AHIMA CCS Practice Exam [2019] - EDIT
Version-Graded A
The root operation of resection applies to which of the following?
a. Removal of the entire body part and removal of an entire lobe of the liver
b. Partial incidental appendectomy and the closure portion of a procedure
c. Blunt, digital, manual, or mechanical lysis of adhesions
d. Partial cholecystectomy - ANSWER-Removal of the entire body part and removal of
an entire lobe of the liver.
When coding benign neoplasm of the skin, the section noted above directs the coder to:
D23- Other benign neoplasms of skin Includes:
Benign neoplasm of hair follicles
Benign neoplasm of sebaceous glands
Benign neoplasm of sweat glands
Excludes 1: benign lipomatous neoplasms of skin (D17.0-D17.3)
melanocytic nevi (D22.-)
a. Use category D23 for benign neoplasm of sweat glands
b. Use category D23 for melanocytic nevi
c. Use category D23 for benign lipomatous neoplasms of skin
d. Use category D23 for malignant neoplasm of the skin - ANSWER-Use category D23
for benign neoplasm of sweat glands
A 64-year-old female was discharged with the final diagnosis of acute renal failure and
hypertension. What coding rule applies?
a. Use combination code of hypertension and renal failure.
b. Use separate codes for hypertension and chronic renal failure.
c. Use separate codes for hypertension and acute renal failure.
d. Use separate codes for elevated blood pressure and chronic renal failure. -
ANSWER-Use separate codes for hypertension and acute renal failure
Coding professionals need to have surgical references in order to discriminate between:
a. Correct and incorrect documentation based on Joint Commission requirements
b. Reportable and non-reportable procedures
c. Chemotherapeutic drugs
,d. A comorbid condition and a complication that prolongs the length of stay - ANSWER-
Reportable and non-reportable procedures
A patient is admitted with an acute inferior myocardial infarction and discharged alive.
Which condition would increase the MS-DRG weight?
a. Respiratory failure
b. Atrial fibrillation
c. Hypertension
d. History of myocardial infarction - ANSWER-Respiratory failure
If a patient has undergone an outpatient echocardiogram and the cardiologist concludes
in the report that the patient has mitral regurgitation, the coder should:
a. Assign a diagnostic code for mitral regurgitation
b. Query the physician about the diagnosis
c. Code an abnormal finding of the echocardiogram
d. No code can be assigned - ANSWER-Assign a diagnostic code for mitral
regurgitation
A patient was treated in the emergency department with lacerations of the neck and
underwent a repair of two (2) wounds of the neck (2.0 cm and 1.4 cm) with layered
closure. What are the diagnosis (excluding external cause codes) and procedure codes
assigned?
S11.91XA Laceration without foreign body of unspecified part of neck, initial encounter
S11.92XA Laceration with foreign body of unspecified part of neck, initial encounter
0HQ4XZZ Repair neck skin, external approach
12041 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5
cm or less
12042 Repair, intermediate, wounds of neck, hands, feet, and/or external genitalia; 2.6
cm to 7.5 cm
a. S11.91XA, 0HQ4XZZ
b. S11.92XA, 0HQ4XZZ
c. S11.92XA, 12041, 12041
d. S11.91XA, 12042 - ANSWER-S11.91XA, 12042
Patient with renal tumors received percutaneous cryotherapy ablation of three tumors
on the right kidney in the same operative episode at Memorial Hospital. Assign a CPT
code for this procedure.
50250 Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including
intraoperative ultrasound guidance and monitoring, if performed
,50590 Lithotripsy, extracorporeal shock wave
50592 Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency
50593 Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy
a. 50250
b. 50590
c. 50592
d. 50593 - ANSWER-50593
When coding a documented ventilator-associated pneumonia (VAP), what codes should
be assigned first for ICD-10-CM and then supported by CPT?
a. The pneumonia is coded first; the CPT will be from code range 94010 to 94799
b. The complication of surgery diagnosis is coded first, then the VAP, with the CPT will
be from code range 99500 to 99602
c. The specific code for ventilator-associated pneumonia is coded first and the organism
is coded as a secondary code if known; the CPT will be from code range 94002 to
94005
d. An additional code for the type of pneumonia, that is, lobar or pneumonia NOS, is
coded; the CPT will be from code range 33946 to 33989 - ANSWER-The specific code
for ventilator-associated pneumonia is coded first and the organism is coded as a
secondary code if known; the CPT will be from code range 94002 to 94005
A nurse inadvertently recorded an incorrect vital sign in a patient electronic health
record. The next day, a correction was made in the electronic health record. This
resulted in the corrected vital sign being recorded at the time the correction was made
due to the software. What would be the result of this correction?
a. The vital signs would be listed in the correct sequence.
b. When a correction is made in an electronic health record, the incorrect data is
deleted.
c. The quality of patient care would not be affected.
d. There was a distorted trend line of vital signs data. - ANSWER-There was a distorted
trend line of vital signs data.
Poor-quality data collection and reporting can affect:
a. Patient care, documentation, revenue generation, outcomes evaluation, and public
health reporting
b. Use of patient record for legal purposes
c. Patient care, communication, research activities, and public health reporting
d. All of the above - ANSWER-All of the above:
- Patient care, documentation, revenue generation, outcomes evaluation, and public
health reporting
- Use of patient record for legal purposes
- Patient care, communication, research activities, and public health reporting
, The billing department has requested that copies of the final coding summary with
associated code meanings for Medicare be printed remotely in the admission
department. Currently they request the summaries only when there is an unspecified
procedure. Each time the coding supervisor goes to the admission department, the
coding summaries have been left on a table near the patient entrance. Of the actions
presented here, what would be the best action for the coding supervisor to take?
a. Comply with the request.
b. Refuse to undertake this without further explanation.
c. Ignore the request.
d. Explain to the billing department supervisor that leaving the coding summary in public
view violates the patient's right to privacy. - ANSWER-Explain to the billing department
supervisor that leaving the coding summary in public view violates the patient's right to
privacy.
What percentage will the facility be paid for procedure code 10060?
989323 T 10060 0006 $500
989323 T 64605 0220 $1,000
a. 50%
b. 75%
c. 0%
d. 100% - ANSWER-50%
To correct an entry in the medical record, the provider should:
a. Draw a single line through the error, add a note explaining the error, initial and date,
add the correct information in chronological order
b. Draw a double line through the error, initial and date, add the reason for the
correction
c. Draw a single line through the error, and add the correct information in chronological
order
d. Draw several lines through the error, obliterate the documentation as much as
possible, initial and date, add the correct information in chronological order - ANSWER-
Draw a single line through the error, add a note explaining the error, initial and date, add
the correct information in chronological order
Most hospitals require a medical record is completed within:
a. 5 days
b. 10 days
c. 7 days
d. 30 days - ANSWER-30 days
Version-Graded A
The root operation of resection applies to which of the following?
a. Removal of the entire body part and removal of an entire lobe of the liver
b. Partial incidental appendectomy and the closure portion of a procedure
c. Blunt, digital, manual, or mechanical lysis of adhesions
d. Partial cholecystectomy - ANSWER-Removal of the entire body part and removal of
an entire lobe of the liver.
When coding benign neoplasm of the skin, the section noted above directs the coder to:
D23- Other benign neoplasms of skin Includes:
Benign neoplasm of hair follicles
Benign neoplasm of sebaceous glands
Benign neoplasm of sweat glands
Excludes 1: benign lipomatous neoplasms of skin (D17.0-D17.3)
melanocytic nevi (D22.-)
a. Use category D23 for benign neoplasm of sweat glands
b. Use category D23 for melanocytic nevi
c. Use category D23 for benign lipomatous neoplasms of skin
d. Use category D23 for malignant neoplasm of the skin - ANSWER-Use category D23
for benign neoplasm of sweat glands
A 64-year-old female was discharged with the final diagnosis of acute renal failure and
hypertension. What coding rule applies?
a. Use combination code of hypertension and renal failure.
b. Use separate codes for hypertension and chronic renal failure.
c. Use separate codes for hypertension and acute renal failure.
d. Use separate codes for elevated blood pressure and chronic renal failure. -
ANSWER-Use separate codes for hypertension and acute renal failure
Coding professionals need to have surgical references in order to discriminate between:
a. Correct and incorrect documentation based on Joint Commission requirements
b. Reportable and non-reportable procedures
c. Chemotherapeutic drugs
,d. A comorbid condition and a complication that prolongs the length of stay - ANSWER-
Reportable and non-reportable procedures
A patient is admitted with an acute inferior myocardial infarction and discharged alive.
Which condition would increase the MS-DRG weight?
a. Respiratory failure
b. Atrial fibrillation
c. Hypertension
d. History of myocardial infarction - ANSWER-Respiratory failure
If a patient has undergone an outpatient echocardiogram and the cardiologist concludes
in the report that the patient has mitral regurgitation, the coder should:
a. Assign a diagnostic code for mitral regurgitation
b. Query the physician about the diagnosis
c. Code an abnormal finding of the echocardiogram
d. No code can be assigned - ANSWER-Assign a diagnostic code for mitral
regurgitation
A patient was treated in the emergency department with lacerations of the neck and
underwent a repair of two (2) wounds of the neck (2.0 cm and 1.4 cm) with layered
closure. What are the diagnosis (excluding external cause codes) and procedure codes
assigned?
S11.91XA Laceration without foreign body of unspecified part of neck, initial encounter
S11.92XA Laceration with foreign body of unspecified part of neck, initial encounter
0HQ4XZZ Repair neck skin, external approach
12041 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5
cm or less
12042 Repair, intermediate, wounds of neck, hands, feet, and/or external genitalia; 2.6
cm to 7.5 cm
a. S11.91XA, 0HQ4XZZ
b. S11.92XA, 0HQ4XZZ
c. S11.92XA, 12041, 12041
d. S11.91XA, 12042 - ANSWER-S11.91XA, 12042
Patient with renal tumors received percutaneous cryotherapy ablation of three tumors
on the right kidney in the same operative episode at Memorial Hospital. Assign a CPT
code for this procedure.
50250 Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including
intraoperative ultrasound guidance and monitoring, if performed
,50590 Lithotripsy, extracorporeal shock wave
50592 Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency
50593 Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy
a. 50250
b. 50590
c. 50592
d. 50593 - ANSWER-50593
When coding a documented ventilator-associated pneumonia (VAP), what codes should
be assigned first for ICD-10-CM and then supported by CPT?
a. The pneumonia is coded first; the CPT will be from code range 94010 to 94799
b. The complication of surgery diagnosis is coded first, then the VAP, with the CPT will
be from code range 99500 to 99602
c. The specific code for ventilator-associated pneumonia is coded first and the organism
is coded as a secondary code if known; the CPT will be from code range 94002 to
94005
d. An additional code for the type of pneumonia, that is, lobar or pneumonia NOS, is
coded; the CPT will be from code range 33946 to 33989 - ANSWER-The specific code
for ventilator-associated pneumonia is coded first and the organism is coded as a
secondary code if known; the CPT will be from code range 94002 to 94005
A nurse inadvertently recorded an incorrect vital sign in a patient electronic health
record. The next day, a correction was made in the electronic health record. This
resulted in the corrected vital sign being recorded at the time the correction was made
due to the software. What would be the result of this correction?
a. The vital signs would be listed in the correct sequence.
b. When a correction is made in an electronic health record, the incorrect data is
deleted.
c. The quality of patient care would not be affected.
d. There was a distorted trend line of vital signs data. - ANSWER-There was a distorted
trend line of vital signs data.
Poor-quality data collection and reporting can affect:
a. Patient care, documentation, revenue generation, outcomes evaluation, and public
health reporting
b. Use of patient record for legal purposes
c. Patient care, communication, research activities, and public health reporting
d. All of the above - ANSWER-All of the above:
- Patient care, documentation, revenue generation, outcomes evaluation, and public
health reporting
- Use of patient record for legal purposes
- Patient care, communication, research activities, and public health reporting
, The billing department has requested that copies of the final coding summary with
associated code meanings for Medicare be printed remotely in the admission
department. Currently they request the summaries only when there is an unspecified
procedure. Each time the coding supervisor goes to the admission department, the
coding summaries have been left on a table near the patient entrance. Of the actions
presented here, what would be the best action for the coding supervisor to take?
a. Comply with the request.
b. Refuse to undertake this without further explanation.
c. Ignore the request.
d. Explain to the billing department supervisor that leaving the coding summary in public
view violates the patient's right to privacy. - ANSWER-Explain to the billing department
supervisor that leaving the coding summary in public view violates the patient's right to
privacy.
What percentage will the facility be paid for procedure code 10060?
989323 T 10060 0006 $500
989323 T 64605 0220 $1,000
a. 50%
b. 75%
c. 0%
d. 100% - ANSWER-50%
To correct an entry in the medical record, the provider should:
a. Draw a single line through the error, add a note explaining the error, initial and date,
add the correct information in chronological order
b. Draw a double line through the error, initial and date, add the reason for the
correction
c. Draw a single line through the error, and add the correct information in chronological
order
d. Draw several lines through the error, obliterate the documentation as much as
possible, initial and date, add the correct information in chronological order - ANSWER-
Draw a single line through the error, add a note explaining the error, initial and date, add
the correct information in chronological order
Most hospitals require a medical record is completed within:
a. 5 days
b. 10 days
c. 7 days
d. 30 days - ANSWER-30 days
