CCS Exam prep - exam 1 2022
105 Study Questions with 100% Correct
Answers – COMPLETE SOLUTION
This patient was admitted for chemotherapy due to a primary hepatocellular carcinoma of the
transplanted liver. What codes
...
CCS Exam prep - exam 1 2022
105 Study Questions with 100% Correct
Answers – COMPLETE SOLUTION
This patient was admitted for chemotherapy due to a primary hepatocellular carcinoma of the
transplanted liver. What codes are assigned?
a. Z51.11, C22.0
b. Z51.11, C22.0, C80.2
c. Z51.11, T86.49, C80.2, C22.0
d. T86.49, C80.2, C22.0 - ✔✔Correct Answer: C
Code T86.49 should be assigned for complication of liver transplant along with code C80.2 for
malignancy associated with organ transplant. A malignant neoplasm of a transplanted organ should be
coded as a transplant complication (CMS 2018a, Section I.C.2.r., 34).
A 7-year-old patient was admitted to the emergency department for treatment of shortness of breath.
The patient is given epinephrine and nebulizer treatments. The shortness of breath and wheezing are
unabated following treatment. What diagnosis should be suspected?
a. Acute bronchitis
b. Acute bronchitis with chronic obstructive pulmonary disease
c. Asthma with status asthmaticus
d. Chronic obstructive asthma - ✔✔Correct Answer: C
"Status asthmaticus is an acute asthmatic attack in which the degree of bronchial obstruction is not
relieved by the usual treatment, such as by epinephrine or aminophylline" (Schraffenberger and Palkie
2018, 346-347).
. A patient is admitted with a high temperature, lethargy, hypotension, tachycardia, oliguria, and
elevated WBC. The patient also has more than 100,000 organisms of Escherichia coli per cc of urine. The
attending physician documents "urosepsis." What is the next step for the coder?
a. Code sepsis as the principal with a secondary diagnosis of urinary tract infection due to E. coli.
b. Code urinary tract infection with sepsis as a secondary diagnosis.
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