AHIMA CCS EXAM NEWEST 2025 ACTUAL EXAM

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AHIMA CCS EXAM NEWEST 2025 ACTUAL EXAM

TEST BANK| CERTIFIED CODING SPECIALIST EXAM

WITH COMPLETE 250 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

ALREADY GRADED A+| CCS AHIMA EXAM PREP 2025

(BRAND NEW!!)

A condition is present on admission when:

• It is the principal diagnosis
• It is accordance with medical staff bylaws
• A condition that occurs prior to an inpatient admission
• It is present within 3 days after admission - Correct Answer - c. A

condition that occurs prior to an inpatient admission **It is important to understand the time frame for assigning a status code specifying that a condition is present on admission (Leon-Chisen 2017,

571-574).

Medicare reimbursement depends on all of the following, except:

• The correct designation of the principal diagnosis
• Policies and procedures of the medical staff
• The presence or absence of additional codes that represent

complications, comorbidities, or major complications/comorbidities

• Procedures performed - Correct Answer - b. Policies and procedures

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pg. 2 **Policies and procedures of the medical staff are not relevant. But the presence or absence of additional codes that represent complications, comorbidities, or major complications/ comorbidities are all important to determine the MS-DRG as part of Medicare Acute Inpatient Prospective Payment System (Leon-Chisen 2017, 566; Rinehart-Thompson 2016a,

240-241).

A patient is admitted to a psychiatric unit of an acute-care facility. The patient experienced the following symptoms almost every day for the

last month: loss of interest or pleasure in most or all activities, which is a

change from her prior level of functioning. She has also gained 15 lbs, has difficulty falling asleep, feels fatigued, and has difficulty making decisions. What potential diagnosis most closely fits the patient's overall symptoms?

• Insomnia
• Major depression
• Reye's syndrome
• Bipolar disorder - Correct Answer - b. Major depression

The CPT definition of a surgical package contains which of the following?

• The surgical procedure(s)
• Follow-up surgery
• Preoperative tests
• Yearly follow-up visits - Correct Answer - a.The surgical procedure(s)

**The surgical package refers to a combination of individual services provided during one surgical operation (Smith 2017, 55). 2 / 4

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pg. 3 A patient was admitted to the endoscopy unit for a screening colonoscopy. During the colonoscopy, polyps of the colon were found and a polypectomy was performed. What diagnostic codes should be used and how should they be sequenced?Z12.11 Encounter for screening for malignant neoplasm of colon D12.6 Benign neoplasm of colon, unspecified

• Z12.11
• D12.6
• Z12.11, D12.6

d. D12.6, Z12.11 - Correct Answer - c. Z12.11: Encounter for screening

for malignant neoplasm of colon

D12.6:Benign neoplasm of colon, unspecified

**The circumstances of the encounter are for a screening colonoscopy.Because of this screening, colonoscopy is listed first, followed by a code for the polyps (HHS 2017, Section I.C.21, 90).

A patient has a principal diagnosis of pneumonia (J18.9) (MS-DRG 195). Which of the following may legitimately change the coding of the pneumonia in accordance with the UHDDS and relevant clinical documentation?

• Sputum culture reflects growth of normal flora.
• Patient has a positive gram stain.
• Patient is found to have dysphagia with aspiration.
• Patient has nonproductive sputum. - Correct Answer - c. Patient is

found to have dysphagia with aspiration.

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pg. 4 ** Patient is found to have dysphagia with aspiration is the correct answer because it changes the coding to aspiration pneumonia and would result in MS-DRG 179 RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC, which has a weight of 0.9325

(Medicare Grouper Version Used: 2017). This is in comparison to MS-

DRG 0195, SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC

MDC: 04 which has a DRG weight of 0.7028 (Medicare Grouper

Version Used: 2017).

A method of checking the accuracy of data is to:

• Validate the purpose for the data collection
• Warehouse data on a regular basis
• Authenticate all end users
• Ensure that each record or entry within the database is correct -

Correct Answer - d. Ensure that each record or entry within the database is correct ** A good process to ensure the data is accurate is to make certain each record or entry within the database is correct (Sharp and Madlock- Brown 2016, 195).

A 35-year-old woman has hypertension with acute renal failure and stage

• chronic kidney disease. What code would be assigned?
• N17.9, Acute kidney failure, unspecified
• I13.2, Hypertensive heart and chronic kidney disease with heart

failure and with stage 5 chronic kidney disease, or end stage renal disease

• I50.9, Heart failure, unspecified
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