CCS- CERTIFIED CODING SPECIALIST EXAM p p p p
1 | (WITH RATIONALES) NEWEST ACTUAL E
p p p p p p
XAM COMPREHENSIVE QUESTIONS AND V p p p p
ERIFIED ANSWERS GRADED A+ | 100% COR p p p p p p
RECT | 2024 UPDATE!! p p p
Which type of conditions are always considered present on admis
p p p p p p p p p
sion?
a. Obstetrical
b. Congenital
c. Those with an acute exacerbation p p p p
d. Those that represent an injury - ✔✔✔ Correct Answer >
p p p p p p p p p
Correct Answer: B p p
In accordance with the POA guidelines, congenital conditions are
p p p p p p p p
palways considered POA (CMS 2020a, Appendix I, 117).
p p p p p p p
A patient is admitted with a high temperature, lethargy, hypoten
p p p p p p p p p
sion, tachycardia, oliguria, and elevated WBC. The patient also h
p p p p p p p p p
as more than 100,000 organisms of Escherichia coli per cc of urin
p p p p p p p p p p p
e. The attending physician documents "urosepsis." What is the n
p p p p p p p p p
ext step for the coder?
p p p p
,a. Code sepsis as the principal with a secondary diagnosis of u
p p p p p p p p p p
rinary tract infection due to E. coli.
p p p p p p
b. Code urinary tract infection with sepsis as a secondary d
p p p p p p p p p
iagnosis.
c. Query the physician to determine if the patient is being treate
p p p p p p p p p p
d for sepsis, highlighting the clinical signs and symptoms.
p p p p p p p p
d. Ask the physician whether the patient had septic shock so t
p p p p p p p p p p
hat this may be used as the principal diagnosis. -
p p p p p p p p p
p✔✔✔ Correct Answer > Correct Answer: C
p p p p p p
The term urosepsis is a nonspecific term. It has no default code in
p p p p p p p p p p p p p
the Alphabetic Index. Should providers use this term, they must b
p p p p p p p p p p
e queried for clarification (CMS 2020a, Section I.C.1.d., 24).
p p p p p p p p
When a patient goes home with an order for home health to star
p p p p p p p p p p p p
t one week after an inpatient admission, this is categorized as a(n
p p p p p p p p p p p
):
a. Discharge
b. Transfer
c. Readmission
d. Outlier - ✔✔✔ Correct Answer > Correct Answer: A
p p p p p p p p
,A written order for home health to begin within three days of inpa
p p p p p p p p p p p p
tient discharge is considered a transfer. Beyond that, it is a dischar
p p p p p p p p p p p
ge (Casto 2018, 125).
p p p
A patient is admitted with an acute inferior myocardial infarction
p p p p p p p p p p
and discharged alive. Which condition would increase the MS-
p p p p p p p p
DRG weight? p
a. Respiratory failure p
b. Atrial fibrillation p
c. Hypertension
d. History of myocardial infarction - ✔✔✔ Correct Answer >
p p p p p p p p
Correct Answer: A p p
MS-
DRG 280 (weight = 01.6309) for myocardial infarction with respir
p p p p p p p p p
atory failure would change the MS-DRG. MS-
p p p p p p
DRG 282 (weight = 00.7379) would be assigned for myocardial inf
p p p p p p p p p p
arction alone, with atrial fibrillation, with hypertension, and wit
p p p p p p p p
h history of myocardial infarction (CMS 2019b).
p p p p p p
A patient has findings suggestive of chronic obstructive pulmonar
p p p p p p p p
y disease (COPD) on chest x-
p p p p p
ray. The attending physician mentions the x-
p p p p p p
ray finding in one progress note but
p p p p p p
, no medication, treatment, or further evaluation is provided. The
p p p p p p p p p
coder should: p
a. Query the attending physician regarding the x-ray finding
p p p p p p p
b. Code the condition because the documentation reflects it
p p p p p p p
c. Question the radiologist regarding whether to code this c
p p p p p p p p
ondition
d. Use a code from abnormal findings to reflect the condition -
p p p p p p p p p p
✔✔✔ Correct Answer > Correct Answer: A
p p p p p p
Query the attending physician regarding the clinical significance o
p p p p p p p p
f the findings and request that appropriate documentation be pr
p p p p p p p p p
ovided. This is an example of a circumstance where the chronic co
p p p p p p p p p p p
ndition must be verified. All secondary conditions must meet the
p p p p p p p p p p
UHDDS definitions; it is not clear if COPD does (CMS 2020a, Sectio
p p p p p p p p p p p
n III, 111-112).
p p
A patient is admitted for seizures. What is the appropriate POA f
p p p p p p p p p p p
or the external cause code of W06.XXXA assigned because the pa
p p p p p p p p p p
tient fell out of bed during a seizure in the emergency departmen
p p p p p p p p p p p
t?
a. Y
b. N
c. U
d. W - ✔✔✔ Correct Answer > Correct Answer: A
p p p p p p p p
1 | (WITH RATIONALES) NEWEST ACTUAL E
p p p p p p
XAM COMPREHENSIVE QUESTIONS AND V p p p p
ERIFIED ANSWERS GRADED A+ | 100% COR p p p p p p
RECT | 2024 UPDATE!! p p p
Which type of conditions are always considered present on admis
p p p p p p p p p
sion?
a. Obstetrical
b. Congenital
c. Those with an acute exacerbation p p p p
d. Those that represent an injury - ✔✔✔ Correct Answer >
p p p p p p p p p
Correct Answer: B p p
In accordance with the POA guidelines, congenital conditions are
p p p p p p p p
palways considered POA (CMS 2020a, Appendix I, 117).
p p p p p p p
A patient is admitted with a high temperature, lethargy, hypoten
p p p p p p p p p
sion, tachycardia, oliguria, and elevated WBC. The patient also h
p p p p p p p p p
as more than 100,000 organisms of Escherichia coli per cc of urin
p p p p p p p p p p p
e. The attending physician documents "urosepsis." What is the n
p p p p p p p p p
ext step for the coder?
p p p p
,a. Code sepsis as the principal with a secondary diagnosis of u
p p p p p p p p p p
rinary tract infection due to E. coli.
p p p p p p
b. Code urinary tract infection with sepsis as a secondary d
p p p p p p p p p
iagnosis.
c. Query the physician to determine if the patient is being treate
p p p p p p p p p p
d for sepsis, highlighting the clinical signs and symptoms.
p p p p p p p p
d. Ask the physician whether the patient had septic shock so t
p p p p p p p p p p
hat this may be used as the principal diagnosis. -
p p p p p p p p p
p✔✔✔ Correct Answer > Correct Answer: C
p p p p p p
The term urosepsis is a nonspecific term. It has no default code in
p p p p p p p p p p p p p
the Alphabetic Index. Should providers use this term, they must b
p p p p p p p p p p
e queried for clarification (CMS 2020a, Section I.C.1.d., 24).
p p p p p p p p
When a patient goes home with an order for home health to star
p p p p p p p p p p p p
t one week after an inpatient admission, this is categorized as a(n
p p p p p p p p p p p
):
a. Discharge
b. Transfer
c. Readmission
d. Outlier - ✔✔✔ Correct Answer > Correct Answer: A
p p p p p p p p
,A written order for home health to begin within three days of inpa
p p p p p p p p p p p p
tient discharge is considered a transfer. Beyond that, it is a dischar
p p p p p p p p p p p
ge (Casto 2018, 125).
p p p
A patient is admitted with an acute inferior myocardial infarction
p p p p p p p p p p
and discharged alive. Which condition would increase the MS-
p p p p p p p p
DRG weight? p
a. Respiratory failure p
b. Atrial fibrillation p
c. Hypertension
d. History of myocardial infarction - ✔✔✔ Correct Answer >
p p p p p p p p
Correct Answer: A p p
MS-
DRG 280 (weight = 01.6309) for myocardial infarction with respir
p p p p p p p p p
atory failure would change the MS-DRG. MS-
p p p p p p
DRG 282 (weight = 00.7379) would be assigned for myocardial inf
p p p p p p p p p p
arction alone, with atrial fibrillation, with hypertension, and wit
p p p p p p p p
h history of myocardial infarction (CMS 2019b).
p p p p p p
A patient has findings suggestive of chronic obstructive pulmonar
p p p p p p p p
y disease (COPD) on chest x-
p p p p p
ray. The attending physician mentions the x-
p p p p p p
ray finding in one progress note but
p p p p p p
, no medication, treatment, or further evaluation is provided. The
p p p p p p p p p
coder should: p
a. Query the attending physician regarding the x-ray finding
p p p p p p p
b. Code the condition because the documentation reflects it
p p p p p p p
c. Question the radiologist regarding whether to code this c
p p p p p p p p
ondition
d. Use a code from abnormal findings to reflect the condition -
p p p p p p p p p p
✔✔✔ Correct Answer > Correct Answer: A
p p p p p p
Query the attending physician regarding the clinical significance o
p p p p p p p p
f the findings and request that appropriate documentation be pr
p p p p p p p p p
ovided. This is an example of a circumstance where the chronic co
p p p p p p p p p p p
ndition must be verified. All secondary conditions must meet the
p p p p p p p p p p
UHDDS definitions; it is not clear if COPD does (CMS 2020a, Sectio
p p p p p p p p p p p
n III, 111-112).
p p
A patient is admitted for seizures. What is the appropriate POA f
p p p p p p p p p p p
or the external cause code of W06.XXXA assigned because the pa
p p p p p p p p p p
tient fell out of bed during a seizure in the emergency departmen
p p p p p p p p p p p
t?
a. Y
b. N
c. U
d. W - ✔✔✔ Correct Answer > Correct Answer: A
p p p p p p p p
