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CCS Exam Preparation/58 Questions and Answers
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CCS Exam Preparation/58Questions and Answers
A patient was admitted from the emergency department because of chest
pain. Following blood work, it was determined that the patient had elevated
CK-MB enzymes. The EKG shows nonspecific ST changes. What type of
diagnosis might this indicate?
a) mitral valve stenosis
b) unstable angina
c) myocardial infarction
d) congestive heart failure - -Myocardial infarction
-A patient is admitted to the psychiatric unit of an acute-care facility. Almost
every day for the past month, the patient has experienced loss of interest in
most or all activities, which is a change from her prior level of functioning.
She had also gained 15 LBS, difficulty falling asleep, feels fatigued and has
difficulty making decision. What potential diagnosis most closely fits the
patients overall symptoms?
a) bipolar disorder
b) insomnia
c) Reye's syndrome
d) major depression - -Major depression
-A patient is admitted to the hospital complaining of abdominal pain.
Following evaluation, it was determined that the patient had an obstruction
of the left colon due to adhesions from a prior abdominal surgery. The
patient underwent laparotomy with lysis of adhesions. What conditions and
procedures should be coded?
a) abdominal pain, abdominal obstruction, laparotomy, lysis of adhesions
b) abdominal adhesions with obstruction, lysis of adhesions
c) abdominal adhesions, abdominal obstruction, postoperative complications
of the digestive system, laparotomy, lysis of adhesions
d) abdominal adhesions, abdominal obstruction, postoperative complications
of the digestive system, lysis of adhesions - -Abdominal adhesions with
obstruction, lysis of adhesions
-A Patient is diagnosed with infertility due to endometriosis and undergoes
an outpatient laparoscopic laser destruction of pelvic endometriosis. In order
to code this encounter accurately, what steps must the coding professional
take?
a) review the operative report to determine what procedure code to use.
Determine the sit or sites of endometriosis so codes with the highest
specificity may be assigned. Use infertility as a principal diagnosis.
, b) review the operative report to determine where the laser was used in the
pelvis so the site or sites of endometriosis can be specified. Assign a
principal of infertility.
c) receive the operative report to determine where the laser was used in the
pelvis so the site or sites of endometriosis can be specified as principal.
Assign a secondary diagnosis of infertility.
c) review the operative report to determine what procedures codes to use.
Determine the site or sites of end - -review the operative report to
determine what procedures codes to use. Determine the site or sites of
endometriosis so codes with the highest specify may be assigned. Assign
endometriosis as the principal diagnosis. Assign infertility as a secondary
condition.
-When coding a cardiac Catheterization in CPT, in addition to the approach
and the side of the heart into which the catheter was inserted, what else
need to be determined?
a) the type of anesthesia
b) if additional procedures were performed
c) the duration of the procedure
d) documentation that stents were considered - -If additional procedures
were performed
-A female patient is admitted for a second-degree cystocele. A repair is
performed. Which report provides the documentation necessary to
accurately code the repair?
a) history and physical
b) discharge summary
c) consultation
d) operative report - -Operative report
-To accurately report would closures with CPT codes, in addition to knowing
the site and length of the closure, what other information is necessary?
a) if anesthesia was used and what kind
b) the repair type: simple, intermediate or complex
c) the supplies that's were used
d) if exploration of tendons or blood vessels occurred - -The repair type:
simple, intermediate, or complex
-A 64-year-old female is admitted to the hospital with nausea, vomiting and
edema. Lab values indicate the patient has dehydration. The patient takes
lisinopril as prescribed along with levothyroxine for hypothyroidism. On the
discharge summary, 5)3 final diagnoses of acute renal failure,
hypothyroidism, and dehydration are documented. What discrepancy should
a coding professional note in this documentation?
a) there is not enough detail in the documentation to assign the dehydration
b) there is no explanation for the patient's vomiting
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