UPDATED 2024 CERTIFIED CODING
SPECIALIST (CCS) EXAM PREP
QUESTIONS -AHIMA 6TH EDITION
,UPDATED 2024 CERTIFIED CODING
SPECIALIST (CCS) EXAM PREP
QUESTIONS -AHIMA 6TH EDITION
When coding benign neoplasm of the skin, the section noted above directs the coder to:
a. Use category D23 for benign neoplasm of sweat glands
b. Use category D23 for melanocytic nevi
c. Use category D23 for benign lipomatous neoplasms of skin
d. Use category D23 for malignant neoplasm of the skin - CORRECT ANSWERSa
Excludes note 1 is defined as never code here (HHS 2014, I.A.12.a, 10).
023-Other benign neoplasms of skin Includes: Benign neoplasm of hair follicles Benign neoplasm of
sebaceous glands Benign neoplasm of sweat glands Excludes 1: benign lipomatous neoplasms of skin
(017.0-017.3) melanocytic nevi (022.-)
Carcinoma in situ - CORRECT ANSWERSTumor 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 ANSWERSIntraepithelial 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 ANSWERSb
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 ANSWERSd
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 ANSWERSa
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).
SPECIALIST (CCS) EXAM PREP
QUESTIONS -AHIMA 6TH EDITION
,UPDATED 2024 CERTIFIED CODING
SPECIALIST (CCS) EXAM PREP
QUESTIONS -AHIMA 6TH EDITION
When coding benign neoplasm of the skin, the section noted above directs the coder to:
a. Use category D23 for benign neoplasm of sweat glands
b. Use category D23 for melanocytic nevi
c. Use category D23 for benign lipomatous neoplasms of skin
d. Use category D23 for malignant neoplasm of the skin - CORRECT ANSWERSa
Excludes note 1 is defined as never code here (HHS 2014, I.A.12.a, 10).
023-Other benign neoplasms of skin Includes: Benign neoplasm of hair follicles Benign neoplasm of
sebaceous glands Benign neoplasm of sweat glands Excludes 1: benign lipomatous neoplasms of skin
(017.0-017.3) melanocytic nevi (022.-)
Carcinoma in situ - CORRECT ANSWERSTumor 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 ANSWERSIntraepithelial 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 ANSWERSb
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 ANSWERSd
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 ANSWERSa
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).
