CCS CERTIFICATION EXAM NEWEST
QUESTION BANK ACTUAL EXAM
QUESTIONS AND DETAILED CORRECT
ANSWERS | CCS STUDY KIT 2025
75yo female was adm for AMI and underwent a diagnostic
cardiac cath. Following the cath, pt dev a thrombophlebitis
documented as due to the catheter in the common femoral
artery. The thrombophlebitis would be coded as: Correct
Answer T81.718A, complication of other artery following a
procedure, NEC, initial enc
Pt adm to ED w/chest pain, and dx w/abort MI w/acute
myocardial ischemia with no prior cardiac surgery, and
normal cardiac enzymes. What is coding for this case?
Correct Answer I24.0 (acute coronary thrombosis not
resulting in MI) Pts w/acute ischemic heart disease or
acute myocardial ischemia do not always indicate an
infarction and it is often possible to prevent infarction by
means of surgery or use of thrombolytic agents if tx
promptly
Pt has nausea, vomiting, abdominal pain due to acute
cholecystitis. Phys doc the following on DS: Acute
cholecystitis, nausea, vomiting, and abdominal pain. What
is correct coding? Correct Answer Acute cholecystitis
,Pt adm bc of CHF, and also found to have elevated liver
function tests. Phys worked up ELF test but able to
determine dx, so the following dx is assigned: Correct
Answer CHF and abnormal liver function tests
Pt adm with hypotension due to dobutamine taken and
prescribed correctly. How is this coded? Correct Answer
I95.2, Hypotension due to drugs
T44.5X5A, adverse effects of dobutamine
Pt adm 2 wks after laminectomy for spinal stenosis
w/headache (headache due to tear in dura accidentally
occurred during prior laminectomy surgery). Pt taken to
OR for repair of dura. How is this case coded? Correct
Answer G97.41, Accidental puncture or laceration of dura
during procedure
Pt adm w/SOB, CHF, and subsequently dev resp fail. Pt
undergoes intubation w/ventilator mgmt. Correct seq of dx
would be: Correct Answer CHF and resp failure
Pt adm w/pneumococcal pneumonia and pneumococcal
sepsis, so the coder should: Correct Answer Assign code
for sepsis, pneumonia, and severe sepsis. Pt
w/pneumococcal sepsis and pneumococcal pneumonia
also has severe sepsis and Guidelines provide info related
to coding, seq of sepsis, severe sepsis, and localized
infection, such as pneumonia
Pt adm w/ESRD following kidney transplant, who also had
angina and COPD, so dx would be seq as: Correct
,Answer ESRD; status post kidney transplant; COPD;
angina
Pt adm to hosp due to fracture of rt hip and scheduled for
open reduction with int fix, but pt dev cardiac arrhythmia
which results in an inability to do planned surgery. Assign
code for PD: Correct Answer Rt hip fracture (cond after
study that occasioned adm should be seq first even if the
plan of tx was not carried out due to unforeseen
circumstances)
What is not part of a facility coding compliance plan?
Correct Answer Coding audits performed by payers (while
this has value, payers are considered external reviewing)
What are various parts of a facility coding compliance
plan? Correct Answer Regular internal audits, audits
performed by objective external reviewers,
sharing/discussing results with coding staff
In CPT, unlisted codes are reported only if: Correct
Answer There is a not a HCPCS level II or a current CPT
level III code available
A virtual screening colonoscopy would be coded as:
Correct Answer 74263: Computed tomographic (CT)
colonography, screening including image postprocessing
Pt underwent excision of malignant lesion of chest
measuring 1.0cm with 0.2cm margin, and based on 2015
CPT codes, which code is used for this procedure?
, Correct Answer 11602, Excision malignant lesion of trunk;
excised diameter 1.1-2.0cm
Pt dx w/L4-5 lumbar neuropathy and discogenic pain. Pt
underwent percutaneous intradiscal electrothermal
annuloplasty (IDET) in radiology suite. What ICD-10-PCS
code should be used? Correct Answer 0S523ZZ,
Destruction, lumbar vertebral disc, percutaneous (IDET is
done w/thermal energy, or heat, directed into the outer
disc wall, or annulus, and inner disc contents, or nucleus,
via a heating coil, decreasing pressure inside the disc
Laparoscopic tubal ligation with Falope ring is completed,
so what is correct CPT code assignment? Correct Answer
58671, Laparoscopy, surgical; with occlusion of oviducts
by device (band, clip, or Falope ring)
Carcinoma of multiple overlapping sites of the bladder, so
dx cystoscopy and transurethral fulguration of bladder
lesions (1.9cm, 6.0 cm) are undertaken. The appropriate
CPT code(s) would be: Correct Answer 52240,
Cystourethroscopy, with fulguration (including cryosurgery
or laser surgery) and/or resection of lg bladder tumor(s)
Pt presents to facility for upper endoscopy implant of
material into muscle of lower esophageal sphincter, so
what is correct coding, seq of pt's record? Correct Answer
43236, 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
