CCS Exam Preparation Qustions &Answers 100% Correct

A patient was admitted from the emergency department because of chest pain. Following blood work, it was determined that the patient had elevated CK-MB enzymes. The EKG shows nonspecific ST changes. What type of diagnosis might this indicate? a) mitral valve stenosis b) unstable angina c) myocardial infarction d) congestive heart failure - ANSWER Myocardial infarction AnswerA patient is admitted to the psychiatric unit of an acute-care facility. Almost every day for the past month, the patient has experienced loss of interest in most or all activities, which is a change from her prior level of functioning. She had also gained 15 LBS, difficulty falling asleep, feels fatigued and has difficulty making decision. What potential diagnosis most closely fits the patients overall symptoms? a) bipolar disorder b) insomnia c) Reye's syndrome d) major depression - ANSWER Major depression AnswerA patient is admitted to the hospital complaining of abdominal pain. Following evaluation, it was determined that the patient had an obstruction of the left colon due to adhesions from a prior abdominal surgery. The patient underwent laparotomy with lysis of adhesions. What conditions and procedures should be coded? a) abdominal pain, abdominal obstruction, laparotomy, lysis of adhesions b) abdominal adhesions with obstruction, lysis of adhesions c) abdominal adhesions, abdominal obstruction, postoperative complications of the digestive system, laparotomy, lysis of adhesions d) abdominal adhesions, abdominal obstruction, postoperative complications of the digestive system, lysis of adhesions - ANSWER Abdominal adhesions with obstruction, lysis of adhesions AnswerA Patient is diagnosed with infertility due to endometriosis and undergoes an outpatient laparoscopic laser destruction of pelvic endometriosis. In order to code this encounter accurately, what steps must the coding professional take? a) review the operative report to determine what procedure code to use. Determine the sit or sites of endometriosis so codes with the highest specificity may be assigned. Use infertility as a principal diagnosis. b) review the operative report to determine where the laser was used in the pelvis so the site or sites of endometriosis can be specified. Assign a principal of infertility. c) receive the operative report to determine where the laser was used in the pelvis so the site or sites of endometriosis can be specified as principal. Assign a secondary diagnosis of infertility. c) review the operative report to determine what procedures codes to use. Determine the site or sites of end - ANSWER review the operative report to determine what procedures codes to use. Determine the site or sites of endometriosis so codes with the highest specify may be assigned. Assign endometriosis as the principal diagnosis. Assign infertility as a secondary condition. AnswerWhen coding a cardiac Catheterization in CPT, in addition to the approach and the side of the heart into which the catheter was inserted, what else need to be determined? a) the type of anesthesia b) if additional procedures were performed c) the duration of the procedure d) documentation that stents were considered - ANSWER If additional procedures were performed AnswerA female patient is admitted for a second-degree cystocele. A repair is performed. Which report provides the documentation necessary to accurately code the repair? a) history and physical b) discharge summary c) consultation d) operative report - ANSWER Operative report AnswerTo accurately report would closures with CPT codes, in addition to knowing the site and length of the closure, what other information is necessary? a) if anesthesia was used and what kind b) the repair type: simple, intermediate or complex c) the supplies that's were used d) if exploration of tendons or blood vessels occurred - ANSWER The repair type: simple, intermediate, or complex AnswerA 64-year-old female is admitted to the hospital with nausea, vomiting and edema. Lab values indicate the patient has dehydration. The patient takes lisinopril as prescribed along with levothyroxine for hypothyroidism. On the discharge summary, 5)3 final diagnoses of acute renal failure, hypothyroidism, and dehydration are documented. What discrepancy should a coding professional note in this documentation? a) there is not enough detail in the documentation to assign the dehydration b) there is no explanation for the patient's vomiting c) there is no correlating diagnosis for the Lisinopril d) the nausea, vomiting, and edema are indicative of chronic renal failure not acute - ANSWER There is no correlating diagnosis for the Lisinopril AnswerA patient comes in with right upper quadrant pain, nausea, and vomiting. An x-ray confirms inflammation in the gallbladder. The patient has been dealing with episodes like this for the past six months. The final diagnosis in the discharge statement is appendicitis. What discrepancy is muted in this record? a) the condition Indicated is acute appendicitis b) there is no discrepancy, code the appendicitis c) the condition indicated is chronic appendicitis d) the condition indicated is acute on chronic cholecystitis - ANSWER The condition indicated is acute on chronic cholecystitis AnswerWhat should be done to correct the discrepancy? a) since the patient came in with pain, it is appropriate to assign the code for acute appendicitis b) a query should be issued to determine the diagnosis as it seems appendicitis is incorrect c) a clinical documentation improvement specialist should be contacted to verify the diagnosis d) there is no discrepancy, code the appendicitis - ANSWER A query should be issued to determine the diagnosis as it seems appendicitis is incorrect AnswerA resident physician continually documents "CHF" without further clarification in patients medical record. What is the most likely rationale for this documentation practice? a) no problem exists with this documentation as CFH without further clarification is acceptable b) the reissue t is not qualified to make a more definitive determination of the type of CHF c) the resident lacks knowledge regarding the need for further clarification d) there is not enough information to determine the type of CHF - ANSWER The residents lacks knowledge regarding the need for the further clarification AnswerA a patient is scheduled for elective surgery for cataract removal of the left eye. The operative report indicates the surgery on the right eye is performed with the use of phacoemulsification and intraocular lens insertion. What discrepancy is noted in this documentation? a) the use of irrigation and aspiration is not mentioned b) No mention of implantation of intraocular lens c) No indication if general anesthesia was unsend d) laterality is not in agreement - ANSWER Laterality is not in agreement AnswerA 12-year-old boy was seen in an ambulatory surgical center for pain in his right arm. The x-ray showed fracture of ulna. Patient underwent closed reduction of fracture right proximal ulna and an elbow-to-finger cast was applied. What diagnostic and procedure codes should be assigned? - ANSWER S52.101A, S52.001A, 0PSK0ZZ AnswerA 75-year-old male patient was admitted from a nursing home with dehydration and dysphagia due to a previous stroke. During hospitalization, the patient was rehydrated and transferred back to the nursing home. What codes should be assigned? - ANSWER E86.0, I69.391, R13.10