CCS Practice Exam 2 questions with verified
answers graded A+
1. A 23- y e a r - o l d female is admitted for vaginal bleeding a. O03.1,
Delayed or ex-
following a miscarriage two weeks prior to this admis- censive
hemorrhage fol-
sion. She afebrile at this time and is treated lowing incomplete
with an aspiration dilation and curettage. spon- taneous
Products of concep- tion are found. Which of abortion
the following should be the principal
diagnosis?
a. O03.1, Delayed or excessive hemorrhage
following incomplete spontaneous abortion
b. O08.1, Delayed or excessive hemorrhage
following ectopic and molar pregnancy
c. R57.9, Shock, unspecified
d. T81.10XA, Postprocedural shock unspecified,
initial encounter
2. A psychiatrist documents that a patient has wide mood A. Bipolar
disorder
swings from excessive happiness to loss of energy
and crying. What condition is suspected?
a. Bipolar disorder
b. Major depression
c. Anxiety
d. Psychosis
3. A patient with a cephalic presentation anticipating a d.
Cephalopelvic dispro-
vaginal delivery failed to progress. After measurement
portion of the fetal head and a trial of oxytocin,
1/
59
,CCS Practice Exam 2 questions with verified
answers graded A+
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
2/
59
,CCS Practice Exam 2 questions with verified
answers graded A+
4. A 45 year old woman underwent a carotid c. Query the physician to
bypass and experienced a significant drop in determine if there was a
blood pressure
during the surgery. The documentation suggested the complication of
surgery.
patient may have had a myocardial infarction. In
accor- dance 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.
c. Query the physician to determine if there
was a complication of surgery.
d. Code preoperative shock.
5. If a patient's discharge summary does not a. Arthritis
contain a diagnosis that is documented by the b. Liver
anesthesiologist in a preoperative evaluation disease
and that would impact MS-DRG assignment, c. Chronic
the coder should: obstructiv
e
a. Code only from the discharge diagnosis
pulmonary
b. Code the diagnosis reflected on the disease
anesthesia pre- operative evaluation d. Erythema
c. Code the most severe symptom
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?
3/
59
, CCS Practice Exam 2 questions with verified
answers graded A+
d. Query the attending physician regarding the clinical significance of that
diagnosis
b. Liver disease
4/
59
answers graded A+
1. A 23- y e a r - o l d female is admitted for vaginal bleeding a. O03.1,
Delayed or ex-
following a miscarriage two weeks prior to this admis- censive
hemorrhage fol-
sion. She afebrile at this time and is treated lowing incomplete
with an aspiration dilation and curettage. spon- taneous
Products of concep- tion are found. Which of abortion
the following should be the principal
diagnosis?
a. O03.1, Delayed or excessive hemorrhage
following incomplete spontaneous abortion
b. O08.1, Delayed or excessive hemorrhage
following ectopic and molar pregnancy
c. R57.9, Shock, unspecified
d. T81.10XA, Postprocedural shock unspecified,
initial encounter
2. A psychiatrist documents that a patient has wide mood A. Bipolar
disorder
swings from excessive happiness to loss of energy
and crying. What condition is suspected?
a. Bipolar disorder
b. Major depression
c. Anxiety
d. Psychosis
3. A patient with a cephalic presentation anticipating a d.
Cephalopelvic dispro-
vaginal delivery failed to progress. After measurement
portion of the fetal head and a trial of oxytocin,
1/
59
,CCS Practice Exam 2 questions with verified
answers graded A+
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
2/
59
,CCS Practice Exam 2 questions with verified
answers graded A+
4. A 45 year old woman underwent a carotid c. Query the physician to
bypass and experienced a significant drop in determine if there was a
blood pressure
during the surgery. The documentation suggested the complication of
surgery.
patient may have had a myocardial infarction. In
accor- dance 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.
c. Query the physician to determine if there
was a complication of surgery.
d. Code preoperative shock.
5. If a patient's discharge summary does not a. Arthritis
contain a diagnosis that is documented by the b. Liver
anesthesiologist in a preoperative evaluation disease
and that would impact MS-DRG assignment, c. Chronic
the coder should: obstructiv
e
a. Code only from the discharge diagnosis
pulmonary
b. Code the diagnosis reflected on the disease
anesthesia pre- operative evaluation d. Erythema
c. Code the most severe symptom
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?
3/
59
, CCS Practice Exam 2 questions with verified
answers graded A+
d. Query the attending physician regarding the clinical significance of that
diagnosis
b. Liver disease
4/
59
