Certified Coding Specialist (CCS) Exam
Prep Questions -AHIMA 6th Edition
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.-)
When coding benign lipomatous neoplasms of skin, the section noted above directs the
coder to:
a. Use category D23
b. Use a code from D17.0-D17.3
c. Use code E88.2
d. Use category D22 - ANS-b
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.-)
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 - ANS-a
Excludes note 1 is defined as never code here (HHS 2014, I.A.12.a, 10).
A patient has a principal diagnosis of pneumonia (118.9) (MS-DRG 195).
, Which of the following may legitimately change the coding of the pneumonia in
accordance with the UHDDS and relevant clinical documentation?
a. Sputum culture reflects growth of normal flora.
b. Patient has a positive gram stain.
c. Patient is found to have dysphagia with aspiration.
d. Patient has nonproductive sputum. - ANS-c
Patient is found to have dysphagia with aspiration is the correct answer because it
changes the coding to aspiration pneumonia and would result in MS-DRG 179
RESPIRATORY INFECTIONS & INFLAMMATIONS W/0 CC/MCC, which has a weight
of 0.9718 (Medicare Grouper Version Used: 31). This is in comparison to MS-DRG
0195, SIMPLE PNEUMONIA & PLEURISY W/0 CC/MCC MDC: 04 which has a DRG
weight of 0.6978 (Medicare Grouper Version Used: 31).
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 - ANS-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).
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 - ANS-b
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