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Certified Coding Specialist (CCS) Exam Prep Questions and answers-AHIMA 6th Edition
Certified Coding Specialist (CCS) Exam Prep Questions and answers-AHIMA 6th Edition
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Certified Coding Specialist (CCS) ExamPrep Questions and answers-AHIMA 6th
Edition
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 |
When |the |documentation |is |not |clear |regarding |a |potential |complication, |it |is
|appropriate |query |the |physician |(HHS |2014, |Section |I.B.16, |16; |Leon-Chisen |2013,
|43-44).
A |patient |is |admitted |to |a |psychiatric |unit |of |an |acute-care |facility. |The |patient
|experienced |the |following |symptoms |almost |every |day |for |the |last |month: |loss |of
|interest |or |pleasure |in |most |or |all |activities, |which |is |a |change |from |her |prior |level
|of |functioning. |She |has |also |gained |15 |lbs, |has |difficulty |falling |asleep, |feels
|fatigued, |and |has |difficulty |making |decisions. |
What |potential |diagnosis |most |closely |fits |the |patient's |overall |symptoms? |
a. |Insomnia |
b. |Major |depression |
c. |Reye's |syndrome |
d. |Bipolar |disorder |- |correct |answers✔✔b
The |symptoms |provided |are |indicative |of |a |depressive |disorder |(Leon-Chisen |2013,
|
175).
|
, Inpatient:
Admission |for |inguinal |hernia |repair. |This |30-year-old |patient |has |acquired
|immunodeficiency |syndrome |(AIDS) |but |is |not |symptomatic |at |this |time |due |to
|medication |regimen. |The |procedure |performed |was |a |right |indirect |inguinal
|herniorrhaphy |via |open |approach. |- |correct |answers✔✔ICD-10-CM: |K40.90, |B20,
ICD-10-PCS: |OYQ50ZZ |(Schraffenberger |2013, |82-84,252)
|
Inpatient:
A |75-year-old |male |patient |was |admitted |from |a |nursing |home |with |dehydration |and
|dysphagia |due |to |a |previous |stroke. |During |hospitalization |the |patient |was
|rehydrated |and |transferred |back |to |the |nursing |home. |- |correct |answers✔✔ICD-10-
CM: |E86.0, |I69.391 |
(Schraffenberger |2013, |131, |209-210).
Stroke= |cerebral |infarction
Inpatient:
A |patient |is |admitted |to |an |acute |care |facility |for |detoxification |from |alcohol |and
|barbiturate |intoxication |with |chronic |alcoholism |and |barbiturate |abuse. |The |patient
|also |has |cirrhosis |of |the |liver |due |to |alcoholism. |- |correct |answers✔✔ICD-10-CM:
|F10.229, |F13.129, |K70.30, |
(Schraffenberger |2013, |140-143.)
ICD-10-PCS |HZ2ZZZZ |
(Leon-Chisen |2014, |186).
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