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CCS Sample Multiple Choice Exam/26 Complete Questions and Answers
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CCS Sample Multiple Choice Exam/26Complete Questions and Answers
1. A patient was discharged from the hospital with a diagnosis of bronchial
asthma. Upon reviewing the record, the coder notes the patient was
described as having prolonged and intractable wheezing, airway obstruction
not relieved by bronchodilators, and a decreased PAO2 lab value. The
physician should be queried to determine whether the code for ___________is
appropriate as the principal diagnosis:
A. Acute viral Bronchitis
B. COPD
C. Respiratory failure
D. Status asthmaticus - -D. Status asthmaticus
-10. A patient with a diagnosis of interstitial cystitis due to E. coli with
hematuria is coded:
A. N30.11, N02.9
B. N30.10, N02.9, B96.20
C. N30.11, B96.20
D. N30.91, B96.20 - -C. N30.11, B96.20
-11. Codes from which category/categories is/are assigned for a patient who
has suffered
from an AMI and has a new AMI within the four-week time frame of the initial
AMI?
A. I21
B. I22
C. I21, I22
D. I21, I25 - -C. I21, I22
-12. All of the following procedures would be classified to the root operation
Resection, except:
A. Left hemicolectomy
B. Total mastectomy
C. Partial lobectomy of lung
D. Total abdominal hysterectomy - -C. Partial lobectomy of lung
-13. A patient is admitted with acute on chronic systolic CHF exacerbation
and pneumonia. The principal diagnosis is?
A. Acute on Chronic Systolic Congestive heart failure.
, B. Pneumonia
C. Pick the one that pays the most
D. Either Pneumonia or CHF could be sequenced first. - -D. Either Pneumonia
or CHF could be sequenced first.
-14. A patient has six actinic keratoses destroyed cryosurgically. What
should be referenced under the CPT index?
A. Excision, lesion, skin (malignant)
B. Excision, lesion, skin (benign)
C. Lesion, skin, excision
D. Lesion, skin, destruction - -D. Lesion, skin, destruction
-15. The following CPT codes appear:
19120 Excision of cyst, fibroadenoma, or other
benign or malignant tumor, aberrant breast
tissue, duct lesion, nipple, or areolar lesion
(except 19140), male or female, one or
more lesions
19125 Excision of breast lesion identified by
preoperative placement of radiological
marker; single lesion
19290 Preoperative placement of needle
localization wire, breastThe patient underwent a needle localization with
excision of a right
breast lesion. Pathology revealed diffuse fibrocystic disease. Which
of the following is the appropriate coding for this procedure?
A. 19125; 19290
B. 19125
C. 19120; 19125
D. 19120; 19290 - -B. 19125
-16. A 66 year old male patient admitted with atherosclerotic coronary
artery disease presents with an acute anterior wall AMI. During the stay the
patient develops post infarction angina. How is this coded?
a) I21.09, I237
b) I21.09, I23.7, I25.118
c) I21.09, I23.7, I25.10
d) I21.09, I23.7, I25.119 - -b) I21.09, I23.7, I25.118
-17. A 32-year-old female was diagnosed with right upper-outer quadrant
breast cancer during pregnancy and underwent treatment. Now three weeks
post-delivery, she is coming for her third encounter of chemotherapy.
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