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Exam (elaborations)

CCS exam practice with complete solution 2024_2025.

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Chronic kidney disease stage 5 Code to N18.6 (ESRD) and dialysis status Z99.2 Severe sepsis Underlying infection + R65.2 Septic shock Underlying infection + R65.1 Nosocomial infections Additional code of Y95 HIV infections Code only confirmed cases (diagnosis suffic...

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  • September 11, 2024
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  • 2024/2025
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CCS exam practice with complete solution
2024/2025




Chronic kidney disease stage 5 - ANSWER- Code to N18.6 (ESRD) and dialysis
status Z99.2

Severe sepsis - ANSWER- Underlying infection + R65.2

Septic shock - ANSWER- Underlying infection + R65.1

Nosocomial infections - ANSWER- Additional code of Y95

HIV infections - ANSWER- Code only confirmed cases (diagnosis sufficient)

Sequencing HIV codes - ANSWER- Admitted for HIV- B20
A/D unrelated- unrelated first then B20
Asymptomatic HIV- Z21
Inconclusive HIV- R75
Previously diagnosed- B20
HIV in pregnancy- O98.7
Asymptomatic HIV in pregnancy- O98.7 + Z21
Encounters for testing of HIV- Z11.4
Return visit for negative test results- Z71.7

Labor pneumonia - ANSWER- Has a unique category

Respiratory condition occurring in more than one place - ANSWER- Coded to the
lower anatomic location

Respiratory condition - ANSWER- Code exposure to tobacco

Gastrointestinal term hemmorrhage - ANSWER- Means ulcers

, Gastrointestinal term bleeding - ANSWER- Means gastritis, duodenitis,
diverticulosis, diverticulitis

Delivery and pregnancy - ANSWER- 5th or 6th digit represents trimester

Trimesters - ANSWER- 1- less than 14 wks
2- less than 28 wks, more than 14
3- 28 wks thru delivery

Delivery chart codes should include - ANSWER- a) Delivery diagnosis code
b) Outcome of delivery
c)Weeks of gestation
d) Procedure code

Normal delivery code - ANSWER- O80

Weeks of gestation code - ANSWER- Z3A

Complications of ectopic pregnancy and abortions - ANSWER- Require additional
codes

Anemia - ANSWER- Code also the cause
Code first the poisoning and under-dosing of medications
If associated with malignancy, code malignancy first

MI documented as nontransmural or subendocardial with a site provided -
ANSWER- Code as a subenocardial MI

Subsequent MI within 4 weeks of initial - ANSWER- Code from I22 and I21

Primary site of neoplasm - ANSWER- Is where the cancer arises

Secondary neoplasm - ANSWER- When cancer leaves the original site

Morphology can lead to primary site - ANSWER- For example: renal cell
carcinoma arises in the kidney

Steps for coding neoplasms - ANSWER- 1. Look up morphology
2. No primary site code- use neoplasm table
3. If the term metastatic is used assume these are secondary sites:

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