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CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION VALUATION TEST WITH ALL ANSWERS
CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION VALUATION TEST WITH ALL ANSWERS
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CERTIFIED CODING SPECIALIST (CCS)EXAM PREPARATION VALUATION
TEST WITH ALL ANSWERS
Diagnostic-related vgroups v(DRGs) vand vambulatory vpatient vclassifications v(APCs)
vare vsimilar vin vthat vthey vare vboth:
a. vDetermined vby vHCPCS vcodes
b. vFocused von vhospital voutpatients
c. vFocused von vhospital vinpatients
d. vProspective vpayment vsystems v- vcorrect vanswer-d. vProspective vpayment
vsystems
** vBoth vare vtypes vof vprospective vpayment vsystems v(Casto vand vForrestal v2015,
v6).
A vpatient vis vtreated vfor vesophageal vvarices vwith vhemorrhage vdue vto vcirrhosis.
vThe vdiagnostic vcodes vthat vwould vbe vassigned vare:
I85.01 vEsophageal vvarices vwith vbleeding
I85.11 vSecondary vesophageal vvarices vwith vbleeding
K74.60 vUnspecified vcirrhosis vof vliver v- vcorrect vanswer-d. vK74.60, vI85.11
,K74.60: vUnspecified vcirrhosis vof vliver
I85.11:Secondary vesophageal vvarices vwith vbleeding
**The vpatient vhas vcirrhosis vof vthe vliver vwith vresulting vbleeding vesophageal
vvarices. vCirrhosis vof vliver vis vsequenced vfirst vfollowed vby vthe vcode vfor vthe
vbleeding vesophageal vvarices v(HHS v2017, vSection vI.A.13, v11).
Assign vthe vcode(s) vfor vbronchoscopy vwith vbilateral vtransbronchial vbiopsy vfor
veach vlobe vof veach vlung.
31628 vBronchoscopy, vrigid vor vflexible, vincluding vfluoroscopic vguidance, vwhen
vperformed; vwith vtransbronchial vlung vbiopsy(s), vsingle vlobe
31629 vBronchoscopy, vrigid vor vflexible, vincluding vfluoroscopic vguidance, vwhen
vperformed; vwith vtransbronchial vneedle vaspiration vbiopsy(s), vtrachea, vmain vstem
vand/or vlobar vbronchus(i)
31632 vBronchoscopy, vrigid vor vflexible, vincluding vfluoroscopic vguidance, vwhen
vperformed; vwith vtransbronchial vlung vbiopsy(s), veach vadditional vlobe
−50 vBilateral vprocedure v- vcorrect vanswer-
Assign vthe vcode(s) vfor vendoscopic vsinusotomy vwith vbilateral vanterior
vethmoidectomy.
31231 vNasal vendoscopy, vdiagnostic, vunilateral vor vbilateral v(separate vprocedure)
31254 vNasal/sinus vendoscopy, vsurgical; vwith vethmoidectomy, vpartial v(anterior)
−50 vBilateral vprocedurea. v
a. v31254
b. v31254-50
c. v31254, v31254
d. v31231 v- vcorrect vanswer-b. v31254-50
31254 vNasal/sinus vendoscopy, vsurgical; vwith vethmoidectomy, vpartial v(anterior)
−50 vBilateral vprocedurea. v
** vA vcode vfor vthe vanterior vethmoidectomy vis vassigned vand vto vdenote vthe
vbilateral vprocedure, va vmodifier vof v-50 vis vadded v(CPT vAssistant vWinter v1993,
v23; vJan. v1997, v4; vSept. v1997, v10; vOct. v1997, v5; vDec. v2001, v6; vMay v2003, v5).
vThe vsinusotomy vis vnot vcoded vseparately, vas vit vis va vdiagnostic vprocedure.
The vmost vcommon vlanguage vused vfor vboth vdata vdefinition vlanguage vand vdata
vmanipulation vlanguage vis:
a. vUnified vmodeling vlanguage
b. vJAVA
c. vPerl
d. vStructured vquery vlanguage v- vcorrect vanswer-d. vStructured vquery vlanguage
** vStructured vquery vlanguage v(SQL) vis vused vcommonly vfor vdata vlanguage vand
vdata vdefinitions v(Sharp v2016, v184).
An vethmoidectomy vremoves vinfected vtissue vand vbone vin vthe vethmoid vsinuses
vthat vblocks vnatural vdrainage. vThe vsurgeon vviews vyour vethmoid vsinuses vwith van
,vendoscope, va vthin vflexible vtube vwith va vvery vsmall vcamera vand vlight vat vthe vend
vof vit. v- vcorrect vanswer-
Documentation vfrom vthe vnursing vor vother vallied vhealth vprofessionals' vnotes vcan
vbe vused vto vestablish vwhich vof vthe vfollowing vdiagnoses:
a. vBody vmass vindex v(BMI)
b. vMalnutrition
c. vAspiration vpneumonia
d. vFatigue v- vcorrect vanswer-a. vBody vmass vindex v(BMI)
** vThe vphysician vmust vestablish vthe vdiagnosis—obesity vor vmorbid vobesity—and
vthe vadditional vinformation vcan vbe vpulled vfrom vancillary vdocumentation vto
vestablish vthe vcorrect vcode vassignment vfor vbody vmass vindex v(BMI) v(Leon-
Chisen v2017, v168).
A v55-year-old vpatient vhas vhypertensive vheart vdisease vwith vcongestive vheart
vfailure. vWhat vcode vwould vbe vassigned?
a. vI15.8, vOther vsecondary vhypertension
b. vI11.0, vHypertensive vheart vdisease vwith vheart vfailure vand vI50.9, vHeart vfailure,
vunspecified
c. vI50.9, vHeart vfailure, vunspecified vand vI15.0, vRenovascular vhypertension
d. vN18.6, vEnd vstage vrenal vdisease v- vcorrect vanswer-b. vI11.0, vHypertensive
vheart vdisease vwith vheart vfailure vand vI50.9, vHeart vfailure, vunspecified
** vThere vis va vcause vand veffect vrelationship vestablished vbetween vthe
vhypertension vand vthe vcongestive vheart vfailure. vA vseparate vcode vfor vthe
vcongestive vheart vfailure vis vassigned vbased von vthe v"code valso" vnote v(HHS
v2017, vSection vI.C.9.a., v40).
A vsurgeon vwould vlike vto vundertake va vresearch vstudy von vhis vpatients vwith vstage
vII vmalignant vmelanoma vof vthe vback, vwho vhave vundergone vwide vexcision vof vthe
vmelanoma. vWhat vwork vprocesses vand vassociated vsoftware vcould vbe vused vto
vprovide vthis vinformation?
a. vObtain va vsummary vof vthe vcases vfrom vthe vcancer vregistry, vimport vthem vinto
va vspreadsheet, vand vprovide vto vthe vsurgeon.
b. vObtain va vsummary vof vthe vcases vfrom vthe vchart vcompletion vsoftware, vimport
vthem vinto va vspreadsheet, vand vprovide vto vthe vsurgeon.
c. vObtain va vsummary vof vthe vcases vfrom vthe vmaster vpatient vindex, vimport vthem
vinto va vspreadsheet, vand vprovide vto vthe vsurgeon.
d. vObtain va vsummary vof vthe vcases vfrom vthe vtranscription vtracking vsoftware,
vimport vthem vinto va vspreadsheet, vand vprovide vto vthe vsurgeon. v- vcorrect vanswer-
a. vObtain va vsummary vof vthe vcases vfrom vthe vcancer vregistry, vimport vthem vinto
va vspreadsheet, vand vprovide vto vthe vsurgeon.
**The vcancer vregistry vcan vbe vused vto vundertake vstudies vin vaddition vto vreporting
vcases vto va vcentral vregistry v(Sharp vand vMadlock-Brown v2016, v173).
, A vfacility vlocated vnear va vnational vpark vhas va vsignificant vnumber vof vsnake vbites,
vand vpatients vreceive vtreatment vwith vantivenom vin vurgent-care vsettings.
vSometimes va vpatient vis vadmitted vto vthe vhospital vafter vseveral vdays. vCan vthe
vurgent-care vsetting vprovide vthe vhospital vwith va vlist vof vnames vof vpatients
vtreated vwith vsnake vantivenom?
a. vOnly vthe vnames vof vpatients vwho vare vadmitted vto vthe vhospital vcan vbe
vrequested vif vthe vphysician vneeds vit vfor vcontinuity vof vcare, vbut van ventire vlist vof
vpatients vcannot vbe vprovided.
b. vA vlist vof vnames vcould vbe vprovided.
c. vNo vinformation vcan vbe vobtained vunder vany vcircumstances.
d. vA vlist vof vpatients vmay vbe vavailable vafter vconsultation vwith vthe vnational vpark
vranger. v- vcorrect vanswer-a. vOnly vthe vnames vof vpatients vwho vare vadmitted vto
vthe vhospital vcan vbe vrequested vif vthe vphysician vneeds vit vfor vcontinuity vof vcare,
vbut van ventire vlist vof vpatients vcannot vbe vprovided.
**Only vrecords vthat vare vrequired vfor vcare vor vauthorized vby vthe vpatient vcan vbe
vreleased vby vthe vurgent-care vfacility vto vthe vacute-care vfacility v(Brodnik v2012,
v225; vRinehart-Thompson v2016b, v243-247).
What vdiagnoses vand vprocedures vshould vbe vreported vfor vrecurrent vleft vinguinal
vhernia vwith vlaparoscopic vrepair?
K40.30 vUnilateral vinguinal vhernia, vwith vobstruction, vwithout vgangrene, vnot
vspecified vas vrecurrent
K40.31 vUnilateral vinguinal vhernia, vwith vobstruction, vwithout vgangrene, vrecurrent
K40.91 vUnilateral vinguinal vhernia, vwithout vmention vof vobstruction vor vgangrene,
vrecurrent
49520 vRepair vrecurrent vinguinal vhernia, vany vage; vreducible
49521 vRepair vrecurrent vinguinal vhernia, vany vage; vincarcerated vor vstrangulated
49651 vLaparoscopy, vsurgical; vrepair vrecurrent vinguinal vhernia
a. vK40.91, v49520
b. vK40.31, v49521
c. vK40.91, v49651
d. vK40.30, v49520 v- vcorrect vanswer-c. vK40.91:Unilateral vinguinal vhernia, vwithout
vmention vof vobstruction vor vgangrene, vrecurrent
49651:Laparoscopy, vsurgical; vrepair vrecurrent vinguinal vhernia
**The vpatient vhas va vrecurrent vhernia vwithout vobstruction vand vthis vis vcaptured vin
vdiagnosis vcode vK40.91 v(Leon-Chisen v2017, v253; vCPT vAssistant vNov. v1999, v24;
vMarch v2000, v9).
.In vorder vto vaccurately vcode va vcardiac vcatheterization, vwhat vneeds vto vbe
vdetermined vbased von va vreview vof vthe vdocumentation?
a. vThe vapproach vand vthe vside vof vthe vheart v(chambers) vinto vwhich vthe vcatheter
vwas vinserted
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