CCS New Part I AHIMA Exam by Michelle COMPLETE SOLUTION. 100% Accurate .

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CCS New Part I AHIMA Exam by Michelle COMPLETE SOLUTION During a laryngoscopy, a small portion of a large lesion is removed for pathologic evaluation. The correct laryngoscopy CPT code assignment i ... s a. for diagnostic purposes b. with removal of lesion c. with biopsy and removal of lesion d. with biopsy - ✔✔d. with biopsy To accurately code initial insertion of a permanent cardiac pacemaker, the coder must code the insertion of a. the leads only b. the pacemaker device only c. the intra-operative pacemaker oly d. both the pacemaker device and the leads - ✔✔d. both the pacemaker device and the leads A patient undergoes aorto-coronary bypass using a heart-lung machine. hypothermia, cardioplegia, intra-operative cardiac pacing, and chest tube insertion were also performed. In addition to coding the aorto-coronary bypass, which of the following additional procedures would be coded? a. 36.04 chest tube insertion b. 39.61 extracorporeal circulations c. 39.62 hypothermia (systemic) incidental to open heart surgery d. 39.63 cardioplegia f. 39.64 intra-operative cardiac pacemakers - ✔✔b. 39.61 extracorporeal circulationsA 6-month old infant has tested positive for HIV. The child's mother has AIDS. At this time, which of the following codes should be used to report the child's condition? a. 042 human immunodeficiency virus (HIV) disease b. V08 asymptomatic human immunodeficiency virus (HIV) infection status c. 795.71 nonspecific serologic evidence of human immunodeficiency virus (HIV) d. V02.9 carrier or suspected carrier of infectious disease; other specified organism - ✔✔c. 795.71 nonspecific serologic evidence of human immunodeficiency virus (HIV) A diagnostic EGD was performed. During the procedure, the physician biopsied a lesion of the esophagus and removed a polyp of the stomach by the snare technique. 43234 upper gastrointestinal endoscopy, simple primary examination (e.g. with small diameter flexible endoscope) (separate procedure) 43235 upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) 43229 with biopsy, single or multiple 42351 with removal of tumor(s), polyp(s), or other lesion(s), by snare technique Which of the following represents the correct coding assignment? a. 43251 b. 43239, 43251 c. 43234, 43239, 43251 d. 43235, 43239, 43251 - ✔✔b. 43239, 43251 If a primary malignant neoplasm that was previously excised recurs, the code that should be assigned is a. follow-up care (V67 category) b. malignant neoplasm, primary site c. malignant neoplasm, secondary site d. primary and secondary site malignancies - ✔✔b. malignant neoplasm, primary siteWhich of the following conditions would require a late effect code? a. digitalis intoxication b. contracture resulting from a burn c. protrusion of internal fixation nail into the acetabulum d. dumping syndrome following gastrectomy - ✔✔b. contracture resulting from a burn A patient is readmitted with cellulitis of the operative wound following stripping and ligation of varicose veins in the right leg 8 days previously. The correct coding and sequencing for this case is a. cellulitis of leg, varicose veins b. varicose veins, cellulitis of leg c. postoperative infection, cellulitis of leg d. cellulitis of leg, postoperative infection - ✔✔c. postoperative infection, cellulitis of leg Which of the following laboratory tests would the code review to confirm a diagnosis of hepatitis B? a. HBsAg b. SGOT/AST c. Serum amylase d. Direct Bilirubin - ✔✔a. HBsAG The physician documents seizure disorder on the discharge summary and review of the record reveals that the patient is on Dilantin. Which of the following is the correct coding and/or sequencing assignment? a. 780.39 other convulsions b. 780.39 other convulsions, 345.90 epilepsy, unspecified c. 345.90 epilepsy, unspecified d. 345.90 epilepsy, unspecified, 780.39 other convulsions - ✔✔c. 345.90 epilepsy, unspecified A patient had a lymphadenectomy in the ambulatory surgery unit. The operative report noted a preoperative diagnosis of lymphadenopathy. The postoperative diagnosis is listed as same, pending the pathology report. The pathology report indicates Hodgkin's disease. The correct coding of this isa. lymphadenopathy b. lymphadenitis c. hodgkin's disease d. hodgkin's disease; lymphadenopathy - ✔✔c. Hodgkin's disease A patient with a 10-year history of diabetes mellitus Type 1 is treated in the ambulatory care unit for a foot ulcer. No further documentation is stated in the chart. Which of the following should be assigned to the encounter? 250.01 diabetes mellitus, Type 1 250.71 diabetes mellitus, Type 1, with peripheral circulatory disorder 250.81 diabetes mellitus, Type 1, with other specified manifestations 707.1 ulcers of lower limbs, except decubitus a. query the physician about whether the ulcer is a diabetic complication b. assign a code for the ulcer (707.1) followed by the code for diabetes mellitus Type 1 (250.01) c. assign a code for diabetes mellitus Type 1, with other specified manifestations (250.81), plus the ulcer code (707.1) - ✔✔a. query the physician about whether the ulcer is a diabetic complication A physician informs a patient that he has an ulcer in the pyloric region of the stomach. He tells the patient he feels that the should remove the portion of the stomach that is involved. He informs the patient of the risks entailed and explains that there is a good chance of affecting a cure, but no certainty. Which of the following elements of informed consent has not been presented to the patient? a. proposed treatment for the condition b. alternative treatment for the condition c. description of the patients condition d. risks and consequences of the treatment - ✔✔b. alternative treatment for the condition A coder has been asked to generate a report, which identifies the top ten MS-DRGs for a facility's Medicare population. Which of the following should be the primary target in conducting a data search? a. all hospitalizations greater than 1 day in length b. all admissions to a swing-bed unit c. all hospitalizations for patients with Medicare coveraged. all hospitalizations for patients 65 or older - ✔✔d. all hospitalizations for patients 65 or older A patient with aspiration pneumonia is admitted in respiratory failure. She was placed on mechanical ventilation. Her history reveals that she takes antidepressants continually as prescribed by her family physician. She recently saw a new physician who placed her on Diazepam. The onset of the above symptoms occured shortly after taking her first dose of Diazepam in conjunction with the antidepressants. The principal diagnosis is a. coma b. poisioning c. respiratory failure d. aspiration pneumonia - ✔✔c. respiratory failure A patient with the diagnosis of chronic alcoholism is admitted to an alcohol and drug treatment facility for rehabilitation. On day 3, the patient experiences withdrawal symptoms and receives treatment. Which of the following is the principal diagnosis? a. chronic alcoholism b. detoxification procedure c. alcohol withdrawl syndrome d. admission for other specified rehabilitation program - ✔✔c. alcohol withdrawal syndrome A patient was referred to the gastroenterology clinic for the evaluation of elevated liver function tests. Following a variety of tests, the physician recorded a differential diagnosis of probable hepatitis versus rule out cholelithiasis. Which of the following conditions should be coded for this visit? a. probable hepatitis b. rule out cholelithiasis c. elevated liver function tests d. elevated liver function tests; probable hepatitis; rule out cholelelithiasis - ✔✔c. elevated live [Show More]

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