CCS Practice Exam 2.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Practice%20
CCS Practice Exam 2
1. A 23 year old female is admitted for vaginal bleeding following a miscarriage two weeks
prior to this admission. She afebrile at this time and is treated with an aspiration dilation
and curettage. Products of conception are found. Which of the following should be the
principle diagnosis?
a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion
b. O08.1, Delayed or excessive hemorrhage following ectopic and molar preg- nancy
c. R57.9, Shock, unspecified
d. T81.10XA, Postprocedural shock unspecified, initial encounter
ANS a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion
2. A psychiatrist documents that a patient has wide mood swings from exces- sive
happiness to loss of energy and crying. What condition is suspected?
a. Bipolar disorder
b. Major depression
c. Anxiety
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,CCS Practice Exam 2.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Practice%20
d. Psychosis
ANS A. Bipolar disorder
3. A patient with a cephalic presentation anticipating a vaginal delivery failed to
progress. After measurement of the fetal head and a trial of oxytocin,
the patient underwent a cesarean section. What condition should the coder suspect and
query the physician about?
a. Twin pregnancy
b. Early delivery
c. Eclampsia
d. Cephalopelvic disproportion
ANS d. Cephalopelvic disproportion
4. A 45 year old woman underwent a carotid bypass and experienced a signifi- cant drop in
blood pressure during the surgery.The documentation suggested the patient may have had
a myocardial infarction. In accordance with coding guidelines, what should the coder do?
a. Code complication of surgery NOS.
b. Query the physician to determine if the patient had hypotension.
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,CCS Practice Exam 2.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Practice%20
c. Query the physician to determine if there was a complication of surgery.
d. Code preoperative shock.
ANS c. Query the physician to determine if there was a complication of surgery.
5. If a patient's discharge summary does not contain a diagnosis that is documented
by the anesthesiologist in a preoperative evaluation and that would impact MS-DRG
assignment, the coder should
a. Code only from the discharge diagnosis
b. Code the diagnosis reflected on the anesthesia preoperative evaluation
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c. Code the most severe symptom
d. Query the attending physician regarding the clinical significance of that diagnosis
ANS d. Query the attending physician regarding the clinical significance of that diagnosis
6. A patient has documentation of esophageal varices.What condition may be related that
may affect the coding?
a. Arthritis
b. Liver disease
c. Chronic obstructive pulmonary disease
d. Erythema
ANS b. Liver disease
7. A patient admitted with acute abdominal pain, is fount to have appendicitis, and has an
appendectomy. The patient has a length of stay for 2 days. What type of patient encounter
is this?
a. Impatient
b. Outpatient
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CCS Practice Exam 2
1. A 23 year old female is admitted for vaginal bleeding following a miscarriage two weeks
prior to this admission. She afebrile at this time and is treated with an aspiration dilation
and curettage. Products of conception are found. Which of the following should be the
principle diagnosis?
a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion
b. O08.1, Delayed or excessive hemorrhage following ectopic and molar preg- nancy
c. R57.9, Shock, unspecified
d. T81.10XA, Postprocedural shock unspecified, initial encounter
ANS a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion
2. A psychiatrist documents that a patient has wide mood swings from exces- sive
happiness to loss of energy and crying. What condition is suspected?
a. Bipolar disorder
b. Major depression
c. Anxiety
1 of 58 8/8/2024, 2:40
,CCS Practice Exam 2.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Practice%20
d. Psychosis
ANS A. Bipolar disorder
3. A patient with a cephalic presentation anticipating a vaginal delivery failed to
progress. After measurement of the fetal head and a trial of oxytocin,
the patient underwent a cesarean section. What condition should the coder suspect and
query the physician about?
a. Twin pregnancy
b. Early delivery
c. Eclampsia
d. Cephalopelvic disproportion
ANS d. Cephalopelvic disproportion
4. A 45 year old woman underwent a carotid bypass and experienced a signifi- cant drop in
blood pressure during the surgery.The documentation suggested the patient may have had
a myocardial infarction. In accordance with coding guidelines, what should the coder do?
a. Code complication of surgery NOS.
b. Query the physician to determine if the patient had hypotension.
2 of 58 8/8/2024, 2:40
,CCS Practice Exam 2.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Practice%20
c. Query the physician to determine if there was a complication of surgery.
d. Code preoperative shock.
ANS c. Query the physician to determine if there was a complication of surgery.
5. If a patient's discharge summary does not contain a diagnosis that is documented
by the anesthesiologist in a preoperative evaluation and that would impact MS-DRG
assignment, the coder should
a. Code only from the discharge diagnosis
b. Code the diagnosis reflected on the anesthesia preoperative evaluation
3 of 58 8/8/2024, 2:40
,CCS Practice Exam 2.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Practice%20
c. Code the most severe symptom
d. Query the attending physician regarding the clinical significance of that diagnosis
ANS d. Query the attending physician regarding the clinical significance of that diagnosis
6. A patient has documentation of esophageal varices.What condition may be related that
may affect the coding?
a. Arthritis
b. Liver disease
c. Chronic obstructive pulmonary disease
d. Erythema
ANS b. Liver disease
7. A patient admitted with acute abdominal pain, is fount to have appendicitis, and has an
appendectomy. The patient has a length of stay for 2 days. What type of patient encounter
is this?
a. Impatient
b. Outpatient
4 of 58 8/8/2024, 2:40
