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AHIMA CCS EXAM/CERTIFIED CORDING SPECIALIST
AHIMA EXAM -
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) AHIMA CCS EXAM
ALREADY GRADED A+
The root operation of resection applies to which of the following?
- Removal of the entire body part and removal of an entire lobe of the liver
- Partial incidental appendectomy and the closure portion of a procedure
- Blunt, digital, manual, or mechanical lysis of adhesions
- Partial cholecystectomy - ANSWER-A. Removal of the entire body part and
removal of an entire lobe of the liver.
When coding benign neoplasm of the skin, the section noted above directs the
coder to:
D23- 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 (D17.0-D17.3)
melanocytic nevi (D22.-)
- Use category D23 for benign neoplasm of sweat glands
- Use category D23 for melanocytic nevi
- Use category D23 for benign lipomatous neoplasms of skin
- Use category D23 for malignant neoplasm of the skin - ANSWER-A. Use
category D23 for benign neoplasm of sweat glands
A 64-year-old female was discharged with the final diagnosis of acute renal failure and hypertension. What coding rule applies?
- Use combination code of hypertension and renal failure.
- Use separate codes for hypertension and chronic renal failure.
- Use separate codes for hypertension and acute renal failure.
- Use separate codes for elevated blood pressure and chronic renal failure. -
ANSWER-C Use separate codes for hypertension and acute renal failure
Coding professionals need to have surgical references in order to discriminate
between:
- Correct and incorrect documentation based on Joint Commission requirements
- Reportable and nonreportable procedures
- Chemotherapeutic drugs
- A comorbid condition and a complication that prolongs the length of stay -
ANSWER-B. Reportable and non-reportable procedures
A patient is admitted with an acute inferior myocardial infarction and discharged alive. Which condition would increase the MS-DRG weight?
- Respiratory failure
- Atrial fibrillation
- Hypertension
- History of myocardial infarction - ANSWER-A. Respiratory failure
If a patient has undergone an outpatient echocardiogram and the cardiologist concludes in the report that the patient has mitral regurgitation, the coder should:
- Assign a diagnostic code for mitral regurgitation
- Query the physician about the diagnosis
- Code an abnormal finding of the echocardiogram
- No code can be assigned - ANSWER-A. Assign a diagnostic code for mitral
regurgitation
A patient was treated in the emergency department with lacerations of the neck and underwent a repair of two (2) wounds of the neck (2.0 cm and 1.4 cm) with layered closure. What is the diagnosis (excluding external cause codes) and procedure codes assigned?
S11.91XA Laceration without foreign body of unspecified part of neck, initial encounter
S11.92XA Laceration with foreign body of unspecified part of neck, initial encounter 0HQ4XZZ Repair neck skin, external approach 12041 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less 12042 Repair, intermediate, wounds of neck, hands, feet, and/or external genitalia; 2.6 cm to 7.5 cm
- S11.91XA, 0HQ4XZZ
- S11.92XA, 0HQ4XZZ
- S11.92XA, 12041, 12041
- S11.91XA, 12042 - ANSWER-D. S11.91XA, 12042
A patient is admitted to an acute care facility for detoxification from alcohol and barbiturate intoxication with chronic alcoholism and barbiturate abuse. The patient also has cirrhosis of the liver due to alcoholism. What codes should be assigned?
- F10.229, F13.129, K70.30, HZ2ZZZZ
- F10.129, F13.229, K70.30, HZ2ZZZZ
- F10.29, F13.129, K70.10, HZ2ZZXZ
- F10.229, F13.129, K70.9, HZ2ZZZZ - ANSWER-A. F10.229, F13.129, K70.30,
HZ2ZZZZ
Patient with renal tumors received percutaneous cryotherapy ablation of three tumors on the right kidney in the same operative episode at Memorial Hospital.Assign a CPT code for this procedure.
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