Certified Coding Specialist (CCS)
Exam Preparation /83 Questions
And Answers (A+)
Quiz :Diagnostic-related groups (DRGs) and ambulatory
patient classifications (APCs) are similar in that they are both:
a. Determined by HCPCS codes
b. Focused on hospital outpatients
c. Focused on hospital inpatients
d. Prospective payment systems - √Answer :d. Prospective
payment systems
** Both are types of prospective payment systems (Casto and
Forrestal 2015, 6).
Quiz :A patient is treated for esophageal varices with
hemorrhage due to cirrhosis. The diagnostic codes that would
be assigned are:
I85.01 Esophageal varices with bleeding
I85.11 Secondary esophageal varices with bleeding
K74.60 Unspecified cirrhosis of liver - √Answer :d. K74.60,
I85.11
K74.60: Unspecified cirrhosis of liver
I85.11:Secondary esophageal varices with bleeding
**The patient has cirrhosis of the liver with resulting bleeding
esophageal varices. Cirrhosis of liver is sequenced first
followed by the code for the bleeding esophageal varices (HHS
2017, Section I.A.13, 11).
Quiz :Assign the code(s) for bronchoscopy with bilateral
transbronchial biopsy for each lobe of each lung.
,31628 Bronchoscopy, rigid or flexible, including fluoroscopic
guidance, when performed; with transbronchial lung biopsy(s),
single lobe
31629 Bronchoscopy, rigid or flexible, including fluoroscopic
guidance, when performed; with transbronchial needle
aspiration biopsy(s), trachea, main stem and/or lobar
bronchus(i)
31632 Bronchoscopy, rigid or flexible, including fluoroscopic
guidance, when performed; with transbronchial lung biopsy(s),
each additional lobe
−50 Bilateral procedure - √Answer :
Quiz :Assign the code(s) for endoscopic sinusotomy with
bilateral anterior ethmoidectomy.
31231 Nasal endoscopy, diagnostic, unilateral or bilateral
(separate procedure)
31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy,
partial (anterior)
−50 Bilateral procedurea.
a. 31254
b. 31254-50
c. 31254, 31254
d. 31231 - √Answer :b. 31254-50
31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy,
partial (anterior)
−50 Bilateral procedurea.
** A code for the anterior ethmoidectomy is assigned and to
denote the bilateral procedure, a modifier of -50 is added (CPT
Assistant Winter 1993, 23; Jan. 1997, 4; Sept. 1997, 10; Oct.
1997, 5; Dec. 2001, 6; May 2003, 5). The sinusotomy is not
coded separately, as it is a diagnostic procedure.
Quiz :The most common language used for both data definition
language and data manipulation language is:
a. Unified modeling language
b. JAVA
,c. Perl
d. Structured query language - √Answer :d. Structured query
language
** Structured query language (SQL) is used commonly for data
language and data definitions (Sharp 2016, 184).
Quiz :An ethmoidectomy removes infected tissue and bone in
the ethmoid sinuses that blocks natural drainage. The surgeon
views your ethmoid sinuses with an endoscope, a thin flexible
tube with a very small camera and light at the end of it. -
√Answer :
Quiz :Documentation from the nursing or other allied health
professionals' notes can be used to establish which of the
following diagnoses:
a. Body mass index (BMI)
b. Malnutrition
c. Aspiration pneumonia
d. Fatigue - √Answer :a. Body mass index (BMI)
** The physician must establish the diagnosis—obesity or
morbid obesity—and the additional information can be pulled
from ancillary documentation to establish the correct code
assignment for body mass index (BMI) (Leon-Chisen 2017,
168).
Quiz :A 55-year-old patient has hypertensive heart disease with
congestive heart failure. What code would be assigned?
a. I15.8, Other secondary hypertension
b. I11.0, Hypertensive heart disease with heart failure and
I50.9, Heart failure, unspecified
c. I50.9, Heart failure, unspecified and I15.0, Renovascular
hypertension
, d. N18.6, End stage renal disease - √Answer :b. I11.0,
Hypertensive heart disease with heart failure and I50.9, Heart
failure, unspecified
** There is a cause and effect relationship established between
the hypertension and the congestive heart failure. A separate
code for the congestive heart failure is assigned based on the
"code also" note (HHS 2017, Section I.C.9.a., 40).
Quiz :A surgeon would like to undertake a research study on
his patients with stage II malignant melanoma of the back, who
have undergone wide excision of the melanoma. What work
processes and associated software could be used to provide
this information?
a. Obtain a summary of the cases from the cancer registry,
import them into a spreadsheet, and provide to the surgeon.
b. Obtain a summary of the cases from the chart completion
software, import them into a spreadsheet, and provide to the
surgeon.
c. Obtain a summary of the cases from the master patient
index, import them into a spreadsheet, and provide to the
surgeon.
d. Obtain a summary of the cases from the transcription
tracking software, import them into a spreadsheet, and provide
to the surgeon. - √Answer :a. Obtain a summary of the cases
from the cancer registry, import them into a spreadsheet, and
provide to the surgeon.
**The cancer registry can be used to undertake studies in
addition to reporting cases to a central registry (Sharp and
Madlock-Brown 2016, 173).
Quiz :A facility located near a national park has a significant
number of snake bites, and patients receive treatment with
antivenom in urgent-care settings. Sometimes a patient is
admitted to the hospital after several days. Can the urgent-care
