CCS CERTIFIED CODING SPECIALIST EXAM
PREP QUESTIONS AND VERIFIED
ANSWERS -AHIMA 6TH EDITION
023-Other benign neoplasms of skin Includes: Benign neoplasm
of hair follicles Benign neoplasm of sebaceous glands Benign
neoplasm of sweat glands Excludes 1: benign lipomatous
neoplasms of skin (017.0-017.3) melanocytic nevi (022.-)
When coding benign lipomatous neoplasms of skin, the section
noted above directs the coder to:
a. Use category D23
b. Use a code from D17.0-D17.3
c. Use code E88.2
d. Use category D22 - correct answer- b
Excludes note 1 is defined as never code here (HHS 2014,
I.A.12.a, 10).
,023-Other benign neoplasms of skin Includes: Benign neoplasm
of hair follicles Benign neoplasm of sebaceous glands Benign
neoplasm of sweat glands Excludes 1: benign lipomatous
neoplasms of skin (017.0-017.3) melanocytic nevi (022.-)
When coding benign neoplasm of the skin, the section noted
above directs the coder to:
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 -
correct answer- a
Excludes note 1 is defined as never code here (HHS 2014,
I.A.12.a, 10).
,A patient has a principal diagnosis of pneumonia (118.9) (MS-
DRG 195).
Which of the following may legitimately change the coding of
the pneumonia in accordance with the UHDDS and relevant
clinical documentation?
a. Sputum culture reflects growth of normal flora.
b. Patient has a positive gram stain.
c. Patient is found to have dysphagia with aspiration.
d. Patient has nonproductive sputum. - correct answer- c
Patient is found to have dysphagia with aspiration is the correct
answer because it changes the coding to aspiration pneumonia
and would result in MS-DRG 179 RESPIRATORY INFECTIONS &
INFLAMMATIONS W/0 CC/MCC, which has a weight of 0.9718
(Medicare Grouper Version Used: 31). This is in comparison to
MS-DRG 0195, SIMPLE PNEUMONIA & PLEURISY W/0 CC/MCC
MDC: 04 which has a DRG weight of 0.6978 (Medicare Grouper
Version Used: 31).
, A patient is admitted and diagnosed with fever and urinary
burning. The discharge diagnosis· is Escherichia coli, urinary tract
infection.
Which of the following represents the correct diagnoses and
appropriate sequence of those conditions?
a. Fever, urinary burning, urosepsis
b. Fever, urinary burning, sepsis
c. Escherichia coli, urinary tract infection
d. Urinary tract infection, Escherichia coli - correct answer-
d
Symptoms are not coded when a definitive diagnosis is present
on discharge. The patient discharge diagnosis of urinary tract
infection. The organism (E. coli) is coded with a seco diagnosis
code (B96.20) which is to be added as an additional code to
identify the bacterial agent (HHS 2014, Section II.A., 98).
A patient is admitted to a psychiatric unit of an acute-care
facility. The patient experienced the following symptoms almost
every day for the last month: loss of interest or pleasure in most
or all activities, which is a change from her prior level of
functioning. She has also gained 15 lbs, has difficulty falling
asleep, feels fatigued, and has difficulty making decisions.
PREP QUESTIONS AND VERIFIED
ANSWERS -AHIMA 6TH EDITION
023-Other benign neoplasms of skin Includes: Benign neoplasm
of hair follicles Benign neoplasm of sebaceous glands Benign
neoplasm of sweat glands Excludes 1: benign lipomatous
neoplasms of skin (017.0-017.3) melanocytic nevi (022.-)
When coding benign lipomatous neoplasms of skin, the section
noted above directs the coder to:
a. Use category D23
b. Use a code from D17.0-D17.3
c. Use code E88.2
d. Use category D22 - correct answer- b
Excludes note 1 is defined as never code here (HHS 2014,
I.A.12.a, 10).
,023-Other benign neoplasms of skin Includes: Benign neoplasm
of hair follicles Benign neoplasm of sebaceous glands Benign
neoplasm of sweat glands Excludes 1: benign lipomatous
neoplasms of skin (017.0-017.3) melanocytic nevi (022.-)
When coding benign neoplasm of the skin, the section noted
above directs the coder to:
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 -
correct answer- a
Excludes note 1 is defined as never code here (HHS 2014,
I.A.12.a, 10).
,A patient has a principal diagnosis of pneumonia (118.9) (MS-
DRG 195).
Which of the following may legitimately change the coding of
the pneumonia in accordance with the UHDDS and relevant
clinical documentation?
a. Sputum culture reflects growth of normal flora.
b. Patient has a positive gram stain.
c. Patient is found to have dysphagia with aspiration.
d. Patient has nonproductive sputum. - correct answer- c
Patient is found to have dysphagia with aspiration is the correct
answer because it changes the coding to aspiration pneumonia
and would result in MS-DRG 179 RESPIRATORY INFECTIONS &
INFLAMMATIONS W/0 CC/MCC, which has a weight of 0.9718
(Medicare Grouper Version Used: 31). This is in comparison to
MS-DRG 0195, SIMPLE PNEUMONIA & PLEURISY W/0 CC/MCC
MDC: 04 which has a DRG weight of 0.6978 (Medicare Grouper
Version Used: 31).
, A patient is admitted and diagnosed with fever and urinary
burning. The discharge diagnosis· is Escherichia coli, urinary tract
infection.
Which of the following represents the correct diagnoses and
appropriate sequence of those conditions?
a. Fever, urinary burning, urosepsis
b. Fever, urinary burning, sepsis
c. Escherichia coli, urinary tract infection
d. Urinary tract infection, Escherichia coli - correct answer-
d
Symptoms are not coded when a definitive diagnosis is present
on discharge. The patient discharge diagnosis of urinary tract
infection. The organism (E. coli) is coded with a seco diagnosis
code (B96.20) which is to be added as an additional code to
identify the bacterial agent (HHS 2014, Section II.A., 98).
A patient is admitted to a psychiatric unit of an acute-care
facility. The patient experienced the following symptoms almost
every day for the last month: loss of interest or pleasure in most
or all activities, which is a change from her prior level of
functioning. She has also gained 15 lbs, has difficulty falling
asleep, feels fatigued, and has difficulty making decisions.
