Certified Coding Specialist (CCS) Exam Preparation.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/Certified%20Coding%2
Certified Coding Specialist (CCS) Exam Preparation
1. 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: d. Prospective payment systems
** Both are types of prospective payment systems (Casto and Forrestal 2015, 6).
2. A patient is treated for esophageal varices with hemorrhage due to cirrho-sis.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: d. K74.60, I85.11
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,Certified Coding Specialist (CCS) Exam Preparation.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/Certified%20Coding%2
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 esophagealvarices (HHS 2017,
Section I.A.13, 11).
3. Assign the code(s) for bronchoscopy with bilateral transbronchial biopsyfor each lobe
of each lung.
31628 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, whenperformed;
with transbronchial lung biopsy(s), single lobe
31629 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, whenperformed;
with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar
bronchus(i)
31632 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, whenperformed;
with transbronchial lung biopsy(s), each additional lobe
50 Bilateral procedu:re
4. Assign the code(s) for endoscopic sinusotomy with bilateral anterior eth-
moidectomy.
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,Certified Coding Specialist (CCS) Exam Preparation.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/Certified%20Coding%2
31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate proce-dure)
31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior)50 Bilateral
procedurea.
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,Certified Coding Specialist (CCS) Exam Preparation.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/Certified%20Coding%2
a. 31254
b. 31254-50
c. 31254, 31254
d. 31231: 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 notcoded separately, as it is a diagnostic
procedure.
5. The most common language used for both data definition language and datamanipulation
language is:
a. Unified modeling language
b. JAVA
c. Perl
d. Structured query language: d. Structured query language
4 of 84 8/8/2024, 2:41
Certified Coding Specialist (CCS) Exam Preparation
1. 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: d. Prospective payment systems
** Both are types of prospective payment systems (Casto and Forrestal 2015, 6).
2. A patient is treated for esophageal varices with hemorrhage due to cirrho-sis.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: d. K74.60, I85.11
1 of 84 8/8/2024, 2:41
,Certified Coding Specialist (CCS) Exam Preparation.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/Certified%20Coding%2
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 esophagealvarices (HHS 2017,
Section I.A.13, 11).
3. Assign the code(s) for bronchoscopy with bilateral transbronchial biopsyfor each lobe
of each lung.
31628 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, whenperformed;
with transbronchial lung biopsy(s), single lobe
31629 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, whenperformed;
with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar
bronchus(i)
31632 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, whenperformed;
with transbronchial lung biopsy(s), each additional lobe
50 Bilateral procedu:re
4. Assign the code(s) for endoscopic sinusotomy with bilateral anterior eth-
moidectomy.
2 of 84 8/8/2024, 2:41
,Certified Coding Specialist (CCS) Exam Preparation.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/Certified%20Coding%2
31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate proce-dure)
31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior)50 Bilateral
procedurea.
3 of 84 8/8/2024, 2:41
,Certified Coding Specialist (CCS) Exam Preparation.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/Certified%20Coding%2
a. 31254
b. 31254-50
c. 31254, 31254
d. 31231: 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 notcoded separately, as it is a diagnostic
procedure.
5. The most common language used for both data definition language and datamanipulation
language is:
a. Unified modeling language
b. JAVA
c. Perl
d. Structured query language: d. Structured query language
4 of 84 8/8/2024, 2:41
