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CCDS EXAM 2024 ACTUAL EXAM COMPLETE 400 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+

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CCDS EXAM 2024 ACTUAL EXAM COMPLETE 400 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+

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  • 8 de noviembre de 2024
  • 65
  • 2024/2025
  • Examen
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  • ccds exam 2024 actual exam complete 400 questions

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CCDS EXAM 2024 ACTUAL EXAM COMPLETE 400
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /ALREADY
GRADED A+
A patient is admitted from the ED with a diagnosis of weakness and anemia.
After further treatment with PRBCs, GI consult and endoscopy, the physician
includes the following diagnoses in the d/c summary: anemia, suspected
bleeding gastric ulcer, and GERD. What is the post appropriate Pdx?
A. Bleeding Gastric Ulcer
B. Anemia
C. GERD
D. Weakness - ANSWER A. Bleeding gastric ulcer


Rationale: Although anemia is treated with PRBC, the anemia is d/t the ulcer.
GERD is ancillary to the ulcer and not the cause of symptoms. Weakness if a
symptom likely d/t the blood loss.


*Official Guidelines for Coding and Reporting, Section I.A.15, and Coding
clinic, Third Quarter 2017, p. 27


A patient is admitted with new-onset seizures. Head CT reveals a mass in the
occipital region. The physician documents possible brain tumor, and the
patient is transferred to another hospital for further workup. What is the most
appropriate diagnosis?
A. Seizure
B. Neoplasm of occipital region
C. Head mass
D. Head tumor - ANSWER B. Neoplasm of occipital region


Rationale: Per the Official Guidelines for Coding and Reporting Section II.H
Uncertain Diagnoses, the seizure is a symptom of the possible brain tumor.
Head mass and head tumor are not as specific as neoplasm of occipital region.

,A hospital's base rate, or blended rate, is:
1. Calculated annually
2. Dependent on indirect costs for graduate medical education and new
technology
3. Adjusted based on number of low-income patients
4. Adjusted based on capital profits


A. 1 & 2
B. 2 & 3
C. 1, 2, & 3
D. 1, 2, 3, and 4 - ANSWER C. 1, 2, & 3


Rationale: According to CMS, base rates are calculated annually and include
adjustments for operating expenses and capital expenses, including graduate
medical education and care for the indigent.


The final MS-DRG assigned to a patient's medical record should:
A. Reflect the amount of time the physician spent with the patient
B. Depend on the patient's length of stay
C. Be assigned by the physician
D. Reflect the patient's severity of illness (SOI) and the resources used in the
patient's care - ANSWER D. Reflect the patient's severity of illness (SOI) and
the resources used in the patient's care.


Rationale: Per CMS, based on documentation of conditions being monitored
and treated during the inpatient admission, coding professionals translate the
documentation into ICD-19-CM/PCS codes that group to the final MS-DRG
regardless of the patient's length of stay or the amount of time a provider
spend providing care. The final MS-DRG is assigned after discharge.


A patient is admitted from the ED with a diagnosis of acute respiratory failure
and aspiration pneumonia due to an overdose of pain medication. What is the
most appropriate Pdx?

,A. Acute respiratory failure
B. Aspiration pneumonia
C. Poisoning related to medication
D. Reflect adverse effect of medication - ANSWER C. Poisoning related to
medication


Rationale: When coding a poisoning or reaction to the improper use of a
medication (ex. overdose, wrong substance given or taken in error, wrong rout
of administration), first assign the appropriate code from categories T36-T50.


A patient is admitted with pneumonia, stage 1 chronic renal failure, chronic
anemia, and COPD. While hospitalized, the patient received IV abx, inhalers,
O2, IVFs at 50ml/hr., and iron tablets. Which conditions should be coded?
A. PNA only
B. PNA and COPD only
C. PNA, COPD, anemia
D. PNA, CKD stage 1, anemia, COPD - ANSWER D. PNA, CKD stage 1, anemia,
COPD


Rationale: Documentation and clinical indicators support that the documented
acute condition is PNA, which is being treated with abx, inhalers, and O2. CKD
stage 1, COPD and anemia are chronic conditions that are documented and
may influence treatment of PNA, but they would not be the Pdx. See Official
Guidelines for Coding and Reporting, Section II.


Which of the following is an example of a CMS-monitored hospital-acquired
condition (HAC)?
A. IV infiltration
B. Fat embolism
C. PNA
D. Fractured ulna - ANSWER D. Fractured ulna


Rationale: Per CMS, fractured ulna is the only CMS-monitored HAC on the
most recent list.

, ICD-10 HAC List | CMS


Which of the following is an example of documentation that would meet the
POA criteria for coding?
A. A dx that is indicated in the H&P and r/o in the d/c summary
B. A dx found in a previous medical record
C. A dx that is listed as "possible" in the d/c summary and linked to s/s at the
time of admission
D. An acute condition identified on the 3rd day of admission - ANSWER C. A
dx that is listed as "possible" in the d/c summary and linked to s/s at the time
of admission


Rationale: Per Guidelines, a condition considered POA is defined as present at
the time the order for inpt admission occurs. Conditions that develop during
an outpatient encounter, including in the ED, OBS, or outpatient surgery, are
considered POA. If the final dx contains a possible, probable, suspected, or r/o
dx and the dx was based on s/s or clinical findings suspected at the time of
inpt admission, assign "Y".


Page 119


A pt is admitted w/ abd pain and the H&P indicates a dx of probable colon
cancer. On day 2, the physician documents acute renal failure in the progress
notes, and the pt receives IVFs. The d/c summary lists possible metastatic
colon cancer and acute renal failure. What is the Pdx?
A. Neoplasms, uncertain behavior
B. Acute renal failure
C. Abd pain
D. Metastatic neoplasm of the colon - ANSWER D. Metastatic neoplasm of the
colon


Rationale: The circumstances of inpt admission always govern the selection of
the Pdx. The UHDDS further defines the Pdx as "that condition established

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