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CCS Exam 1 MULTIPLE CHOICE QUESTIONS AND ANSWERS | GRADED A+ WITH 100% ACCURATE ANSWERS | CORRECT SCORE!!
CCS Exam 1 MULTIPLE CHOICE QUESTIONS AND ANSWERS | GRADED A+ WITH 100% ACCURATE ANSWERS | CORRECT SCORE!!
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CCS Exam 1 MULTIPLE CHOICE QUESTIONS AND ANSWERS 2024-2025| GRADED A+ WITH 100% ACCURATE ANSWERS | CORRECT
SCORE!!
1. 45-year-old patient admitted with Insulin dependent diabetes. The type of diabetes is not
specified in the medical record. How should this be coded?
a. E11.9, Z79.4
b. E11.8
c. E11.8, Z79.4
d. Z79.4, E11.8 - (answer)a. E11.9, Z79.4
If the type of diabetes mellitus is not documented in the medical record the default is E11.-, Type
2 diabetes mellitus. Code Z79.4, Long term (current) use of insulin, should also be assigned for
patients who take insulin (CMS 2018a, Section I.C.4.a.2, 34).
The patient is diagnosed with a recurrent thyroglossal duct cyst. The surgeon locates the cyst
using palpation, and an incision is created. The cyst is then excised. What is the correct CPT
code assignment for this service?
应、主动运输和信号传
a. 60200
b. 60210
c. 60280
d. 60281 - (answer)d. 60281
CPT code 60281 is accessed using index entry Cyst, thyroglossal duct, excision resulting in code
range 60280-60281. Code 60281 is correct for recurrent (AMA CPT Professional Edition 2018,
385).
,Most hospitals require a medical record is completed within:
a. 5 days
b. 10 days
c. 7 days
d. 30 days - (answer)d. 30 days
The Medicare Conditions of Participation and the Joint Commission require that the medical
record is completed no later than 30 days following discharge of the patient (Brickner 2016, 84).
A patient is admitted with an acute inferior myocardial infarction and discharged alive. Which
condition would increase the MS-DRG weight?
a. Respiratory failure
b. Atrial fibrillation
c. Hypertension
d. History of myocardial infarction - (answer)a. Respiratory failure
应、主动运输和信号传
MS-DRG 280 (weight = 01.6577) for myocardial infarction with respiratory failure would
change the MS-DRG. MS-DRG 282 (weight = 00.75863) would be assigned for myocardial
infarction alone, with atrial fibrillation, with hypertension, and with history of myocardial
infarction (Medicare Grouper Version 35).
According to CPT, an endoscopy that is undertaken to the level of the midtransverse colon would
be coded as a:
,a. Proctosigmoidoscopy
b. Sigmoidoscopy
c. Colonoscopy
d. Proctoscopy - (answer)c. Colonoscopy
A colonoscopy is an examination of the entire colon, from the rectum to the cecum that may
include the terminal ileum. In general, a colonoscopy examines the colon to a level of 60 cm or
higher (Smith 2018, 135-136).
According to the UHDDS, in order to assign a code for another diagnosis, documentation must
be present that:
a. The condition is recorded in the patient record by a dietary clerk
b. The condition is present in the admission department data
c. The condition was clinically evaluated or therapeutically treated, extended the length of
hospital stay, or increased nursing care or monitoring
d. The condition is considered to be essential by the family - (answer)c. The condition was
clinically evaluated or therapeutically treated, extended the length of hospital stay, or increased
应、主动运输和信号传
nursing care or monitoring
For reporting purposes the definition for other diagnoses is interpreted as additional conditions
that affect patient care in terms of requiring: clinical evaluation; or therapeutic treatment; or
diagnostic procedures; or extended length of hospital stay; or increased nursing care or
monitoring (CMS 2018a, Section III, 105-106).
To correct an entry in the medical record, the provider should:
, a. Draw a single line through the error, add a note explaining the error, initial and date, add the
correct information in chronological order
b. Draw a double line through the error, initial and date, add the reason for the correction
c. Draw a single line through the error, and add the correct information in chronological order
d. Draw several lines through the error, obliterate the documentation as much as possible, initial
and date, add the correct information in chronological order - (answer)a. Draw a single line
through the error, add a note explaining the error, initial and date, add the correct information in
chronological order
If an error is corrected, the healthcare provider who made the error should draw a single line
through the error, add a note explaining the error, initial and date it, and add the correct
information in chronological order (Sayles 2016, 65). Further, AHIMA principles for health
record documentation specify the prior statement as the proper method for correcting an error in
the paper-based records in order to应、主动运输和信号传
maintain a legally sound record. This process is based on the
ASTM and HL7 standards for error correction (AHIMA e-HIM Work Group on Maintaining the
Legal EHR, 2005).
A patient was admitted to the emergency department with chest pain and was diagnosed with
aborted myocardial infarction with acute myocardial ischemia. There was no prior cardiac
surgery. The cardiac enzymes were normal. The appropriate coding of the diagnosis for this case
is:
a. I21.3, ST elevation (STEMI) myocardial infarction of unspecified site
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