CCS PRACTICE EXAM 1 LATEST EXAM 2023-2024 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES| (ALREADY GRADED A+) |BRAND
NEW!!
A patient was admitted to the emergency department for abdominal pain
with diarrhea and was diagnosed with infectious gastroenteritis. In addition
to gastroenteritis, the final diagnostic statement included angina and
chronic obstructive pulmonary disease. List the diagnoses that would be
coded and their correct sequence.
a. Abdominal pain, infectious gastroenteritis, chronic obstructive pulmonary
disease, angina
b. Infectious gastroenteritis, chronic obstructive pulmonary disease, angina
c. Gastroenteritis, abdominal pain, angina
d. Diarrhea, chronic obstructive pulmonary disease, angina - ANSWER-
Correct Answer: B
The abdominal pain and diarrhea are not coded as they are symptoms
integral to the diagnosis of infectious gastroenteritis. Review Coding
Guideline IV.D for additional information on coding of symptoms,
signs, and ill-defined conditions (CMS 2020a, Section IV.D., 113).
A patient was admitted to the endoscopy unit for a screening colonoscopy.
During the colonoscopy, polyps of the colon were found and a polypectomy
was performed. What diagnostic codes should be used and how should
they be sequenced?
Z12.11Encounter for screening for malignant neoplasm of colon
D12.6Benign neoplasm of colon, unspecified
Z86.010Personal history of colonic polyps
a. Z12.11, Z86.010
,CCS PRACTICE EXAM 1 LATEST EXAM 2023-2024 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES| (ALREADY GRADED A+) |BRAND
NEW!!
b. D12.6, Z12.11, Z86.010
c. Z12.11, D12.6
d. D12.6, Z12.11 - ANSWER-Correct Answer: C
The circumstances of the encounter are for a screening colonoscopy.
Because of this screening, colonoscopy is listed first, followed by a
code for the polyps (CMS 2020a, Section I.C.21.c.5, 97-98).
The patient is admitted for chest pain and is found to have an acute inferior
myocardial infarction with coronary artery disease and atrial fibrillation.
After the atrial fibrillation was controlled and the patient was stabilized, the
patient underwent a CABG ×2 from aorta to the right anterior descending
and right obtuse, using the left greater saphenous vein which was
harvested via an open approach. Cardiopulmonary bypass was utilized.
The appropriate sequencing and ICD codes for the hospitalization would
be:
I25.10Atherosclerotic heart disease of native coronary artery without
angina pectorisI21.19ST elevation (STEMI) myocardial infarction involving
other coronary artery of inferior wallI22.1Subsequent ST elevation (STEMI)
myocardial infarction of inferior wallI21.3ST elevation (STEMI) myocardial
infarction, of unspecified siteI22.9Subsequent ST elevation (STEMI)
myocardial infarction of unspecified siteI48.91Uns - ANSWER-Correct
Answer: C
The patient's hospitalization includes a definitive diagnosis of
myocardial infarction of the inferior wall as well as the other
diagnoses of coronary artery disease and atrial fibrillation. The chest
pain is not coded as it is a symptom of the MI. The patient underwent
CABG ×2 with cardiopulmonary bypass and harvesting of the left
saphenous vein to be used as graft material. All three procedures are
,CCS PRACTICE EXAM 1 LATEST EXAM 2023-2024 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES| (ALREADY GRADED A+) |BRAND
NEW!!
reportable and should be coded (Leon-Chisen 2020, 393-396, 430-
434).
A patient is admitted with hemoptysis. A bronchoscopy with transbronchial
biopsy of the lower lobe was undertaken that revealed squamous cell
carcinoma of the right lung. Which conditions should be identified as
present on admission?
C34.30Malignant neoplasm of lower lobe, unspecified bronchus or lung
C34.31Malignant neoplasm of lower lobe, right bronchus or lung
P26.9Unspecified pulmonary hemorrhage originating in the perinatal period
R04.2Hemoptysis
a. C34.31, R04.2
b. R04.2
c. C34.31
d. C34.30, P26.9, R04.2 - ANSWER-Correct Answer: C
The diagnosis after study (lung cancer) was present on admission.
The symptom (hemoptysis) of the carcinoma should not be assigned
and therefore, will not have a POA indicator. Code P26.9 would not be
assigned because it is not diagnosed and only applies to the perinatal
period (CMS 2020a, Appendix I, 117-121).
A condition is considered present on admission when it is:
a. The principal diagnosis
b. In accordance with medical staff bylaws
, CCS PRACTICE EXAM 1 LATEST EXAM 2023-2024 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES| (ALREADY GRADED A+) |BRAND
NEW!!
c. A condition that occurs prior to an inpatient admission
d. Present within three days after admission - ANSWER-Correct Answer: C
It is important to understand the time frame for assigning a status
code specifying that a condition is present on admission. A condition
is present on admission when it occurs prior to inpatient admission
(CMS 2020a, Appendix I, 117-121).
A newborn is diagnosed with meconium aspiration at birth. What is the
appropriate POA indicator for the meconium aspiration?
a. Y
b. N
c. U
d. W - ANSWER-Correct Answer: A
Conditions present at birth are considered POA for newborns (CMS
2020a, Appendix I, 117-121).
A woman is admitted to the hospital for an exacerbation of COPD and
mentions a lump she has noticed in her right breast. While she in the
hospital, a biopsy is done of the breast lump and a diagnosis of ductal
carcinoma is made. What is the POA assignment for the carcinoma?
a. Y
b. N
c. U
d. W - ANSWER-Correct Answer: A
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES| (ALREADY GRADED A+) |BRAND
NEW!!
A patient was admitted to the emergency department for abdominal pain
with diarrhea and was diagnosed with infectious gastroenteritis. In addition
to gastroenteritis, the final diagnostic statement included angina and
chronic obstructive pulmonary disease. List the diagnoses that would be
coded and their correct sequence.
a. Abdominal pain, infectious gastroenteritis, chronic obstructive pulmonary
disease, angina
b. Infectious gastroenteritis, chronic obstructive pulmonary disease, angina
c. Gastroenteritis, abdominal pain, angina
d. Diarrhea, chronic obstructive pulmonary disease, angina - ANSWER-
Correct Answer: B
The abdominal pain and diarrhea are not coded as they are symptoms
integral to the diagnosis of infectious gastroenteritis. Review Coding
Guideline IV.D for additional information on coding of symptoms,
signs, and ill-defined conditions (CMS 2020a, Section IV.D., 113).
A patient was admitted to the endoscopy unit for a screening colonoscopy.
During the colonoscopy, polyps of the colon were found and a polypectomy
was performed. What diagnostic codes should be used and how should
they be sequenced?
Z12.11Encounter for screening for malignant neoplasm of colon
D12.6Benign neoplasm of colon, unspecified
Z86.010Personal history of colonic polyps
a. Z12.11, Z86.010
,CCS PRACTICE EXAM 1 LATEST EXAM 2023-2024 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES| (ALREADY GRADED A+) |BRAND
NEW!!
b. D12.6, Z12.11, Z86.010
c. Z12.11, D12.6
d. D12.6, Z12.11 - ANSWER-Correct Answer: C
The circumstances of the encounter are for a screening colonoscopy.
Because of this screening, colonoscopy is listed first, followed by a
code for the polyps (CMS 2020a, Section I.C.21.c.5, 97-98).
The patient is admitted for chest pain and is found to have an acute inferior
myocardial infarction with coronary artery disease and atrial fibrillation.
After the atrial fibrillation was controlled and the patient was stabilized, the
patient underwent a CABG ×2 from aorta to the right anterior descending
and right obtuse, using the left greater saphenous vein which was
harvested via an open approach. Cardiopulmonary bypass was utilized.
The appropriate sequencing and ICD codes for the hospitalization would
be:
I25.10Atherosclerotic heart disease of native coronary artery without
angina pectorisI21.19ST elevation (STEMI) myocardial infarction involving
other coronary artery of inferior wallI22.1Subsequent ST elevation (STEMI)
myocardial infarction of inferior wallI21.3ST elevation (STEMI) myocardial
infarction, of unspecified siteI22.9Subsequent ST elevation (STEMI)
myocardial infarction of unspecified siteI48.91Uns - ANSWER-Correct
Answer: C
The patient's hospitalization includes a definitive diagnosis of
myocardial infarction of the inferior wall as well as the other
diagnoses of coronary artery disease and atrial fibrillation. The chest
pain is not coded as it is a symptom of the MI. The patient underwent
CABG ×2 with cardiopulmonary bypass and harvesting of the left
saphenous vein to be used as graft material. All three procedures are
,CCS PRACTICE EXAM 1 LATEST EXAM 2023-2024 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES| (ALREADY GRADED A+) |BRAND
NEW!!
reportable and should be coded (Leon-Chisen 2020, 393-396, 430-
434).
A patient is admitted with hemoptysis. A bronchoscopy with transbronchial
biopsy of the lower lobe was undertaken that revealed squamous cell
carcinoma of the right lung. Which conditions should be identified as
present on admission?
C34.30Malignant neoplasm of lower lobe, unspecified bronchus or lung
C34.31Malignant neoplasm of lower lobe, right bronchus or lung
P26.9Unspecified pulmonary hemorrhage originating in the perinatal period
R04.2Hemoptysis
a. C34.31, R04.2
b. R04.2
c. C34.31
d. C34.30, P26.9, R04.2 - ANSWER-Correct Answer: C
The diagnosis after study (lung cancer) was present on admission.
The symptom (hemoptysis) of the carcinoma should not be assigned
and therefore, will not have a POA indicator. Code P26.9 would not be
assigned because it is not diagnosed and only applies to the perinatal
period (CMS 2020a, Appendix I, 117-121).
A condition is considered present on admission when it is:
a. The principal diagnosis
b. In accordance with medical staff bylaws
, CCS PRACTICE EXAM 1 LATEST EXAM 2023-2024 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES| (ALREADY GRADED A+) |BRAND
NEW!!
c. A condition that occurs prior to an inpatient admission
d. Present within three days after admission - ANSWER-Correct Answer: C
It is important to understand the time frame for assigning a status
code specifying that a condition is present on admission. A condition
is present on admission when it occurs prior to inpatient admission
(CMS 2020a, Appendix I, 117-121).
A newborn is diagnosed with meconium aspiration at birth. What is the
appropriate POA indicator for the meconium aspiration?
a. Y
b. N
c. U
d. W - ANSWER-Correct Answer: A
Conditions present at birth are considered POA for newborns (CMS
2020a, Appendix I, 117-121).
A woman is admitted to the hospital for an exacerbation of COPD and
mentions a lump she has noticed in her right breast. While she in the
hospital, a biopsy is done of the breast lump and a diagnosis of ductal
carcinoma is made. What is the POA assignment for the carcinoma?
a. Y
b. N
c. U
d. W - ANSWER-Correct Answer: A
