CCDS Practice Questions and Answers 2023 with complete solution
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CCDS
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CCDS
CCDS Practice Questions and Answers 2023 with complete solution
A. Bleeding gastric ulcer
A patient is admitted from the emergency department (ED) with a diagnosis of weakness and anemia. After admission and further treatment with packed red blood cells (PRBC), GI consult, and endoscopy, the ph...
ccds practice questions and answers 2023 with complete solution a bleeding gastric ulcer a patient is admitted from the emergency department ed with a diagnosis of weakness and anemia after admis
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CCDS Practice Questions and Answers 2023 with complete
solution
A. Bleeding gastric ulcer
A patient is admitted from the emergency department (ED) with a diagnosis of
weakness and anemia. After admission and further treatment with packed red blood
cells (PRBC), GI consult, and endoscopy, the physician includes the following
diagnoses in the discharge summary: anemia, suspected bleeding gastric ulcer, and
GERD. What would be the most appropriate principle diagnosis?
A. Bleeding gastric ulcer
B. Anemia
C. GERD
D. Weakness
B. Neoplasm of occipital region
A patient is admitted with new-onset seizures. Head CT reveals a mass in the occipital
region. The physician documents possible brain tumor, and the patient is transferred to
another hospital for further workup. What would be the most appropriate principal
diagnosis based upon this documentation?
A. Seizure
B. Neoplasm of occipital region
C. Head mass
D. Head tumor
C. 1,2, and 3
1. Calculated annually
2. Dependent upon indirect costs for graduate medical education and new
technology
3. Adjusted based upon number of low-income patients cared for
A hospital's base rate or blended rate is:
1. Calculated annually
2. Dependent upon indirect costs for graduate medical education and new technology
3. Adjusted based upon number of low-income patients cared for
4. Not adjusted based upon capital expenses
A. 1 and 2
B. 2 and 3
C. 1,2, and 3
D. 1,2,3, and 4
D. Reflect the severity of illness (SOI) and resource consumption of the patient's
care
The final MS-DRG assigned to a patient's medical record should:
,A. Reflect the amount of time the physician spent with the patient
B. Depend upon the patient's length of stay
C. Be assigned by the physician
D. Reflect the severity of illness (SOI) and resource consumption of the patient's care
C. Poisoning
A patient is admitted from the emergency department with the diagnosis of acute
respiratory failure due to overdose of pain medication and an aspiration pneumonia.
What is the principal diagnosis?
A. Acute respiratory failure
B. Aspiration pneumonia
C. Poisoning
D. Adverse effect of medication
D. All of the conditions should be coded
A patient is admitted with pneumonia, stage 1 chronic renal failure, chronic anemia, and
COPD, While hospitalized the patient receives IV antibiotics, inhalers, oxygen, IV fluids
at 50mL/hr, and iron tablets. Keeping the guidelines for coding of secondary diagnoses
in mind, which condition should be coded?
A. Pneumonia only
B. Pneumonia and COPD only
C. Pneumonia, COPD, and anemia
D. All of the conditions should be coded
D. Fractured ulna
Which of the following is an example of a hospital-acquired condition?
A. Fat embolism
B. IV phlebitis
C. Pneumonia
D. Fractured ulna
C. A diagnosis that is listed as possible in the history and physical
Which of the following is an example of documentation that would meet the present on
admission criteria for coding?
A. A diagnosis that is indicated in the history and physical and ruled out in the discharge
summary
B. A diagnosis found in a previous medical record
C. A diagnosis that is listed as possible in the history and physical
D. An acute condition identified on the third day of admission
A. Colon cancer
A patient is admitted with abdominal pain and the history and physical indicated a
diagnosis of probable colon cancer. On day two, the physician documents acute renal
failure in the progress notes and the patient receives IV fluids. The discharge summary
lists possible metastatic colon cancer and acute renal failure. The principal diagnosis
would be:
, A. Colon cancer
B. Acute renal failure
C. Abdominal pain
D. Metastatic neoplasm of the colon
D. 1,2, and 3
1. Include identification of the patient's SOI
2. Identify conditions that are present on admission
3. Support medical necessity
Accurate documentation should:
1. Include identification of the patient's SOI
2. Identify conditions that are present on admission
3. Support medical necessity
A. 1 and 2
B. 2 and 3
C. 1 and 3
D. 1,2, and 3
B. Anemia
A patient with a history of metastatic lung cancer is directly admitted from the doctor's
office with a diagnosis of anemia secondary to chemotherapy. The patient receives two
units of PRBCs and is discharged. What is the most appropriate principal diagnosis?
A. Respiratory neoplasm
B. Anemia
C. Admission for chemotherapy
D. Admission for blood transfusion
A. GI hemorrhage
A patient is admitted from the ED with rectal bleeding secondary to Coumadin toxicity.
The physician documents that the patient had a recent increase in Coumadin dosage
due to low PT/PTT. The patient also has a history of COPD and CHF. What is the most
appropriate principal diagnosis?
A. GI hemorrhage
B. Coumadin toxicity
C. COPD
D. CHF
C. Infected knee prosthesis
A patient comes to the ED with fever, chills, and knee pain. Documentation states that
the patient's admission is for knee prosthesis removal due to infection. What is the
principal diagnosis? (Do not include the procedure)
A. Fever
B. Sepsis
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