CCS Chapter 11-17 Questions With Complete
Solutions
1. A 34-year old female at 24 weeks gestation was
seen in follow-up due to findings of glycosuria. Her
fasting venous plasma glucose is 143 mg/dl. Given
this finding, the diagnosis of gestational diabetes
mellitus is established. Family history reveals that
both parents have diabetes mellitus. The patient
was started on both dietary and insulin therapy.
Final diagnoses: (1) Gestational diabetes mellitus,
(2) pregnancy, (3) insulin maintenance, (4) family
history of diabetes mellitus. Correct Answers
O24.414, Z83.3, Z3A.24
1. A 58-year-old man tested positive for MRSA on
routine nasal culture on admission to the hospital.
He did not have an infection. How should this be
coded? Correct Answers Z22.322
1. A 59-year-old female type I diabetic patient
presented with a history of fatigue, loss of appetite,
and abdominal pain. Hepatomegaly was present on
abdominal ultrasound. Liver biopsy was positive for
toxoplasma gondii. Clinical signs were also
consistent with acute toxoplasmic hepatitis.
Final diagnoses: (1) Acute toxoplasmic hepatitis,
(2) type I diabetes mellitus maintained on insulin,
(3) percutaneous liver biopsy, (4) abdominal
,ultrasound Correct Answers B58.1, E10.9,
0FB03ZX, BW40ZZZ
1. A 67-year-old male was found by his family in an
altered state. He has a 50-year history of seizure
disorder, so paramedics were called to the home
where they witnessed a grand mal seizure. The
patient's family tells doctors that he has acute
bronchitis and has been poorly compliant with his
antiepileptic medications. Patient is admitted in a
nonresponsive and lethargic state. CT of head is
negative for significant acute pathology.
Final diagnoses: (1) Postictal state following grand
mal seizure, (2) epilepsy, (3) acute bronchitis, (4)
CT of head. Correct Answers G40.409, J20.9,
Z91.14, BW28ZZZ
1. A diabetic nursing home resident was admitted
with a one-week history of swelling of the left foot.
The physician documents the swelling could be due
to cellulitis or primary gouty arthritis and treats the
patient for both conditions.
Final diagnoses: (1) Swelling of the foot due to
cellulitis or gout, (2) diabetes mellitus Correct
Answers L03.116, M10.072, E11.9
1. A nondiabetic patient was seen by his primary
care physician after a sudden onset of sweating,
, palpitations, and tremors. He was diagnosed as
having a spontaneous hypoglycemic episode.
Final diagnosis:Hypoglycemia Correct Answers
E16.2
1. A patient is admitted because of confusion and
altered level of consciousness and coma. Patient is
alert but not oriented to place or time. CT of
abdomen shows cirrhosis of the liver. An
ultrasound guided paracentesis is performed.
Final diagnoses: (1) Hepatic encephalopathy due to
alcoholic cirrhosis of liver, (2) ascites, (3) alcohol
dependence, (4) paracentesis, (5) CT of abdomen,
ultrasound of liver. Correct Answers K70.40,
K70.31, F10.20, 0W9G3ZZ, BF45ZZZ, BW20ZZZ
1. A patient is diagnosed with MRSA septicemia
and pneumonia due to MRSA. How should this be
coded? Correct Answers A41.02, J15.212
1. A patient was admitted with methicillin resistant
Staphylococcus aureus (MRSA) cellulitis and
abscess of the left thigh due to continuous self-
prescribed steroid injections. Patient treated with
intravenous antibiotics and excisional debridement.
Final diagnoses: (1) Cellulitis and abscess of the
thigh due to contaminated needle, (2) self-
prescribed steroid abuse, (3) MRSA, (4) excisional
debridement skin and fascia. Correct Answers
Solutions
1. A 34-year old female at 24 weeks gestation was
seen in follow-up due to findings of glycosuria. Her
fasting venous plasma glucose is 143 mg/dl. Given
this finding, the diagnosis of gestational diabetes
mellitus is established. Family history reveals that
both parents have diabetes mellitus. The patient
was started on both dietary and insulin therapy.
Final diagnoses: (1) Gestational diabetes mellitus,
(2) pregnancy, (3) insulin maintenance, (4) family
history of diabetes mellitus. Correct Answers
O24.414, Z83.3, Z3A.24
1. A 58-year-old man tested positive for MRSA on
routine nasal culture on admission to the hospital.
He did not have an infection. How should this be
coded? Correct Answers Z22.322
1. A 59-year-old female type I diabetic patient
presented with a history of fatigue, loss of appetite,
and abdominal pain. Hepatomegaly was present on
abdominal ultrasound. Liver biopsy was positive for
toxoplasma gondii. Clinical signs were also
consistent with acute toxoplasmic hepatitis.
Final diagnoses: (1) Acute toxoplasmic hepatitis,
(2) type I diabetes mellitus maintained on insulin,
(3) percutaneous liver biopsy, (4) abdominal
,ultrasound Correct Answers B58.1, E10.9,
0FB03ZX, BW40ZZZ
1. A 67-year-old male was found by his family in an
altered state. He has a 50-year history of seizure
disorder, so paramedics were called to the home
where they witnessed a grand mal seizure. The
patient's family tells doctors that he has acute
bronchitis and has been poorly compliant with his
antiepileptic medications. Patient is admitted in a
nonresponsive and lethargic state. CT of head is
negative for significant acute pathology.
Final diagnoses: (1) Postictal state following grand
mal seizure, (2) epilepsy, (3) acute bronchitis, (4)
CT of head. Correct Answers G40.409, J20.9,
Z91.14, BW28ZZZ
1. A diabetic nursing home resident was admitted
with a one-week history of swelling of the left foot.
The physician documents the swelling could be due
to cellulitis or primary gouty arthritis and treats the
patient for both conditions.
Final diagnoses: (1) Swelling of the foot due to
cellulitis or gout, (2) diabetes mellitus Correct
Answers L03.116, M10.072, E11.9
1. A nondiabetic patient was seen by his primary
care physician after a sudden onset of sweating,
, palpitations, and tremors. He was diagnosed as
having a spontaneous hypoglycemic episode.
Final diagnosis:Hypoglycemia Correct Answers
E16.2
1. A patient is admitted because of confusion and
altered level of consciousness and coma. Patient is
alert but not oriented to place or time. CT of
abdomen shows cirrhosis of the liver. An
ultrasound guided paracentesis is performed.
Final diagnoses: (1) Hepatic encephalopathy due to
alcoholic cirrhosis of liver, (2) ascites, (3) alcohol
dependence, (4) paracentesis, (5) CT of abdomen,
ultrasound of liver. Correct Answers K70.40,
K70.31, F10.20, 0W9G3ZZ, BF45ZZZ, BW20ZZZ
1. A patient is diagnosed with MRSA septicemia
and pneumonia due to MRSA. How should this be
coded? Correct Answers A41.02, J15.212
1. A patient was admitted with methicillin resistant
Staphylococcus aureus (MRSA) cellulitis and
abscess of the left thigh due to continuous self-
prescribed steroid injections. Patient treated with
intravenous antibiotics and excisional debridement.
Final diagnoses: (1) Cellulitis and abscess of the
thigh due to contaminated needle, (2) self-
prescribed steroid abuse, (3) MRSA, (4) excisional
debridement skin and fascia. Correct Answers
