CCDS Practice Exam
Terms in this set (78)
A patient is admitted from A. Bleeding gastric ulcer
the ED with a diagnosis of
weakness and anemia. After Rationale: Although anemia is treated with PRBC, the
further treatment with anemia is d/t the ulcer. GERD is ancillary to the ulcer and
PRBCs, GI consult and not the cause of symptoms. Weakness if a symptom
endoscopy, the physician likely d/t the blood loss.
includes the following
diagnoses in the d/c *Official Guidelines for Coding and Reporting, Section
summary: anemia, I.A.15, and Coding clinic, Third Quarter 2017, p. 27
suspected bleeding gastric
ulcer, and GERD. What is
the post appropriate Pdx?
A. Bleeding Gastric Ulcer
B. Anemia
C. GERD
D. Weakness
,A patient is admitted with B. Neoplasm of occipital region
new-onset seizures. Head
CT reveals a mass in the Rationale: Per the Official Guidelines for Coding and
occipital region. The Reporting Section II.H Uncertain Diagnoses, the seizure
physician documents is a symptom of the possible brain tumor. Head mass and
possible brain tumor, and head tumor are not as specific as neoplasm of occipital
the patient is transferred to region.
another hospital for further
workup. What is the most
appropriate diagnosis?
A. Seizure
B. Neoplasm of occipital
region
C. Head mass
D. Head tumor
A hospital's base rate, or C. 1, 2, & 3
blended rate, is:
1. Calculated annually Rationale: According to CMS, base rates are calculated
2. Dependent on indirect annually and include adjustments for operating
costs for graduate medical expenses and capital expenses, including graduate
education and new medical education and care for the indigent.
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
,The final MS-DRG assigned D. Reflect the patient's severity of illness (SOI) and the
to a patient's medical resources used in the patient's care.
record should:
A. Reflect the amount of Rationale: Per CMS, based on documentation of
time the physician spent conditions being monitored and treated during the
with the patient inpatient admission, coding professionals translate the
B. Depend on the patient's documentation into ICD-19-CM/PCS codes that group
length of stay to the final MS-DRG regardless of the patient's length of
C. Be assigned by the stay or the amount of time a provider spend providing
physician care. The final MS-DRG is assigned after discharge.
D. Reflect the patient's
severity of illness (SOI) and
the resources used in the
patient's care
A patient is admitted from C. Poisoning related to medication
the ED with a diagnosis of
acute respiratory failure and Rationale: When coding a poisoning or reaction to the
aspiration pneumonia due improper use of a medication (ex. overdose, wrong
to an overdose of pain substance given or taken in error, wrong rout of
medication. What is the administration), first assign the appropriate code from
most appropriate Pdx? categories T36-T50.
A. Acute respiratory failure
B. Aspiration pneumonia
C. Poisoning related to
medication
D. Reflect adverse effect of
medication
, A patient is admitted with D. PNA, CKD stage 1, anemia, COPD
pneumonia, stage 1 chronic
renal failure, chronic Rationale: Documentation and clinical indicators support
anemia, and COPD. While that the documented acute condition is PNA, which is
hospitalized, the patient being treated with abx, inhalers, and O2. CKD stage 1,
received IV abx, inhalers, COPD and anemia are chronic conditions that are
O2, IVFs at 50ml/hr., and documented and may influence treatment of PNA, but
iron tablets. Which they would not be the Pdx. See Official Guidelines for
conditions should be Coding and Reporting, Section II.
coded?
A. PNA only
B. PNA and COPD only
C. PNA, COPD, anemia
D. PNA, CKD stage 1,
anemia, COPD
Which of the following is an D. Fractured ulna
example of a CMS-
monitored hospital- Rationale: Per CMS, fractured ulna is the only CMS-
acquired condition (HAC)? monitored HAC on the most recent list.
A. IV infiltration
B. Fat embolism ICD-10 HAC List | CMS
C. PNA
D. Fractured ulna
Terms in this set (78)
A patient is admitted from A. Bleeding gastric ulcer
the ED with a diagnosis of
weakness and anemia. After Rationale: Although anemia is treated with PRBC, the
further treatment with anemia is d/t the ulcer. GERD is ancillary to the ulcer and
PRBCs, GI consult and not the cause of symptoms. Weakness if a symptom
endoscopy, the physician likely d/t the blood loss.
includes the following
diagnoses in the d/c *Official Guidelines for Coding and Reporting, Section
summary: anemia, I.A.15, and Coding clinic, Third Quarter 2017, p. 27
suspected bleeding gastric
ulcer, and GERD. What is
the post appropriate Pdx?
A. Bleeding Gastric Ulcer
B. Anemia
C. GERD
D. Weakness
,A patient is admitted with B. Neoplasm of occipital region
new-onset seizures. Head
CT reveals a mass in the Rationale: Per the Official Guidelines for Coding and
occipital region. The Reporting Section II.H Uncertain Diagnoses, the seizure
physician documents is a symptom of the possible brain tumor. Head mass and
possible brain tumor, and head tumor are not as specific as neoplasm of occipital
the patient is transferred to region.
another hospital for further
workup. What is the most
appropriate diagnosis?
A. Seizure
B. Neoplasm of occipital
region
C. Head mass
D. Head tumor
A hospital's base rate, or C. 1, 2, & 3
blended rate, is:
1. Calculated annually Rationale: According to CMS, base rates are calculated
2. Dependent on indirect annually and include adjustments for operating
costs for graduate medical expenses and capital expenses, including graduate
education and new medical education and care for the indigent.
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
,The final MS-DRG assigned D. Reflect the patient's severity of illness (SOI) and the
to a patient's medical resources used in the patient's care.
record should:
A. Reflect the amount of Rationale: Per CMS, based on documentation of
time the physician spent conditions being monitored and treated during the
with the patient inpatient admission, coding professionals translate the
B. Depend on the patient's documentation into ICD-19-CM/PCS codes that group
length of stay to the final MS-DRG regardless of the patient's length of
C. Be assigned by the stay or the amount of time a provider spend providing
physician care. The final MS-DRG is assigned after discharge.
D. Reflect the patient's
severity of illness (SOI) and
the resources used in the
patient's care
A patient is admitted from C. Poisoning related to medication
the ED with a diagnosis of
acute respiratory failure and Rationale: When coding a poisoning or reaction to the
aspiration pneumonia due improper use of a medication (ex. overdose, wrong
to an overdose of pain substance given or taken in error, wrong rout of
medication. What is the administration), first assign the appropriate code from
most appropriate Pdx? categories T36-T50.
A. Acute respiratory failure
B. Aspiration pneumonia
C. Poisoning related to
medication
D. Reflect adverse effect of
medication
, A patient is admitted with D. PNA, CKD stage 1, anemia, COPD
pneumonia, stage 1 chronic
renal failure, chronic Rationale: Documentation and clinical indicators support
anemia, and COPD. While that the documented acute condition is PNA, which is
hospitalized, the patient being treated with abx, inhalers, and O2. CKD stage 1,
received IV abx, inhalers, COPD and anemia are chronic conditions that are
O2, IVFs at 50ml/hr., and documented and may influence treatment of PNA, but
iron tablets. Which they would not be the Pdx. See Official Guidelines for
conditions should be Coding and Reporting, Section II.
coded?
A. PNA only
B. PNA and COPD only
C. PNA, COPD, anemia
D. PNA, CKD stage 1,
anemia, COPD
Which of the following is an D. Fractured ulna
example of a CMS-
monitored hospital- Rationale: Per CMS, fractured ulna is the only CMS-
acquired condition (HAC)? monitored HAC on the most recent list.
A. IV infiltration
B. Fat embolism ICD-10 HAC List | CMS
C. PNA
D. Fractured ulna
