Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA 6th Edition
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Certified Coding Specialist (CCS) Exam
Prep Questions -AHIMA 6th Edition
Carcinoma in situ - ✔✔Tumor cells that are undergoing malignant changes but are still confined to the
point of origin wi
...
thout invasion of the surrounding normal tissue
Examples of carcinoma in situ - ✔✔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 - ✔✔b
The CPK elevation with MB enzymes elevated and the EKG ST changes denote a possible Ml (LeonChisen 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 - ✔✔dSymptoms 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. - ✔✔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 - ✔✔b
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