CCS EXAM PREP-DOMAIN #8/COMPLIANCE WITH COMPLETE SOLUTIONS.

Operative report - ANSWER-A female patient is admitted for a second-degree cystocele. A repair is performed. In order to code this accurately, what document provided the required additional information? The approach, the side of the heart(chambers) into which the catheter was inserted , as well as any additional procedures performed. - ANSWER-In order to accurately code a catheterization, what needs to be determined based on a review of documentation? 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, and N18.6 End stage renal disease. - ANSWER-A 70 year old patient has congestive heart failure and hypertension with end-stage renal disease. What should the codes be? N17.9, Acute kidney failure, unspecified and I12.9, Hypertensive chronic kidney disease with stage I through stage 4 chronic kidney disease, or unspecified chronic kidney disease and N18.3, Chronic kidney disease, stage 3(moderate) - ANSWER-A 35 year old woman has hypertension with acute renal failure and stage 3 chronic kidney disease. What code would be assigned? I11.0, Hypertensive heart disease with heart failure and I50.9, Heart failure, unspecified (There is a cause and effect relationship between the hypertension and the congestive heart failure. A separate code for the congestive heart failure is assigned based on the "code also" note) - ANSWER-A 55 year old patient has hypertensive heart disease with congestive heart failure. What codes would be assigned? The surgical procedures - ANSWER-The CPT definition of a surgical package contains which of the following? When performed in conjunction with another service, is considered an integral part of the major service - ANSWER-CPT defines a separate procedure as which of the following? What type of repair was undertaken: simple, intermediate, or complex and the site or body part involved, and the extent of the wound - ANSWER-To accurately code wound closures, what questions need to be answered? Facility specific documentation requirements - ANSWER-Coding compliance policies shou