Certified Coding Specialist Practice Test COMPLETE SOLUTIONS

A 7-year-old patient was admitted in the emergency department for treatment of shortness of breath. The patient is given epinephrine and nebulizer treatments. The shortness of breath and wheezing are unabated following treatment. What diagnosis should be suspected? - Asthma with status asthmaticus A patient is admitted with a high temperature, lethargy, hypotension, tachycardia, oliguria, and elevated WBC. The patient has more than 100,000 organisms of Escherichia coli per cc of urine. The attending physician documents "urosepsis". What is the next step for the coder? - Query the physician to determine if the patient is being treated for sepsis, highlighting the clinical signs and symptoms During a coronary artery bypass surgery, the patient underwent saphenous bypass grafts; from the aorta to the left anterior descending branch of the left main coronary artery, and the left posterior descending of the left main coronary artery. The patient also underwent a repositioning of the mammary artery. Choose the best description for this procedure. - Two aortocoronary grafts and one mammarycoronary graft According to CPT, an endoscopy that is undertaken to the level of the midtransverse colon would be coded as a ________________________. - Colonoscopy Infusion of Herceptin, a monoclonal antibody used for treatment of breast cancer in patients carrying a certain mutation of the HER2 gene, is classified as ___________________. - Molecular targets A patient has findings suggestive of chronic obstructive pulmonary disease (COPD) on chest x-ray. The attending physician mentions the x-ray. The attending physician mentions the x-ray finding in one progress note but no medication, treatment, or further evaluation is provided. The coder should __________________________________________. - Query the attending physician regarding the Xray findings