CCS STUDY GUIDE EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
Chronic kidney disease stage 5 - Answer-Code to N18.6 (ESRD) and dialysis status
Z99.2
Severe sepsis - Answer-Underlying infection + R65.2
Septic shock - Answer-Underlying infection + R65.1
Nosocomial infections - Answer-Additional code of Y95
HIV infections - Answer-Code only confirmed cases (diagnosis sufficient)
Sequencing HIV codes - 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 - Answer-Has a unique category
Respiratory condition occurring in more than one place - Answer-Coded to the lower
anatomic location
Respiratory condition - Answer-Code exposure to tobacco
Gastrointestinal term hemmorrhage - Answer-Means ulcers
Gastrointestinal term bleeding - Answer-Means gastritis, duodenitis, diverticulosis,
diverticulitis
Delivery and pregnancy - Answer-5th or 6th digit represents trimester
Trimesters - Answer-1- less than 14 wks
2- less than 28 wks, more than 14
3- 28 wks thru delivery
Delivery chart codes should include - Answer-a) Delivery diagnosis code
b) Outcome of delivery
, c)Weeks of gestation
d) Procedure code
Normal delivery code - Answer-O80
Weeks of gestation code - Answer-Z3A
Complications of ectopic pregnancy and abortions - Answer-Require additional codes
Anemia - 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 - Answer-Code
as a subenocardial MI
Subsequent MI within 4 weeks of initial - Answer-Code from I22 and I21
Primary site of neoplasm - Answer-Is where the cancer arises
Secondary neoplasm - Answer-When cancer leaves the original site
Morphology can lead to primary site - Answer-For example: renal cell carcinoma arises
in the kidney
Steps for coding neoplasms - Answer-1. Look up morphology
2. No primary site code- use neoplasm table
3. If the term metastatic is used assume these are secondary sites:
Bones, brain, diaphragm, heart, liver, lymph nodes, mediastinum, meninges,
peritoneum, pleura, retroperitoneum, spinal cord, and sites from C76
Injuries and burns - Answer-Use code from ch. 20 to indicate cause of injury
Burns on different body parts - Answer-Use only the degree of greatest severity along
with the additional codes for burns of other anatomic sites
Adverse effect of a drug - Answer-Allergic reaction
Cumulative effect
Hypersensitivity
Idiosyncratic reaction
Paradoxical reaction
Synergistic
Poisoning - Answer-Administered, taken or prescribed incorrectly
Alcohol in conjunction with a drug
Street drugs resulting in overdose
WITH COMPLETE SOLUTIONS
Chronic kidney disease stage 5 - Answer-Code to N18.6 (ESRD) and dialysis status
Z99.2
Severe sepsis - Answer-Underlying infection + R65.2
Septic shock - Answer-Underlying infection + R65.1
Nosocomial infections - Answer-Additional code of Y95
HIV infections - Answer-Code only confirmed cases (diagnosis sufficient)
Sequencing HIV codes - 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 - Answer-Has a unique category
Respiratory condition occurring in more than one place - Answer-Coded to the lower
anatomic location
Respiratory condition - Answer-Code exposure to tobacco
Gastrointestinal term hemmorrhage - Answer-Means ulcers
Gastrointestinal term bleeding - Answer-Means gastritis, duodenitis, diverticulosis,
diverticulitis
Delivery and pregnancy - Answer-5th or 6th digit represents trimester
Trimesters - Answer-1- less than 14 wks
2- less than 28 wks, more than 14
3- 28 wks thru delivery
Delivery chart codes should include - Answer-a) Delivery diagnosis code
b) Outcome of delivery
, c)Weeks of gestation
d) Procedure code
Normal delivery code - Answer-O80
Weeks of gestation code - Answer-Z3A
Complications of ectopic pregnancy and abortions - Answer-Require additional codes
Anemia - 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 - Answer-Code
as a subenocardial MI
Subsequent MI within 4 weeks of initial - Answer-Code from I22 and I21
Primary site of neoplasm - Answer-Is where the cancer arises
Secondary neoplasm - Answer-When cancer leaves the original site
Morphology can lead to primary site - Answer-For example: renal cell carcinoma arises
in the kidney
Steps for coding neoplasms - Answer-1. Look up morphology
2. No primary site code- use neoplasm table
3. If the term metastatic is used assume these are secondary sites:
Bones, brain, diaphragm, heart, liver, lymph nodes, mediastinum, meninges,
peritoneum, pleura, retroperitoneum, spinal cord, and sites from C76
Injuries and burns - Answer-Use code from ch. 20 to indicate cause of injury
Burns on different body parts - Answer-Use only the degree of greatest severity along
with the additional codes for burns of other anatomic sites
Adverse effect of a drug - Answer-Allergic reaction
Cumulative effect
Hypersensitivity
Idiosyncratic reaction
Paradoxical reaction
Synergistic
Poisoning - Answer-Administered, taken or prescribed incorrectly
Alcohol in conjunction with a drug
Street drugs resulting in overdose
