AHIMA / AHIMA CCS EXAM QUESTION BANK WITH
COMPLETE REAL QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES (A NEW UPDATED
VERSION) |GUARANTEED PASS A+ (MOST TESTED
QUESTIONS FROM THE PAST EXAMS)
A 55-year-old patient has hypertensive heart disease with congestive heart
failure. What code would be assigned?
a. I15.8, Other secondary hypertension
b. I11.0, Hypertensive heart disease with heart failure and I50.9, Heart failure,
unspecified
c. I50.9, Heart failure, unspecified and I15.0, Renovascular hypertension
d. N18.6, End stage renal disease
b. I11.0, Hypertensive heart disease with heart failure and I50.9, Heart failure,
unspecified
** There is a cause and effect relationship established between the
hypertension and the congestive heart failure. A separate code for the
congestive heart failure is assigned based on the "code also" note (HHS
2017, Section I.C.9.a., 40).
,A surgeon would like to undertake a research study on his patients with
stage II malignant melanoma of the back, who have undergone wide
excision of the melanoma. What work processes and associated software
could be used to provide this information?
a. Obtain a summary of the cases from the cancer registry, import them into
a spreadsheet, and provide to the surgeon.
b. Obtain a summary of the cases from the chart completion software,
import them into a spreadsheet, and provide to the surgeon.
c. Obtain a summary of the cases from the master patient index, import
them into a spreadsheet, and provide to the surgeon.
d. Obtain a summary of the cases from the transcription tracking software,
import them into a spreadsheet, and provide to the surgeon.
a. Obtain a summary of the cases from the cancer registry, import them into
a spreadsheet, and provide to the surgeon.
**The cancer registry can be used to undertake studies in addition to
reporting cases to a central registry (Sharp and Madlock-Brown 2016, 173).
,A facility located near a national park has a significant number of snake
bites, and patients receive treatment with antivenom in urgent-care settings.
Sometimes a patient is admitted to the hospital after several days. Can the
urgent-care setting provide the hospital with a list of names of patients
treated with snake antivenom?
a. Only the names of patients who are admitted to the hospital can be
requested if the physician needs it for continuity of care, but an entire list of
patients cannot be provided.
b. A list of names could be provided.
c. No information can be obtained under any circumstances.
d. A list of patients may be available after consultation with the national park
ranger.
a. Only the names of patients who are admitted to the hospital can be
requested if the physician needs it for continuity of care, but an entire list of
patients cannot be provided.
**Only records that are required for care or authorized by the patient can
be released by the urgent-care facility to the acute-care facility (Brodnik
2012, 225; Rinehart-Thompson 2016b, 243-247).
, What diagnoses and procedures should be reported for recurrent left
inguinal hernia with laparoscopic repair?
K40.30 Unilateral inguinal hernia, with obstruction, without gangrene, not
specified as recurrent
K40.31 Unilateral inguinal hernia, with obstruction, without gangrene,
recurrent
K40.91 Unilateral inguinal hernia, without mention of obstruction or
gangrene, recurrent
49520 Repair recurrent inguinal hernia, any age; reducible
49521 Repair recurrent inguinal hernia, any age; incarcerated or
strangulated
49651 Laparoscopy, surgical; repair recurrent inguinal hernia
a. K40.91, 49520
b. K40.31, 49521
c. K40.91, 49651
d. K40.30, 49520
c. K40.91:Unilateral inguinal hernia, without mention of obstruction or
gangrene, recurrent
49651:Laparoscopy, surgical; repair recurrent inguinal hernia
**The patient has a recurrent hernia without obstruction and this is captured
in diagnosis code K40.91 (Leon-Chisen 2017, 253; CPT Assistant Nov. 1999,
24; March 2000, 9).