Certified Coding Specialist (CCS) Exam
Prep Questions -AHIMA 6th Edition
Carcinoma in situ - ANSTumor cells which might be undergoing malignant changes but are still
restrained to the factor of foundation with out invasion of the encircling everyday tissue
Examples of carcinoma in situ - ANSIntraepithelial infiltrating
The patient changed into admitted from the emergency branch because of chest ache.
Following blood work, it changed into decided that the affected person had extended CPKs and
MB enzymes. The EKG suggests nonspecific ST adjustments.
What kind of prognosis would possibly this suggest?
A. Unstable angina
b. Myocardial infarction
c. Congestive coronary heart failure
d. Mitral valve stenosis - ANSb
The CPK elevation with MB enzymes accelerated and the EKG ST adjustments denote a
possible Ml (Leon-Chisen 2013, 386-387).
A affected person is admitted and identified with fever and urinary burning. The discharge
prognosis· is Escherichia coli, urinary tract infection.
Which of the following represents the ideal diagnoses and suitable sequence of those
conditions?
A. Fever, urinary burning, urosepsis
b. Fever, urinary burning, sepsis
c. Escherichia coli, urinary tract contamination
d. Urinary tract infection, Escherichia coli - ANSd
Symptoms are not coded while a definitive analysis is gift on discharge. The patient discharge
analysis of urinary tract contamination. The organism (E. Coli) is coded with a seco prognosis
code (B96.20) which is to be brought as a further code to discover the bacterial agent (HHS
2014, Section II.A., ninety eight).
A patient became admitted with coronary heart failure inside one week of a coronary heart
transplant. Due to the timing, the coder concept that it is able to represent a postoperative
transplant rejection following heart transplant.
What action(s) should the coding staff take?
, A. Query the health practitioner.
B. Assign the codes for the postoperative transplant rejection.
C. Assign most effective the code for the transplant rejection.
D. Assign only the code for heart failure. - ANSa
When the documentation isn't clear concerning a ability problem, it is suitable query the
physician (HHS 2014, Section I.B.16, sixteen; Leon-Chisen 2013, 43-forty four).
A affected person is admitted to a psychiatric unit of an acute-care facility. The affected person
skilled the subsequent signs almost every day for the last month: lack of interest or delight in
most or all activities, that is a alternate from her earlier degree of functioning. She has
additionally won 15 lbs, has difficulty falling asleep, feels fatigued, and has difficulty making
decisions.
What ability prognosis most intently fits the patient's basic signs?
A. Insomnia
b. Major despair
c. Reye's syndrome
d. Bipolar disorder - ANSb
The signs and symptoms provided are indicative of a depressive disease (Leon-Chisen 2013,
one hundred seventy five).
Inpatient:
Admission for inguinal hernia repair. This 30-yr-vintage patient has obtained immunodeficiency
syndrome (AIDS) but is not symptomatic right now because of medication regimen. The system
finished turned into a proper indirect inguinal herniorrhaphy via open approach. -
ANSICD-10-CM: K40.Ninety, B20,
ICD-10-PCS: OYQ50ZZ (Schraffenberger 2013, 82-84,252)
Inpatient:
A 75-yr-vintage male patient became admitted from a nursing domestic with dehydration and
dysphagia because of a preceding stroke. During hospitalization the affected person changed
into rehydrated and transferred returned to the nursing home. - ANSICD-10-CM: E86.0, I69.391
(Schraffenberger 2013, 131, 209-210).
Stroke= cerebral infarction
Inpatient:
Prep Questions -AHIMA 6th Edition
Carcinoma in situ - ANSTumor cells which might be undergoing malignant changes but are still
restrained to the factor of foundation with out invasion of the encircling everyday tissue
Examples of carcinoma in situ - ANSIntraepithelial infiltrating
The patient changed into admitted from the emergency branch because of chest ache.
Following blood work, it changed into decided that the affected person had extended CPKs and
MB enzymes. The EKG suggests nonspecific ST adjustments.
What kind of prognosis would possibly this suggest?
A. Unstable angina
b. Myocardial infarction
c. Congestive coronary heart failure
d. Mitral valve stenosis - ANSb
The CPK elevation with MB enzymes accelerated and the EKG ST adjustments denote a
possible Ml (Leon-Chisen 2013, 386-387).
A affected person is admitted and identified with fever and urinary burning. The discharge
prognosis· is Escherichia coli, urinary tract infection.
Which of the following represents the ideal diagnoses and suitable sequence of those
conditions?
A. Fever, urinary burning, urosepsis
b. Fever, urinary burning, sepsis
c. Escherichia coli, urinary tract contamination
d. Urinary tract infection, Escherichia coli - ANSd
Symptoms are not coded while a definitive analysis is gift on discharge. The patient discharge
analysis of urinary tract contamination. The organism (E. Coli) is coded with a seco prognosis
code (B96.20) which is to be brought as a further code to discover the bacterial agent (HHS
2014, Section II.A., ninety eight).
A patient became admitted with coronary heart failure inside one week of a coronary heart
transplant. Due to the timing, the coder concept that it is able to represent a postoperative
transplant rejection following heart transplant.
What action(s) should the coding staff take?
, A. Query the health practitioner.
B. Assign the codes for the postoperative transplant rejection.
C. Assign most effective the code for the transplant rejection.
D. Assign only the code for heart failure. - ANSa
When the documentation isn't clear concerning a ability problem, it is suitable query the
physician (HHS 2014, Section I.B.16, sixteen; Leon-Chisen 2013, 43-forty four).
A affected person is admitted to a psychiatric unit of an acute-care facility. The affected person
skilled the subsequent signs almost every day for the last month: lack of interest or delight in
most or all activities, that is a alternate from her earlier degree of functioning. She has
additionally won 15 lbs, has difficulty falling asleep, feels fatigued, and has difficulty making
decisions.
What ability prognosis most intently fits the patient's basic signs?
A. Insomnia
b. Major despair
c. Reye's syndrome
d. Bipolar disorder - ANSb
The signs and symptoms provided are indicative of a depressive disease (Leon-Chisen 2013,
one hundred seventy five).
Inpatient:
Admission for inguinal hernia repair. This 30-yr-vintage patient has obtained immunodeficiency
syndrome (AIDS) but is not symptomatic right now because of medication regimen. The system
finished turned into a proper indirect inguinal herniorrhaphy via open approach. -
ANSICD-10-CM: K40.Ninety, B20,
ICD-10-PCS: OYQ50ZZ (Schraffenberger 2013, 82-84,252)
Inpatient:
A 75-yr-vintage male patient became admitted from a nursing domestic with dehydration and
dysphagia because of a preceding stroke. During hospitalization the affected person changed
into rehydrated and transferred returned to the nursing home. - ANSICD-10-CM: E86.0, I69.391
(Schraffenberger 2013, 131, 209-210).
Stroke= cerebral infarction
Inpatient:
