CCS Exam Questions

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  1. A patient’s principal diagnosis is COPD (496) (MS-DRG 192).  Per the UHDDS and relevant clinical documentation, which of the following factors could impact the coding of COPD?

A.  Patient has acute respiratory insufficiency

B.  PFTs were abnormal

C.  Patient has bronchitis with emphysema

D.  Productive cough

 

2.    A patient with a history of hypothyroidism has a term twin delivery.  One live born twin delivered vaginally.  One stillborn twin in a malposition delivered by C-Section.  The number of amniotic sacs and placenta is undetermined.  What is the correct diagnostic code assignment?

A.  651.01, V27.3, V91.00

B.  652.61, 651.01, 656.41, V32.01, V91.09

C.  651.01, 648.11, 244.9, V27.3, V91.00

D.  652.61, 651.01, 656.41, 648.11, 244.9, V27.3, V91.09

 

3.    A patient with a history of ASHD underwent a right heart catheterization that revealed an occluded LC artery, a patent RC artery, and an occluded LD artery.  The Dr. decided to perform a percutaneous transluminal coronary angioplasty to treat the occlusions.  Patient was prepped with IV heparin, Abciximab, and intracoronary nitroglycerin.  A double catheter coronary angiogram was obtained by Judkins Technique. 

A.  00.66, 00.41, 37.21, 88.56

B.  37.21, 00.66, 00.41, 88.56, 99.10, 36.04

C.  00.66, 00.41, 37.21, 88.56, 99.10, 36.04

D.  37.21, 00.66, 00.41, 88.56

 

4.    If the principal diagnosis is pneumonia, which of the following will optimize the MS-DRG if POA.  

A.  Malnutrition

B.  SOB

C.  Productive sputum

D.  Hyponatremia

 

5.    A patient fell and sustained injuries that required an emergency room visit.  Based on the bill below, what is the total reimbursement for this patient?  **NOTE: Info in the table may NOT reflect actual APC, PSI, and amount for the CPT codes listed.

 

Billing Number

PSI

CPT/HCPCS

APC

Amount

   641082

V

99285-25

0616

344.71

641082

T

27750

0129

133.65

641082

X

73590

0260

45.95

641082

S

70470

0333

329.34

641082

T

27246

0138

398.86

641082

X

73550

0260

45.95

641082

S

72128

0332

173.58

A.  $1,472.04

B.  $1,272.01

C.  $1,405.22

D.  $1,240.55

 

6.    Based on the table below, what is the case mix index?

 

MS-DRG

MS-DRG Wt.

# of Patients

MS-DRG 233 Coronary Bypass with Cardiac Catheterization  W / MCC

7.2292

8

MS-DRG 198 Interstitial Lung Disease  W/O CC/MCC

.7879

4

MS-DRG 243 Permanent Cardiac Pacemaker  Implant  W/CC

2.6204

3

A.  3.546

B.  4.600

C.  4.573

D.  4.590

 

7.    While working in the Regis Hospital HIM Coding Dept., you have been asked to print a list of laparoscopic vaginal hysterectomies that have been miscoded.  Which data source would be most efficient in completing this task?

A.  Operation Index under laparoscopic vaginal hysterectomies

B.  Billing system cases of laparoscopic vaginal hysterectomies

C.  Compare  A against  B in a spreadsheet

D.  Compare  A  against  B  manually

 

8.    Which of the following statements is true?

A.  A full thickness (third-degree burn) is not painful

B.  A second-degree (partial thickness) burn is not painful

C.  A superficial (first-degree burn) is not painful

D.  Any degree or type of burn is painful

 

*** For more practice questions with procedural and diagnosis coding Click Here

 

ANSWER KEY

1. C      2. D      3. A      4. A      5. C      6. D      7. C      8. A      

 

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