CCS EXAM PREP QUESTIONS AND
CORRECT SOLUTIONS
A patient is admitted with an acute inferior myocardial infarction and discharged alive. Which
condition would increase the MS-DRG weight? ✅✅ANSW-Respiratory failure
A female patient is diagnosed with congestive heart failure. Which of the following will increase the
MS-DRG weight if present on admission? ✅✅ANSW-State III pressure ulcer of coccyx
Major complications and comorbidities (MCCs) are determined to require the greatest degree of
resources with a payment group and also reflect the greatest: ✅✅ANSW-SOI (Severity of Illness)
SOI ✅✅ANSW-Severity of Illness
ROM ✅✅ANSW-risk of mortality
ROI ✅✅ANSW-release of information
SNF ✅✅ANSW-Skilled nursing facility
Which of the following diagnoses qualifies as MCC? ✅✅ANSW-Type 2 myocardial infarction
A 7 year old patient was admitted to the emergency department for treatment of shortness of
breath. The patient is given epinephrine and nebulizer treatments. The shortness of breath and
wheezing are unabeted following treatment. What diagnosis should be suspected? ✅✅ANSW-
Asthma with status asthmaticus
A 23-year old female is admitted for shock following treatment of an ectopic pregnancy. This
encounter would be coded as: ✅✅ANSW-O08.3, complication following ectopic and molar
pregnancies
The patient is discharged with a diagnosis of acute pulmonary edema due to congestive heart
failure. What condition should be coded? ✅✅ANSW-Congestive heart failure
, The most challenging type of provider query is issued for: ✅✅ANSW-Establishing clinical
validation
Most hospitals require a medical record to be completed within: ✅✅ANSW-30 days
When creating a compliant query to clarify conflicting information from the surgeon and the
attending physician, to whom should the query be directed? ✅✅ANSW-Attending Physician
When a compliant query remains unanswered, what is the next step for the coder? ✅✅ANSW-
Refer to the internal escalation policy and follow the process outlined therein.
When creating compliant queries, coders should: ✅✅ANSW-Query once with additional follow
up if necessary
Verbal queries: ✅✅ANSW-Must have a written response in the record for coding purposes
A patient is admitted with a high temperature, lethargy, hypotension, tachycardia, oliguria, and
elevated WBC. The patient also has more than 100,000 organisms of Escherichia coli per cc of urine.
The attending physician documents, "urosepsis.: What is the next step for the coder? ✅✅ANSW-
Ask the physician whether the patient had septic chock so that this may be used as the principle
diagnosis.
A patient has findings suggestive of chronic obstructive pulmonary disease (COPD) on chest x-ray.
The attending physician mentions the x-ray findings in one progress note. but no medications,
treatments, or further evaluation is provided. The coder should: ✅✅ANSW-Query the attending
physician regarding the x-ray finding
If a patient undergoes an inpatient procedure and the final summary diagnosis is different from the
diagnosis on the pathology report, the coder should: ✅✅ANSW-Query the attending physician as
to the final diagnosis
A 56-year old woman is admitted to an acute0care facility from a skilled nursing facility. The patient
has multiple sclerosis and hypertension. During the course of hospitalization, a decubitus ulcer is
found and debrided a the bedside by a physician. There is no typed operative report and no
CORRECT SOLUTIONS
A patient is admitted with an acute inferior myocardial infarction and discharged alive. Which
condition would increase the MS-DRG weight? ✅✅ANSW-Respiratory failure
A female patient is diagnosed with congestive heart failure. Which of the following will increase the
MS-DRG weight if present on admission? ✅✅ANSW-State III pressure ulcer of coccyx
Major complications and comorbidities (MCCs) are determined to require the greatest degree of
resources with a payment group and also reflect the greatest: ✅✅ANSW-SOI (Severity of Illness)
SOI ✅✅ANSW-Severity of Illness
ROM ✅✅ANSW-risk of mortality
ROI ✅✅ANSW-release of information
SNF ✅✅ANSW-Skilled nursing facility
Which of the following diagnoses qualifies as MCC? ✅✅ANSW-Type 2 myocardial infarction
A 7 year old patient was admitted to the emergency department for treatment of shortness of
breath. The patient is given epinephrine and nebulizer treatments. The shortness of breath and
wheezing are unabeted following treatment. What diagnosis should be suspected? ✅✅ANSW-
Asthma with status asthmaticus
A 23-year old female is admitted for shock following treatment of an ectopic pregnancy. This
encounter would be coded as: ✅✅ANSW-O08.3, complication following ectopic and molar
pregnancies
The patient is discharged with a diagnosis of acute pulmonary edema due to congestive heart
failure. What condition should be coded? ✅✅ANSW-Congestive heart failure
, The most challenging type of provider query is issued for: ✅✅ANSW-Establishing clinical
validation
Most hospitals require a medical record to be completed within: ✅✅ANSW-30 days
When creating a compliant query to clarify conflicting information from the surgeon and the
attending physician, to whom should the query be directed? ✅✅ANSW-Attending Physician
When a compliant query remains unanswered, what is the next step for the coder? ✅✅ANSW-
Refer to the internal escalation policy and follow the process outlined therein.
When creating compliant queries, coders should: ✅✅ANSW-Query once with additional follow
up if necessary
Verbal queries: ✅✅ANSW-Must have a written response in the record for coding purposes
A patient is admitted with a high temperature, lethargy, hypotension, tachycardia, oliguria, and
elevated WBC. The patient also has more than 100,000 organisms of Escherichia coli per cc of urine.
The attending physician documents, "urosepsis.: What is the next step for the coder? ✅✅ANSW-
Ask the physician whether the patient had septic chock so that this may be used as the principle
diagnosis.
A patient has findings suggestive of chronic obstructive pulmonary disease (COPD) on chest x-ray.
The attending physician mentions the x-ray findings in one progress note. but no medications,
treatments, or further evaluation is provided. The coder should: ✅✅ANSW-Query the attending
physician regarding the x-ray finding
If a patient undergoes an inpatient procedure and the final summary diagnosis is different from the
diagnosis on the pathology report, the coder should: ✅✅ANSW-Query the attending physician as
to the final diagnosis
A 56-year old woman is admitted to an acute0care facility from a skilled nursing facility. The patient
has multiple sclerosis and hypertension. During the course of hospitalization, a decubitus ulcer is
found and debrided a the bedside by a physician. There is no typed operative report and no
