CCS Exam Preparation questions with
correct answers
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 |- |correct |answers✔✔Myocardial |infarction
A |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 |- |correct |answers✔✔Major |depression
A |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 |- |correct |answers✔✔Abdominal |adhesions |with
|obstruction, |lysis |of |adhesions
A |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 |- |correct |answers✔✔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.
When |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 |- |correct |answers✔✔If |additional
|procedures |were |performed
A |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 |
correct answers
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 |- |correct |answers✔✔Myocardial |infarction
A |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 |- |correct |answers✔✔Major |depression
A |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 |- |correct |answers✔✔Abdominal |adhesions |with
|obstruction, |lysis |of |adhesions
A |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 |- |correct |answers✔✔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.
When |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 |- |correct |answers✔✔If |additional
|procedures |were |performed
A |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 |
