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CCS exam practice, Questions and answers, 100% Accurate, graded A+

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CCS exam practice, Questions and answers, 100% Accurate, graded A+ Chronic kidney disease stage 5 - ✔✔-Code to N18.6 (ESRD) and dialysis status Z99.2 Severe sepsis - ✔✔-Underlying infection + R65.2 Septic shock - ✔✔-Underlying infection + R65.1 Nosocomial infections - ✔✔-Additional code of Y95 HIV infections - ✔✔-Code only confirmed cases (diagnosis sufficient) Sequencing HIV codes - ✔✔-Admitted for HIV- B20 A/D unrelated- unrelated first then B20 Asymptomatic HIV- Z21 Inconclusive HIV- R75 Previously diagnosed- B20 HIV in pregnancy- O98.7 Asymptomatic HIV in pregnancy- O98.7 + Z21 Encounters for testing of HIV- Z11.4 Return visit for negative test results- Z71.7 Labor pneumonia - ✔✔-Has a unique category Respiratory condition occurring in more than one place - ✔✔-Coded to the lower anatomic location Respiratory condition - ✔✔-Code exposure to tobacco Gastrointestinal term hemmorrhage - ✔✔-Means ulcers Gastrointestinal term bleeding - ✔✔-Means gastritis, duodenitis, diverticulosis, diverticulitis Delivery and pregnancy - ✔✔-5th or 6th digit represents trimester Trimesters - ✔✔-1- less than 14 wks 2- less than 28 wks, more than 14 3- 28 wks thru delivery Delivery chart codes should include - ✔✔-a) Delivery diagnosis code b) Outcome of delivery c)Weeks of gestation d) Procedure code Normal delivery code - ✔✔-O80 Weeks of gestation code - ✔✔-Z3A Complications of ectopic pregnancy and abortions - ✔✔-Require additional codes Anemia - ✔✔-Code also the cause Code first the poisoning and under-dosing of medications If associated with malignancy, code malignancy first MI documented as nontransmural or subendocardial with a site provided - ✔✔-Code as a subenocardial MI Subsequent MI within 4 weeks of initial - ✔✔-Code from I22 and I21 Primary site of neoplasm - ✔✔-Is where the cancer arises Secondary neoplasm - ✔✔-When cancer leaves the original site Morphology can lead to primary site - ✔✔-For example: renal cell carcinoma arises in the kidney Steps for coding neoplasms - ✔✔-1. Look up morphology 2. No primary site code- use neoplasm table 3. If the term metastatic is used assume these are secondary sites: Bones, brain, diaphragm, heart, liver, lymph nodes, mediastinum, meninges, peritoneum, pleura, retroperitoneum, spinal cord, and sites from C76 Injuries and burns - ✔✔-Use code from ch. 20 to indicate cause of injury Burns on different body parts - ✔✔-Use only the degree of greatest severity along with the additional codes for burns of other anatomic sites Adverse effect of a drug - ✔✔-Allergic reaction Cumulative effect Hypersensitivity Idiosyncratic reaction Paradoxical reaction Synergistic Poisoning - ✔✔-Administered, taken or prescribed incorrectly Alcohol in conjunction with a drug Street drugs resulting in overdose Street drugs in addition to OTC or prescription me

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