CERTIFIED CODING SPECIALIST
(CCS) EXAM PREP QUESTIONS -
AHIMA 6TH EDITION EXAM
Carcinoma in situ - Correct Answers -Tumor cells that are undergoing malignant
changes but are still confined to the point of origin without invasion of the surrounding
normal tissue
Examples of carcinoma in situ - Correct Answers -Intraepithelial infiltrating
The patient was admitted from the emergency department because of chest pain.
Following blood work, it was determined that the patient had elevated CPKs and MB
enzymes. The EKG shows nonspecific ST changes.
What type of diagnosis might this indicate?
a. Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis - Correct Answers -b
The CPK elevation with MB enzymes elevated and the EKG ST changes denote a
possible Ml (Leon-Chisen 2013, 386-387).
A patient is admitted and diagnosed with fever and urinary burning. The discharge
diagnosis· is Escherichia coli, urinary tract infection.
Which of the following represents the correct diagnoses and appropriate sequence of
those conditions?
a. Fever, urinary burning, urosepsis
b. Fever, urinary burning, sepsis
c. Escherichia coli, urinary tract infection
d. Urinary tract infection, Escherichia coli - Correct Answers -d
Symptoms are not coded when a definitive diagnosis is present on discharge. The
patient discharge diagnosis of urinary tract infection. The organism (E. coli) is coded
with a seco diagnosis code (B96.20) which is to be added as an additional code to
identify the bacterial agent (HHS 2014, Section II.A., 98).
, A patient was admitted with heart failure within one week of a heart transplant. Due to
the timing, the coder thought that it may represent a postoperative transplant rejection
following heart transplant.
What action(s) should the coding staff take?
a. Query the physician.
b. Assign the codes for the postoperative transplant rejection.
c. Assign only the code for the transplant rejection.
d. Assign only the code for heart failure. - Correct Answers -a
The care rendered to the patient and the patient's response must be documented in the
medical record (LaTour and Eichenwald Maki 2013, 264; Sayles 2013, 70).
Authentication of health record entries means to:
a. Create facsimiles of documents
b. Prove authorship of documents
c. Develop documents
d. Use a rubber stamp on random sets of documents - Correct Answers -b
Authentication is the act of verifying a claim of identity (Sayles 2013, 381). In order to
prove authorship of documents they are required to be authenticated by a signature
(LaTour and Eichenwald Maki 2013, 264).
The requirements for documentation and record completion (documents such as history
and physicals, discharge summaries, and consultations) as well as penalties for non-
adherence must be specified in:
a. Hospital rules and regulations
b. Conditions of nonparticipation
c. Medical staff bylaws
d. Nursing staff policies - Correct Answers -c
The medical staff bylaws are required by accreditation and regulatory organizations to
refer to the timeline required for completion (LaTour and Eichenwald Maki 2013, 240;
Sayles 2014, 353).
A patient was admitted to the emergency department for abdominal pain with diarrhea
and was diagnosed with infectious gastroenteritis. The patient also had angina and
chronic obstructive pulmonary disease.
(CCS) EXAM PREP QUESTIONS -
AHIMA 6TH EDITION EXAM
Carcinoma in situ - Correct Answers -Tumor cells that are undergoing malignant
changes but are still confined to the point of origin without invasion of the surrounding
normal tissue
Examples of carcinoma in situ - Correct Answers -Intraepithelial infiltrating
The patient was admitted from the emergency department because of chest pain.
Following blood work, it was determined that the patient had elevated CPKs and MB
enzymes. The EKG shows nonspecific ST changes.
What type of diagnosis might this indicate?
a. Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis - Correct Answers -b
The CPK elevation with MB enzymes elevated and the EKG ST changes denote a
possible Ml (Leon-Chisen 2013, 386-387).
A patient is admitted and diagnosed with fever and urinary burning. The discharge
diagnosis· is Escherichia coli, urinary tract infection.
Which of the following represents the correct diagnoses and appropriate sequence of
those conditions?
a. Fever, urinary burning, urosepsis
b. Fever, urinary burning, sepsis
c. Escherichia coli, urinary tract infection
d. Urinary tract infection, Escherichia coli - Correct Answers -d
Symptoms are not coded when a definitive diagnosis is present on discharge. The
patient discharge diagnosis of urinary tract infection. The organism (E. coli) is coded
with a seco diagnosis code (B96.20) which is to be added as an additional code to
identify the bacterial agent (HHS 2014, Section II.A., 98).
, A patient was admitted with heart failure within one week of a heart transplant. Due to
the timing, the coder thought that it may represent a postoperative transplant rejection
following heart transplant.
What action(s) should the coding staff take?
a. Query the physician.
b. Assign the codes for the postoperative transplant rejection.
c. Assign only the code for the transplant rejection.
d. Assign only the code for heart failure. - Correct Answers -a
The care rendered to the patient and the patient's response must be documented in the
medical record (LaTour and Eichenwald Maki 2013, 264; Sayles 2013, 70).
Authentication of health record entries means to:
a. Create facsimiles of documents
b. Prove authorship of documents
c. Develop documents
d. Use a rubber stamp on random sets of documents - Correct Answers -b
Authentication is the act of verifying a claim of identity (Sayles 2013, 381). In order to
prove authorship of documents they are required to be authenticated by a signature
(LaTour and Eichenwald Maki 2013, 264).
The requirements for documentation and record completion (documents such as history
and physicals, discharge summaries, and consultations) as well as penalties for non-
adherence must be specified in:
a. Hospital rules and regulations
b. Conditions of nonparticipation
c. Medical staff bylaws
d. Nursing staff policies - Correct Answers -c
The medical staff bylaws are required by accreditation and regulatory organizations to
refer to the timeline required for completion (LaTour and Eichenwald Maki 2013, 240;
Sayles 2014, 353).
A patient was admitted to the emergency department for abdominal pain with diarrhea
and was diagnosed with infectious gastroenteritis. The patient also had angina and
chronic obstructive pulmonary disease.
