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CCS: Domain 1 content Exam Questions and Answers
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CCS Exam|382 Questions withAccurate Solutions
021009W (Bypass), 027030Z (Dilation), 4A023N7 (Cardiac measurement),
B2111ZZ (Fluoroscopy, coronary arteries, multiple), B2151ZZ (Fluoroscopy,
heart, L), 0DJ08ZZ (GI inspection), 3E083GC (Introduction), 06BQ4ZZ (Lower
vein excision), 5A1221Z (Extracorporeal/ systemic assistance and
performance, performance) - -Pt underwent L heart cath, L ventricular
angiography with fluoroscopy, coronary angiography, dilation with balloon
was attempted by physician was not satisfied and switch it to a stent to mid
R coronary artery, LV ejection fraction measured; CABG x 2 using saphenous
vein from aorta to mid R coronary artery and distal R coronary artery, placed
on cardiopulmonary bypass, extracorporeal circulation; EGD
-10/1 - -CMS adjusts MSDRGs and reimb rates every
-10/1/15 - -Use of CM and PCS effective on
-100/50 - -Under ASC PPS, when multiple Px performed during same surg
session, payment reduction applied. Px in highest level group reimbursed at
___% and all remaining Px reimbursed at ___%
-100% - -What % will facility be paid for Px code 25500, APC status indicator
T?
-12001 (simple repair of superficial wound; 2.5 or less)
no modifier needed - -1.5cm lac R hand with simple repair
-14031 (Adj tissue transfer/rearrange) - -Pt present to OR for excision of 4.5
cm malig melanoma of L forearm; 6 x 6 cm rotation flap created for closure
Excision of lesion combo with flap creation; no need to code lesion excision
-15 - -NonPAR who doesn't accept assign can collect max of ___% (limiting
charge)
-19100 (Bx of breast; percut, needle core, not using imaging guidance),
10007-59 (FNA Bx, including fluoroscopic guidance; 1st lesion)
Same imaging guidance shouldn't be reported twice when performed on
same lesion, during same session, and on same day - -FNA and core Bx were
done on same breast lesion, in same session, on same day, both performed
with fluoroscopic guidance. What codes would be assigned?
, -19120LT (excision) - -Female Pt has percut needle Bx of L breast lesion in
lower outer quad; following Bx frozen section results, Dr follow this with
excision removal of same lesion
Entire lesion removed, not just Bx
-19301-RT (Mastectomy, partial (ex:lumpectomy, tylectomy,
quadrantectomy, segmentectomy), 38525 (Bx/excision of lymph node(s);
open, deep axillary node(s)), 38792 (Injt(s) Px; radioactive tracer for ID of
sentinel node) - -Pt admitted for breast mass and underwent lumpectomy
and sentinel R axillary lymph node dissection. Dx was intraductal carcinoma
in situ, UOQ, R breast
-25 - -What is the maximum number of diagnosis codes that can appear on
the UB04 paper claim form locator 67 for a hospital inpatient principal and
secondary diagnoses?
-2nd trimester - -13-28 wks of gest
-30 - -To comply with HIPAA, under usual circumstances, a covered entity
must act on a patient's request to review or copy their health information
within ___ days
-30 days - -Most hospitals require medical record to be completed within
-3300 (2k + 50+ 1k+ 250) - -10060 T APC 0006 $500
64605 T APC 0220 $1k
71045 X APC 0260 $50
38230 S APC 0112 $2k
From info provided, what would be total reimbursement for this Pt?
-33208 (insert of new/replacement of perm pacemaker with transvenous
electrodes; atrial and ventricular - -Complete AV Block; afib; implant of DDIR
mode switching perm pacemaker and leads; pacemaker pocket made with
incision made parallel to L clavicle, down to level of prepectoral fascia. L
subclavian vein was then easily cannulated and 2 sheaths were passed
through easily with guide wire. Through these sheaths, lead was fastened to
R ventricular apex and fixed into position. Through the other sheath, lead
was passed through R atrial appendage and fixed into position
-33975 (insert single ventricle assist device) - -Pt undergoes construction of
apical aortic conduit with insert of single ventricle ventricular assist device
Creation of apical aortic conduit included in insert Px
-36245 (selective cath place, arterial sys; each 1st order abd, pelvic, or low
extremity artery branch) - -Dr puncture L common femoral to exam R
common iliac
, -36904 (Percut transluminal mechanical thrombectomy and/or infusion for
thrombolysis, dialysis circuit, any method, including all imaging and radio
supervision and interpretation, diagnostic angiography, fluoroscopic
guidance, cath placement(s), and intraPx pharmacological thrombolytic
injt(s) - -Presents in ER with thrombosis of loop PTFE hemodialysis fistula w/o
mech complications. Dr performed percut thrombectomy of L brachial vein
-38220, 3822059 - -Pt has bone marrow asp of iliac crest and of tibia
Report twice b/c perf on 2 diff areas
-45378 (colonoscopy) - -Pt underwent anoscopy follow by colonoscopy; Dr
exam colon to 60 cm
Anoscopy inc in colonoscopy
-5 - -HIPAA req retention of health insurance claims and accounting records
for min of ___ yrs, unless state law specifies longer period
-5 - -HIPAA requires retention of health insurance claims and accounting
records for min of ___ yr, unless state law specifies longer period
-50% - -10060 T APC 0006 $500
64605 T APC 0220 $1k
71045 X APC 0260 $50
38230 S APC 0112 $2k
What % will facility be paid for Px code 10060?
-52648 (laser vap of prostate, inc control of post op bleed, complete) - -Pt
admit for contact laser vap of prostate; Dr performed TURP and transurethral
resect of lesser neck at same time
-65750-LT (Keratoplasty (corneal transplant); penetrating (in aphakia)),
66985-LT (Insertion of IOL prosthesis (secondary implant), not associated
with concurrent cataract removal), 67010-LT (Removal of vitreous, anterior
approach (open sky technique/limbal incision); subtotal removal with
mechanical vitrectomy) - -Pt has aphakic bullous keratopathy L eye, open
angle glaucoma L eye, chronic iritis bilateral, COPD treated with ventolin,
and angina treated with nitroglycerin. Underwent aphakic bullous
keratopathy L eye, posterior chamber intraocular lens scleral implant L eye,
open sky mechanical automated vitrectomy L eye
-66984 (EC cataract removal with insert of IOL prosthesis (1 stage Px)
manual/mech technique (irrigation and asp/phacoemulsification)
Subconjunctival injt inc in Px - -Phacoemulsification of L cataract, age rel,
with IOL implant and subconjunctival injt
, -69540 (excise aural polyp) - -Pt came in for excision of middle ear lesion
-7 - -How many diff approaches to reach site of Px in PCS
-837I - -Effective October 16, 2003, under the Administrative Simplification
Compliance section of the Health Insurance Portability and Accountability Act
of 1996 (HIPAA), all healthcare providers must electronically submit claims to
Medicare. Which is the electronic format for hospital technical fees?
Replaced UB-04 (CMS 1450) paper billing
-837I - -format for claims for institutional services
-92928-LC (Percut transcath placement of intracoronary stent(s), w/
coronary angioplasty when performed; single major coronary artery/branch,
L circumflex coronary artery), 92928-LD (L anterior des coronary artery) - -In
OP surgery, PTCA completed w/ insertion of drug eluting stent in L circumflex
artery and non drug eluting stent into L anterior des artery
-93460 (Cath placement in coronary artery(s) for coronary angiography,
including intraprocedural injection(s) for coronary angiography, imaging
supervision and interpretation; with R and L heart cath including
intraprocedural injection(s) for L ventriculography, when performed), 93567
(Injection Px during cardiac cath including imaging supervision,
interpretation, and report; for supravalvular aortography) - -Cath was used
for heart cath, coronary angiography, and ventricular arteriography. R heart
pressures and cardiac output were measured. Pigtail cath was inserted into L
ventricular cavity and ventricular pressures were obtained. Angiography of R
coronary artery was performed. L ventricular angiography and aortic root
angiography was performed.
-99283-25 (Level 3 W/ Px/lab/radio) - -CC: RUQ abd pain; HPI: developed
after eating greasy meal; past medical history: 1 PPD smoker, COPD, OSA;
chronic meds: 3L O2 dependent all of the time; ROS: RUQ pain is dull ache
with onset after meal, happened on 1 previous occasion about 1 week ago,
nothing appears to ease pain, no fever, wt -, diarrhea, or vomiting,
occasional nausea; PE: well nourished in some discomfort, HEENT normal,
neck veins flat at 40 degree angle, no nodes felt in neck, carotid, or groin,
carotid pulsations normal, no bruits heard in neck, chest clear on percussion
and auscultation, heart not enlarged, no thrills/murmurs, rhythm reg, BP
145/89, liver and spleen not palpable, no mass felt in abd, no ascites, no
edema, pulses in feet good; Rx: zofran nor nausea, venipuncture kit for lab
work, gallbladder XR; Dx: GB calculus
-99291 (crit care) - -When appropriate, under OPPS, hospital can use this
CPT code in place of, but not in addition to, code for med visit/ER service
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