correct Answer - When cancer leaves the original
site
Morphology can lead to primary site Correct Answer - For example:
renal cell carcinoma arises in the kidney
Steps for coding neoplasms Correct Answer - 1. Look up morphology
