Certified Coding Specialist Practice Test #1 Questions and Answers

Certified Coding Specialist Practice
Test #1 Questions and Answers
AA7-year-
oldApatientAwasAadmittedAinAtheAemergencyAdepartmentAforAtreatmentAofAshortnessAofAbrea
th.ATheApatientAisAgivenAepinephrineAandAnebulizerAtreatments.ATheAshortnessAofAbreathAan
dAwheezingAareAunabatedAfollowingAtreatment.AWhatAdiagnosisAshouldAbeAsuspected?A-
AAnswer✓AAsthmaAwithAstatusAasthmaticus


AApatientAisAadmittedAwithAaAhighAtemperature,Alethargy,Ahypotension,Atachycardia,Aoliguri
a,AandAelevatedAWBC.ATheApatientAhasAmoreAthanA100,000AorganismsAofAEscherichiaAcoliAp
erAccAofAurine.ATheAattendingAphysicianAdocumentsA"urosepsis".AWhatAisAtheAnextAstepAfor
AtheAcoder?A-
AAnswer✓AQueryAtheAphysicianAtoAdetermineAifAtheApatientAisAbeingAtreatedAforAsepsis,A
highlightingAtheAclinicalAsignsAandAsymptoms


DuringAaAcoronaryAarteryAbypassAsurgery,AtheApatientAunderwentAsaphenousAbypassAgrafts;
AfromAtheAaortaAtoAtheAleftAanteriorAdescendingAbranchAofAtheAleftAmainAcoronaryAartery,A
andAtheAleftAposteriorAdescendingAofAtheAleftAmainAcoronaryAartery.ATheApatientAalsoAunder
wentAaArepositioningAofAtheAmammaryAartery.AChooseAtheAbestAdescriptionAforAthisAprocedu
re.A-AAnswer✓ATwoAaortocoronaryAgraftsAandAoneAmammary-coronaryAgraft


AccordingAtoACPT,AanAendoscopyAthatAisAundertakenAtoAtheAlevelAofAtheAmidtransverseAcolo
nAwouldAbeAcodedAasAaA________________________.A-AAnswer✓AColonoscopy


InfusionAofAHerceptin,AaAmonoclonalAantibodyAusedAforAtreatmentAofAbreastAcancerAinApatie
ntsAcarryingAaAcertainAmutationAofAtheAHER2Agene,AisAclassifiedAasA___________________
.A-AAnswer✓AMolecularAtargets


AApatientAhasAfindingsAsuggestiveAofAchronicAobstructiveApulmonaryAdiseaseA(COPD)AonAches
tAx-ray.ATheAattendingAphysicianAmentionsAtheAx-
ray.ATheAattendingAphysicianAmentionsAtheAx-
rayAfindingAinAoneAprogressAnoteAbutAnoAmedication,Atreatment,AorAfurtherAevaluationAisAp
rovided.ATheAcoderAshouldA__________________________________________.A-
AAnswer✓AQueryAtheAattendingAphysicianAregardingAtheAX-rayAfindings


IfAaApatientAundergoesAanAinpatientAprocedureAandAtheAfinalAsummaryAdiagnosisAisAdiffere
ntAfromAtheAdiagnosisAonAtheApathologyAreport,AtheAcoderAshouldA____________________
_________.A-AAnswer✓AQueryAtheAattendingAphysicianAasAtoAtheAfinalAdiagnosis

, AA56-year-oldAwomanAisAadmittedAtoAanAacute-
careAfacilityAfromAaAskilledAnursingAfacility.ATheApatientAhasAmultipleAsclerosisAandAhyperte
nsion.ADuringAtheAcourseAofAhospitalization,AaAdecubitusAulcerAisAfoundAandAdebridedAatAth
eAbedsideAbyAaAphysician.AThereAisAnoAtypedAoperativeAreportAandAnoApathologyAreport.AT
heAcoderAshouldA____________________________________.A-
AAnswer✓AQueryAtheAhealthcareAproviderAwhoAperformedAtheAprocedureAtoAdetermineAifA
theAdebridementAwasAexcisional


AA23-year-
oldAfemaleAisAadmittedAforAshockAfollowingAtreatmentAofAaAmiscarriage.ATheApathologyArep
ortAfromAtheApreviousAadmissionArevealsAthatAtheApatientAhadAnoAdeciduaAorAproductsAofAc
onceptionAinAtheAtissueAremoved.AThisAencounterAwouldAbeAcodedAasA__________________
_________.A-
AAnswer✓AO08.9,AComplicationAfollowingAabortionAandAectopicAandAmolarApregnancies


MostAhospitalsArequireAaAmedicalArecordAisAcompletedAwithA____________________.A-
AAnswer✓A30Adays


ToAcorrectAanAentryAinAtheAmedicalArecord,AtheAproviderAshouldA______________________
__________________.A-
AAnswer✓ADrawAaAsingleAlineAthroughAtheAerror,AaddAaAnoteAexplainingAtheAerror,Ainiti
alAandAdate,AaddAtheAcorrectAinformationAinAchronologicalAorder


AfterAaApatientAisAdischargedAfromAtheAhospital,AtheAmedicalArecordAmustAbeAreviewedAfor
A___________________________________.A-
AAnswer✓ACertainAbasicAreportsA(forAexample,AhistoryAandAphysical,AdischargeAsummary,
Aetc.)


AApatientAisAdischargedAwithAaAdiagnosisAofAacuteApulmonaryAedemaAdueAtoAcongestiveAhe
artAfailure.AWhatAcondition(s)AshouldAbeAcoded?A-AAnswer✓ACongestiveAheartAfailure


AA65-year-
oldApatientAisAadmittedAwithApainAandAlooseningAofAaAleftAhipAprosthesis.ATheAacetabularA
componentAhasAloosenedAandAbecomeApainful.ATheApatientAwasAadmittedAforAopenAremovalA
andAreplacementAofAtheAacetabularAcomponentAofAtheAleftAhipAprosthesis.AWhatAisAtheAappr
opriateAcode(s)AforAtheAadmission?A-AAnswer✓AT84.031A-
AMechanicalAlooseningAofAinternalAleftAhipAprostheticAjoint,AinitialAencounter,A0SPB0JZ-
AremovalAofAsyntheticAsubstituteAfromAleftAhipAjoint,AopenAapproach,AandA0SRE0JZ-
AreplacementAofAleftAhipAjoint,AacetabularAsurfaceAwithAsyntheticAsubstitute,AopenAapproach