Certified Coding Specialist (CCS)
Exam Prep Questions -AHIMA 6th
Edition 2023-2024 /49 Questions
And Answers (A+)
Quiz :Carcinoma in situ - √Answer :Tumor cells that are
undergoing malignant changes but are still confined to the point
of origin without invasion of the surrounding normal tissue
Quiz :Examples of carcinoma in situ - √Answer :Intraepithelial
infiltrating
Quiz :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 - √Answer :b
The CPK elevation with MB enzymes elevated and the EKG ST
changes denote a possible Ml (Leon-Chisen 2013, 386-387).
Quiz :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 - √Answer :d
,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).
Quiz :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. - √Answer :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).
Quiz :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 - √Answer :b
The symptoms provided are indicative of a depressive disorder
(Leon-Chisen 2013, 175).
, Quiz :Inpatient:
Admission for inguinal hernia repair. This 30-year-old patient
has acquired immunodeficiency syndrome (AIDS) but is not
symptomatic at this time due to medication regimen. The
procedure performed was a right indirect inguinal
herniorrhaphy via open approach. - √Answer :ICD-10-CM:
K40.90, B20,
A 75-year-old male patient was admitted from a nursing home
with dehydration and dysphagia due to a previous stroke.
During hospitalization the patient was rehydrated and
transferred back to the nursing home. - √Answer :ICD-10-CM:
E86.0, I69.391
A patient is admitted to an acute care facility for detoxification
from alcohol and barbiturate intoxication with chronic
alcoholism and barbiturate abuse. The patient also has
cirrhosis of the liver due to alcoholism. - √Answer :ICD-10-CM:
F10.229, F13.129, K70.30,
(Schraffenberger 2013, 140-143.)
ICD-10-PCS HZ2ZZZZ
(Leon-Chisen 2014, 186).
Quiz :Inpatient:
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