Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA 6th E... file:///C:/Users/HP/Desktop/TYPA%20NEW/Certified%20Coding%2
Certified Coding Specialist (CCS) Exam Prep
Questions -AHIMA 6th Edition
1. Carcinoma in situ
ANS Tumor cells that are undergoing malignant changes but arestill confined to the
point of origin without invasion of the surrounding normal tissue
2. Examples of carcinoma in situ
ANS Intraepithelial infiltrating
3. The patient was admitted from the emergency department because of chest
pain. Following blood work, it was determined that the patient had elevated
CPKs and MB enzymes.The EKG shows nonspecific ST changes.
What type of diagnosis might this indicate?
a. Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis
ANS b
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The CPK elevation with MB enzymes elevated and the EKG ST changes denote a
possible Ml (Leon-Chisen 2013, 386-387).
4. 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
ANS 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).
5. A patient was admitted with heart failure within one week of a heart trans-
plant. Due to the timing, the coder thought that it may represent a postopera-
tive transplant rejection following heart transplant.
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,Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA 6th E... file:///C:/Users/HP/Desktop/TYPA%20NEW/Certified%20Coding%2
What action(s) should the coding staff take?
a. Query the physician.
b. Assign the codes for the postoperative transplant rejection.
c. Assign only the code for the transplant rejection.
d. Assign only the code for heart failure.
ANS a
When the documentation is not clear regarding a potential complication, it is ap-
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,Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA 6th E... file:///C:/Users/HP/Desktop/TYPA%20NEW/Certified%20Coding%2
propriate query the physician (HHS 2014, Section I.B.16, 16; Leon-Chisen 2013,43-
44).
6. 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 changefrom her
prior level of functioning. She has also gained 15 lbs, has difficulty falling
asleep, feels fatigued, and has difficulty making decisions.
What potential diagnosis most closely fits the patient's overall symptoms?
a. Insomnia
b. Major depression
c. Reye's syndrome
d. Bipolar disorder
ANS b
The symptoms provided are indicative of a depressive disorder (Leon-Chisen 2013,
175).
7. Inpatient
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Certified Coding Specialist (CCS) Exam Prep
Questions -AHIMA 6th Edition
1. Carcinoma in situ
ANS Tumor cells that are undergoing malignant changes but arestill confined to the
point of origin without invasion of the surrounding normal tissue
2. Examples of carcinoma in situ
ANS Intraepithelial infiltrating
3. The patient was admitted from the emergency department because of chest
pain. Following blood work, it was determined that the patient had elevated
CPKs and MB enzymes.The EKG shows nonspecific ST changes.
What type of diagnosis might this indicate?
a. Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis
ANS b
1 of 40 8/8/2024, 2:41
,Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA 6th E... file:///C:/Users/HP/Desktop/TYPA%20NEW/Certified%20Coding%2
The CPK elevation with MB enzymes elevated and the EKG ST changes denote a
possible Ml (Leon-Chisen 2013, 386-387).
4. 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
ANS 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).
5. A patient was admitted with heart failure within one week of a heart trans-
plant. Due to the timing, the coder thought that it may represent a postopera-
tive transplant rejection following heart transplant.
2 of 40 8/8/2024, 2:41
,Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA 6th E... file:///C:/Users/HP/Desktop/TYPA%20NEW/Certified%20Coding%2
What action(s) should the coding staff take?
a. Query the physician.
b. Assign the codes for the postoperative transplant rejection.
c. Assign only the code for the transplant rejection.
d. Assign only the code for heart failure.
ANS a
When the documentation is not clear regarding a potential complication, it is ap-
3 of 40 8/8/2024, 2:41
,Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA 6th E... file:///C:/Users/HP/Desktop/TYPA%20NEW/Certified%20Coding%2
propriate query the physician (HHS 2014, Section I.B.16, 16; Leon-Chisen 2013,43-
44).
6. 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 changefrom her
prior level of functioning. She has also gained 15 lbs, has difficulty falling
asleep, feels fatigued, and has difficulty making decisions.
What potential diagnosis most closely fits the patient's overall symptoms?
a. Insomnia
b. Major depression
c. Reye's syndrome
d. Bipolar disorder
ANS b
The symptoms provided are indicative of a depressive disorder (Leon-Chisen 2013,
175).
7. Inpatient
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