CCS Exam Prep Classification Systems
and Secondary Data Sources
1. Which system is a classification of health and health-related domains that describe body
functions and structures, domains of activities and participation, and environmental factors that
interact with all of these components? A. International Classification of Primary Care (ICPC-2)
B. International Classification on Functioning, Disability, and Health (ICF) C. National Drug
Codes D. Clinical Care Classification (CCC)
B
2. A physician performed an outpatient surgical procedure on the eye orbit of a patient with
Medicare. Upon searching the CPT codes and consulting with the physician, the coder is unable
to find a code for the procedure. The coder should assign A. an unlisted Evaluation and
Management code from the E/M section. B. an unlisted procedure code located in the eye and
ocular adnexa section. C. a HCPCS Level Two (alphanumeric) code. D. an ophthalmologic
treatment service code.
B
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3. A system of preferred terminology for naming disease processes is known as a A. set of
categories. C. medical nomenclature. B. classification system. D. diagnosis listing.
C
4. Which of the following is NOT included as a part of the minimum data maintained in the MPI?
A. principal diagnosis C. full name (last, first, and middle) B. patient medical record number D.
date of birth
A
5. The Health Information Department receives research requests from various committees in
the hospital. The Medicine Committee wishes to review all patients having a diagnosis of
anterolateral myocardial infarction within the past 6 months. Which of the following would be the
best source to identify the necessary charts? A. operation index C. disease index B.
consultation index D. physician's index
C
, 6. One of the major functions of the cancer registry is to ensure that patients receive regular and
continued observation and management. How long should patient follow-up be continued? A.
until remission occurs C. for the life of the patient B. 10 years D. 1 year
C
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7. In reviewing the medical record of a patient admitted for a left herniorrhaphy, the coder
discovers an extremely low potassium level on the laboratory report. In examining the
physician's orders, the coder notices that intravenous potassium was ordered. The physician
has not listed any indication of an abnormal potassium level or any related condition on the
discharge summary. The best course of action for the coder to take is to A. confer with the
physician and ask him or her to list the condition as a final diagnosis if he or she considers the
abnormal potassium level to be clinically significant. B. code the record as is. C. code the
condition as abnormal blood chemistry. D. code the abnormal potassium level as a complication
following surgery.
A
8. DSM-5 is used most frequently in what type of healthcare setting? A. behavioral health
centers C. home health agencies B. ambulatory surgery centers D. nursing homes
A
9. A coder notes that a patient is taking prescription Pilocarpine. The final diagnoses on the
discharge summary are congestive heart failure and diabetes mellitus. The coder should query
the physician about adding a diagnosis of A. arthritis. C. bronchitis. B. glaucoma. D. laryngitis.
B
10. The patient is diagnosed with congestive heart failure. A drug of choice is A. ibuprofen. C.
haloperidol. B. oxytocin. D. digoxin.
D
11. ICD-10-CM utilizes a placeholder character. This is used as a 5th character placeholder at
certain 6 character codes to allow for future expansion. The placeholder character is A. "Z." C.
"1." B. "O." D. "x."
D
12. The local safety council requests statistics on the number of head injuries occurring as a
result of skateboarding accidents during the last year. To retrieve this data, you will need to have
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