CERTIFIED CODING SPECIALIST
PRACTICE TEST #1 WITH CORRECT
ANSWERS
A n7-year-old npatient nwas nadmitted nin nthe nemergency ndepartment nfor ntreatment
nof nshortness nof nbreath. nThe npatient nis ngiven nepinephrine nand nnebulizer
ntreatments. nThe nshortness nof nbreath nand nwheezing nare nunabated nfollowing
ntreatment. nWhat ndiagnosis nshould nbe nsuspected? n- ncorrect nanswers n-Asthma
nwith nstatus nasthmaticus
A npatient nis nadmitted nwith na nhigh ntemperature, nlethargy, nhypotension,
ntachycardia, noliguria, nand nelevated nWBC. nThe npatient nhas nmore nthan n100,000
norganisms nof nEscherichia ncoli nper ncc nof nurine. nThe nattending nphysician
ndocuments n"urosepsis". nWhat nis nthe nnext nstep nfor nthe ncoder? n- ncorrect
nanswers n-Query nthe nphysician nto ndetermine nif nthe npatient nis nbeing ntreated nfor
nsepsis, nhighlighting nthe nclinical nsigns nand nsymptoms
, During na ncoronary nartery nbypass nsurgery, nthe npatient nunderwent nsaphenous
nbypass ngrafts; nfrom nthe naorta nto nthe nleft nanterior ndescending nbranch nof nthe nleft
nmain ncoronary nartery, nand nthe nleft nposterior ndescending nof nthe nleft nmain
ncoronary nartery. nThe npatient nalso nunderwent na nrepositioning nof nthe nmammary
nartery. nChoose nthe nbest ndescription nfor nthis nprocedure. n- ncorrect nanswers n-Two
naortocoronary ngrafts nand none nmammary-coronary ngraft
According nto nCPT, nan nendoscopy nthat nis nundertaken nto nthe nlevel nof nthe
nmidtransverse ncolon nwould nbe ncoded nas na n________________________. n-
ncorrect nanswers n-Colonoscopy
Infusion nof nHerceptin, na nmonoclonal nantibody nused nfor ntreatment nof nbreast
ncancer nin npatients ncarrying na ncertain nmutation nof nthe nHER2 ngene, nis nclassified
nas n___________________. n- ncorrect nanswers n-Molecular ntargets
A npatient nhas nfindings nsuggestive nof nchronic nobstructive npulmonary ndisease
n(COPD) non nchest nx-ray. nThe nattending nphysician nmentions nthe nx-ray. nThe
nattending nphysician nmentions nthe nx-ray nfinding nin none nprogress nnote nbut nno
nmedication, ntreatment, nor nfurther nevaluation nis nprovided. nThe ncoder nshould
n__________________________________________. n- ncorrect nanswers n-Query nthe
nattending nphysician nregarding nthe nX-ray nfindings
If na npatient nundergoes nan ninpatient nprocedure nand nthe nfinal nsummary ndiagnosis
nis ndifferent nfrom nthe ndiagnosis non nthe npathology nreport, nthe ncoder nshould
n_____________________________. n- ncorrect nanswers n-Query nthe nattending
nphysician nas nto nthe nfinal ndiagnosis
A n56-year-old nwoman nis nadmitted nto nan nacute-care nfacility nfrom na nskilled
nnursing nfacility. nThe npatient nhas nmultiple nsclerosis nand nhypertension. nDuring nthe
ncourse nof nhospitalization, na ndecubitus nulcer nis nfound nand ndebrided nat nthe
nbedside nby na nphysician. nThere nis nno ntyped noperative nreport nand nno npathology
nreport. nThe ncoder nshould n____________________________________. n- ncorrect
nanswers n-Query nthe nhealthcare nprovider nwho nperformed nthe nprocedure nto
ndetermine nif nthe ndebridement nwas nexcisional
A n23-year-old nfemale nis nadmitted nfor nshock nfollowing ntreatment nof na nmiscarriage.
nThe npathology nreport nfrom nthe nprevious nadmission nreveals nthat nthe npatient nhad
nno ndecidua nor nproducts nof nconception nin nthe ntissue nremoved. nThis nencounter
nwould nbe ncoded nas n___________________________. n- ncorrect nanswers n-O08.9,
nComplication nfollowing nabortion nand nectopic nand nmolar npregnancies
Most nhospitals nrequire na nmedical nrecord nis ncompleted nwith
n____________________. n- ncorrect nanswers n-30 ndays
PRACTICE TEST #1 WITH CORRECT
ANSWERS
A n7-year-old npatient nwas nadmitted nin nthe nemergency ndepartment nfor ntreatment
nof nshortness nof nbreath. nThe npatient nis ngiven nepinephrine nand nnebulizer
ntreatments. nThe nshortness nof nbreath nand nwheezing nare nunabated nfollowing
ntreatment. nWhat ndiagnosis nshould nbe nsuspected? n- ncorrect nanswers n-Asthma
nwith nstatus nasthmaticus
A npatient nis nadmitted nwith na nhigh ntemperature, nlethargy, nhypotension,
ntachycardia, noliguria, nand nelevated nWBC. nThe npatient nhas nmore nthan n100,000
norganisms nof nEscherichia ncoli nper ncc nof nurine. nThe nattending nphysician
ndocuments n"urosepsis". nWhat nis nthe nnext nstep nfor nthe ncoder? n- ncorrect
nanswers n-Query nthe nphysician nto ndetermine nif nthe npatient nis nbeing ntreated nfor
nsepsis, nhighlighting nthe nclinical nsigns nand nsymptoms
, During na ncoronary nartery nbypass nsurgery, nthe npatient nunderwent nsaphenous
nbypass ngrafts; nfrom nthe naorta nto nthe nleft nanterior ndescending nbranch nof nthe nleft
nmain ncoronary nartery, nand nthe nleft nposterior ndescending nof nthe nleft nmain
ncoronary nartery. nThe npatient nalso nunderwent na nrepositioning nof nthe nmammary
nartery. nChoose nthe nbest ndescription nfor nthis nprocedure. n- ncorrect nanswers n-Two
naortocoronary ngrafts nand none nmammary-coronary ngraft
According nto nCPT, nan nendoscopy nthat nis nundertaken nto nthe nlevel nof nthe
nmidtransverse ncolon nwould nbe ncoded nas na n________________________. n-
ncorrect nanswers n-Colonoscopy
Infusion nof nHerceptin, na nmonoclonal nantibody nused nfor ntreatment nof nbreast
ncancer nin npatients ncarrying na ncertain nmutation nof nthe nHER2 ngene, nis nclassified
nas n___________________. n- ncorrect nanswers n-Molecular ntargets
A npatient nhas nfindings nsuggestive nof nchronic nobstructive npulmonary ndisease
n(COPD) non nchest nx-ray. nThe nattending nphysician nmentions nthe nx-ray. nThe
nattending nphysician nmentions nthe nx-ray nfinding nin none nprogress nnote nbut nno
nmedication, ntreatment, nor nfurther nevaluation nis nprovided. nThe ncoder nshould
n__________________________________________. n- ncorrect nanswers n-Query nthe
nattending nphysician nregarding nthe nX-ray nfindings
If na npatient nundergoes nan ninpatient nprocedure nand nthe nfinal nsummary ndiagnosis
nis ndifferent nfrom nthe ndiagnosis non nthe npathology nreport, nthe ncoder nshould
n_____________________________. n- ncorrect nanswers n-Query nthe nattending
nphysician nas nto nthe nfinal ndiagnosis
A n56-year-old nwoman nis nadmitted nto nan nacute-care nfacility nfrom na nskilled
nnursing nfacility. nThe npatient nhas nmultiple nsclerosis nand nhypertension. nDuring nthe
ncourse nof nhospitalization, na ndecubitus nulcer nis nfound nand ndebrided nat nthe
nbedside nby na nphysician. nThere nis nno ntyped noperative nreport nand nno npathology
nreport. nThe ncoder nshould n____________________________________. n- ncorrect
nanswers n-Query nthe nhealthcare nprovider nwho nperformed nthe nprocedure nto
ndetermine nif nthe ndebridement nwas nexcisional
A n23-year-old nfemale nis nadmitted nfor nshock nfollowing ntreatment nof na nmiscarriage.
nThe npathology nreport nfrom nthe nprevious nadmission nreveals nthat nthe npatient nhad
nno ndecidua nor nproducts nof nconception nin nthe ntissue nremoved. nThis nencounter
nwould nbe ncoded nas n___________________________. n- ncorrect nanswers n-O08.9,
nComplication nfollowing nabortion nand nectopic nand nmolar npregnancies
Most nhospitals nrequire na nmedical nrecord nis ncompleted nwith
n____________________. n- ncorrect nanswers n-30 ndays
