Certified Coding Specialist Practice Test COMPLETE SOLUTIONS 2022

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Certified Coding Specialist Practice Test COMPLETE SOLUTIONS 2022 A 7-year-old patient was admitted in the emergency department for treatment of shortness of breath. The patient is given epinephrin... e and nebulizer treatments. The shortness of breath and wheezing are unabated following treatment. What diagnosis should be suspected? - ✔✔Asthma with status asthmaticus A patient is admitted with a high temperature, lethargy, hypotension, tachycardia, oliguria, and elevated WBC. The patient 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? - ✔✔Query the physician to determine if the patient is being treated for sepsis, highlighting the clinical signs and symptoms During a coronary artery bypass surgery, the patient underwent saphenous bypass grafts; from the aorta to the left anterior descending branch of the left main coronary artery, and the left posterior descending of the left main coronary artery. The patient also underwent a repositioning of the mammary artery. Choose the best description for this procedure. - ✔✔Two aortocoronary grafts and one mammarycoronary graft According to CPT, an endoscopy that is undertaken to the level of the midtransverse colon would be coded as a ________________________. - ✔✔Colonoscopy Infusion of Herceptin, a monoclonal antibody used for treatment of breast cancer in patients carrying a certain mutation of the HER2 gene, is classified as ___________________. - ✔✔Molecular targets A patient has findings suggestive of chronic obstructive pulmonary disease (COPD) on chest x-ray. The attending physician mentions the x-ray. The attending physician mentions the x-ray finding in one progress note but no medication, treatment, or further evaluation is provided. The coder should __________________________________________. - ✔✔Query the attending physician regarding the Xray findings If a patient undergoes an inpatient procedure and the final summary diagnosis is different from the diagnosis on the pathology report, the coder should _____________________________. - ✔✔Query the attending physician as to the final diagnosisA 56-year-old woman is admitted to an acute-care facility from a skilled nursing facility. The patient has multiple sclerosis and hypertension. During the course of hospitalization, a decubitus ulcer is found and debrided at the bedside by a physician. There is no typed operative report and no pathology report. The coder should ____________________________________. - ✔✔Query the healthcare provider who performed the procedure to determine if the debridement was excisional A 23-year-old female is admitted for shock following treatment of a miscarriage. The pathology report from the previous admission reveals that the patient had no decidua or products of conception in the tissue removed. This encounter would be coded as ___________________________. - ✔✔O08.9, Complication following abortion and ectopic and molar pregnancies Most hospitals require a medical record is completed with ____________________. - ✔✔30 days To correct an entry in the medical record, the provider should ________________________________________. - ✔✔Draw a single line through the error, add a note explaining the error, initial and date, add the correct information in chronological order After a patient is discharged from the hospital, the medical record must be reviewed for ___________________________________. - ✔✔Certain basic reports (for example, history and physical, discharge summary, etc.) A patient is discharged with a diagnosis of acute pulmonary edema due to congestive heart failure. What condition(s) should be coded? - ✔✔Congestive heart failure A 65-year-old patient is admitted with pain and loosening of a left hip prosthesis. The acetabular component has loosened and become painful. The patient was admitted for open removal and replacement of the acetabular component of the left hip prosthesis. What is the appropriate code(s) for the admission? - ✔✔T84.031A- Mechanical loosening of internal left hip prosthetic joint, initial encounter, 0SPB0JZ- removal of synthetic substitute from left hip joint, open approach, and 0SRE0JZreplacement of left hip joint, acetabular surface with synthetic substitute, open approach A maternity patient is admitted in labor at 43 weeks. She has a normal delivery with vacuum extraction to facilitate the baby's delivery. Which of the following would be the principal diagnosis? - ✔✔O48.1- prolonged pregnancyWith regard to the implementation of ICD-10-CM, all of the following are correct except ___________________________________________. - ✔✔ICD-10-CM was developed by NCHS A 75-year-old female was admitted for acute myocardial infarction and underwent a diagnostic cardiac catherization. Following the cauterization, the patient developed a thrombophlebitis documented as due to the catheter in common femoral artery. The thrombophlebitis would be coded as ________________________________. - ✔✔T81.718A, Complication of other artery following a procedure, not elsewhere, classified, initial encounter A patient was admitted to the emergency department with chest pain and was diagnosed with aborted myocardial infarction with acute myocardial ischemic ischemia. There was no prior cardiac surgery. The appropriate coding of the diagnosis for this case is __________________________. - ✔✔I24.0, acute coronary thrombosis not resulting in myocardial infarction A patient has nausea and vomiting with abdominal pain due to acute cholecystitis. The physician documents the following on the discharge summary: acute cholecystitis, nausea, vomiting, and abdominal pain. The correct diagnosis code(s) are ________________________________. - ✔✔Acute cholecystitis A patient is admitted because of congestive heart failure (CHF). During the treatment of the CHF the patient was also found to have elevated function tests. The physician worked up the elevated liver function tests but was not able to determine a diagnosis. The following diagnosis should be assigned ___________________________________________. - ✔✔Congestive heart failure and abnormal liver functions tests A patient is admitted with hypotension due to dobutamine taken and prescribed correctly. How this should be coded? - ✔✔I95.2, hypotension due to drugs, T44.5X5A, Adverse effect of predominately beta-adrenoreceptor agonist initial encounter A patient is readmitted two weeks after a laminectomy for spinal stenosis with a headache and documentation that the headache is due to a tear in the dura that occurred accidentally during the prior laminectomy surgery. The patient is taken to the operating room for repair of the dura. The diagnosis code(s) assigned for this admission would be _______________________________________________. - ✔✔G97.41, Accidental puncture or laceration of dura during a procedureA patient is admitted ot the hospital with shortness of breath and congestive heart failure and subsequently develops respiratory failure. The patient undergoes intubation with ventilator management. The correct sequencing of the diagnoses in this case would be ______________________. - ✔✔Congestive heart failure and respiratory failure If a patient is admitted with pneumococcal pneumonia and severe pneumococcal sepsis, the coder should ____________________________________. - ✔✔Assign a code for the sepsis, pneumonia, and severe sepsis A patient was admitted with end stage renal disease (ESRD) following kidney transplant. The patient also had angina and chronic obstructive pulmonary disease. The diagnoses would be sequenced as __________________________________________. - ✔✔End-stage renal disease; status post kidney transplant; chronic obstructive pulmonary disease; angina A patient is admitted to the hospital due to a fracture of the right hip and is scheduled for an open reduction with internal fixation. The patient developed cardiac arrhythmia which results in an inability to do the planned surgery. What is the principal diagnosis? - ✔✔Right hip fracture Which of the following is not part of a facility coding compliance plan? - ✔✔Coding audits performed by payers A 30-year-old woman with a 6-year history of anorexia nervosa was seen in her physician's office because of significant weight loss over the past three months, going from 82 pounds down to 53 pounds. She was admitted to the hospital to increase body weight and to be given nutrition counseling because of her severe malnutrition. How should this be coded? - ✔✔F55.00, Anorexia nervosa, unspecified, E43, Unspecified severe protein-calorie malnutrition A 55-year-old patient with AIDS admitted with traumatic comminuted fracture femur shaft, right leg, initial encounter. The coder should _______________________________. - ✔✔Assign a code for the fracture and the AIDS The patient is seen in the pain clinic for chronic neoplasm-related pain that was known to be caused by the metastatic bone carcinoma of the vertebra that has spread from carcinoma of the left main bronchus of the lung. How should this be coded? - ✔✔G89.3, Neoplasm related pain (acute) (chronic); C79.51, Secondary malignant neoplasm of bone; C34.02, Malignant neoplasm of left main bronchusA 45-year-old man with known AIDS is admitted to the hospital for treatment of Pneumocystis pneumonia. What is the principal diagnosis code? - ✔✔B20- AIDS A patient is prescribed diazepam and reports taking more than the prescribed amount. The patient is admitted to the hospital for complete work up. The final diagnosis is documented as diazepam use and abuse. How should this be coded? - ✔✔F13.10- Sedative, hypnotic, or anxiolytic abuse, uncomplicated A female patent with terminal carcinoma of the breast, metastatic to the lover, brain, and intrahepatic and extrahepatic bile ducts, was admitted with dehydration. Patient was rehydrated with IVs and discharged, with no treatment given to the cancer. What are the codes assigned? - ✔✔E86.0, dehydration, C50.919, malignant neoplasm of unspecified site of unspecified female breast, C78.7, secondary malignant neoplasm of liver and intrahepatic bile duct, C79.31, secondary malignant neoplasm of brain, C78.89, secondary malignant neoplasm of other digestive organs This patient was admitted for chemotherapy due to primary hepatocellular carcinoma of the transplanted liver. What codes are assigned? - ✔✔Z51.11, encounter for antineoplastic chemotherapy, T86.49 other complications of the liver transplant, , , C80.2, malignant neoplasm associated with transplanted organ, C22.0, liver cell carcinoma A child has second- and third-degree burns of the left lower leg and second- and third-degree burns of the lower back with a total of 16 percent total body surface areas (TBSA), 9 percent third-degree. What is the correct code assignment? - ✔✔T24.302A- burn of third degree of unspecified site of left lower limb, except ankle and foot, initial encounter, T21.34XA- burn of third degree of lower back, initial encounter, T31.10, diagnosis of burns involving 10-19% of body surface with 0% to 9% third degree burns The "code, if applicable, any causal condition first" note in the ICD-10-CM tabular lists indicates that this code may be assigned when the causal condition is unknown or not applicable. When the causal condition is known, the code for that condition may be reported as which of diagnosis? - ✔✔Principal 45-year-old patient admitted with insulin dependent diabetes. The type of diabetes is not specified in the medical record. How should this be coded? - ✔✔E11.9- type 2 diabetes mellitus without complications, Z79.4- long term (current) use of insulinA 65-year-old man is admitted due to an acute myocardial infraction. The patient also has coronary artery disease. How should this be coded? - ✔✔AMI, CAD A patient is admitted to the hospital during the postpartum period as a result of developing a thromboembolism or pulmonary blood clot leading to respiratory failure. What is the principal diagnosis? - ✔✔O22.23- a diagnosis of superficial thrombophle [Show More]

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