AHIMA Practice Exam 1 CCS-P
Questions & Answers (Grade A+)
The physician visits his patient in the hospital and indicates that the
patient has diabetes. Insulin is prescribed for and administered to
the patient. What is the best decision that the coding professional
can make in this situation?
A.Assign a code for type 1 diabetes mellitus because insulin was
administered.
B.Assign a code for drug-induced diabetes mellitus.
C.Assign a code for type 2 diabetes mellitus with complications.
D.Assign a code for type 2 diabetes mellitus along with a code for
the insulin use. -
correct answer ✅D.
If the type of diabetes mellitus is not documented in the health
record, the default is type 2 diabetes mellitus. The coding
professional would also want to code the insulin use in addition to
the diabetic code selected (CMS 2023a, I.C.4.a.2)
The patient is seen in the emergency department (ED) with acute
lumbar pain. The ED physician documents possible kidney stones
and orders an x-ray. The radiologist documents bilateral
nephrolithiasis. The coding professional would assign a code for
which of the following conditions?
A. Acute lumbar pain
,AHIMA Practice Exam 1 CCS-P
Questions & Answers (Grade A+)
B.Bilateral nephrolithiasis
C.Possible kidney stones
D.Abnormal x-ray findings -
correct answer ✅B.
A radiologist's findings may be used to clarify an outpatient's
diagnosis or reason for services. Based on the fact that the
radiologist is a physician, a coding professional can use a diagnosis
from the x-ray (CMS 2023a, IV.K).
A female infant was born in the hospital at term and at a normal
birth weight. It was a vaginal delivery with a vertex presentation. In
the hours after birth, jaundice was noted and eventually a diagnosis
of erythroblastosis fetalis due to an ABO incompatibility was made.
How would this admission be coded?
Z38.00 Single liveborn infant, born in hospital, delivered vaginally
P55.0 Rh isoimmunization of newborn
P55.1 ABO isoimmunization of newborn
P55.8 Other hemolytic diseases of newborn
P55.9 Hemolytic disease of newborn, unspecified
, AHIMA Practice Exam 1 CCS-P
Questions & Answers (Grade A+)
A.Z38.00, P55.0
B.Z38.00, P55.1
C.Z38.00, P55.8
D.Z38.00, P55.9 -
correct answer ✅B.
Infants born to RH-negative mothers often develop hemolytic
disease owing to fetal-maternal blood group incompatibility. These
conditions are classified to Category P55, Hemolytic disease of
newborn (Optum 2022, 8; ICD-10-CM Expert for Hospitals,
Alphabetic Index, main term Disease, subterm hemolytic).
The patient is seen in his ophthalmologist's office and treated for
bilateral open angle glaucoma, moderate stage. How would this
encounter be coded?
H40.10X2 Unspecified open-angle glaucoma, moderate stage
H40.1111 Primary open-angle glaucoma, right eye, mild stage
H40.1112 Primary open-angle glaucoma, right eye, moderate stage
H40.9 Unspecified glaucoma
A.H40.10X2
Questions & Answers (Grade A+)
The physician visits his patient in the hospital and indicates that the
patient has diabetes. Insulin is prescribed for and administered to
the patient. What is the best decision that the coding professional
can make in this situation?
A.Assign a code for type 1 diabetes mellitus because insulin was
administered.
B.Assign a code for drug-induced diabetes mellitus.
C.Assign a code for type 2 diabetes mellitus with complications.
D.Assign a code for type 2 diabetes mellitus along with a code for
the insulin use. -
correct answer ✅D.
If the type of diabetes mellitus is not documented in the health
record, the default is type 2 diabetes mellitus. The coding
professional would also want to code the insulin use in addition to
the diabetic code selected (CMS 2023a, I.C.4.a.2)
The patient is seen in the emergency department (ED) with acute
lumbar pain. The ED physician documents possible kidney stones
and orders an x-ray. The radiologist documents bilateral
nephrolithiasis. The coding professional would assign a code for
which of the following conditions?
A. Acute lumbar pain
,AHIMA Practice Exam 1 CCS-P
Questions & Answers (Grade A+)
B.Bilateral nephrolithiasis
C.Possible kidney stones
D.Abnormal x-ray findings -
correct answer ✅B.
A radiologist's findings may be used to clarify an outpatient's
diagnosis or reason for services. Based on the fact that the
radiologist is a physician, a coding professional can use a diagnosis
from the x-ray (CMS 2023a, IV.K).
A female infant was born in the hospital at term and at a normal
birth weight. It was a vaginal delivery with a vertex presentation. In
the hours after birth, jaundice was noted and eventually a diagnosis
of erythroblastosis fetalis due to an ABO incompatibility was made.
How would this admission be coded?
Z38.00 Single liveborn infant, born in hospital, delivered vaginally
P55.0 Rh isoimmunization of newborn
P55.1 ABO isoimmunization of newborn
P55.8 Other hemolytic diseases of newborn
P55.9 Hemolytic disease of newborn, unspecified
, AHIMA Practice Exam 1 CCS-P
Questions & Answers (Grade A+)
A.Z38.00, P55.0
B.Z38.00, P55.1
C.Z38.00, P55.8
D.Z38.00, P55.9 -
correct answer ✅B.
Infants born to RH-negative mothers often develop hemolytic
disease owing to fetal-maternal blood group incompatibility. These
conditions are classified to Category P55, Hemolytic disease of
newborn (Optum 2022, 8; ICD-10-CM Expert for Hospitals,
Alphabetic Index, main term Disease, subterm hemolytic).
The patient is seen in his ophthalmologist's office and treated for
bilateral open angle glaucoma, moderate stage. How would this
encounter be coded?
H40.10X2 Unspecified open-angle glaucoma, moderate stage
H40.1111 Primary open-angle glaucoma, right eye, mild stage
H40.1112 Primary open-angle glaucoma, right eye, moderate stage
H40.9 Unspecified glaucoma
A.H40.10X2
