CCS Exam Prep Test with Questions and
100% Correct Answers
What does NCHS stand for? - Answer National Center for Health Statistics
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: - 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? -
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? - 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: - Answer CHF and
abnormal liver function tests
Pt adm with hypotension due to dobutamine taken and prescribed correctly. How is this
coded? - 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? - 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: - Answer CHF and resp failure
Pt adm w/pneumococcal pneumonia and pneumococcal sepsis, so the coder should: -
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: - 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: - 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? - 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? - Answer Regular internal
audits, audits performed by objective external reviewers, sharing/discussing results with
coding staff
In CPT, unlisted codes are reported only if: - 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: - 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? - 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? - 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? - 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: - 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? - 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 (separate procedure) with directed submucosal
injection(s), any substance
Pt undergoes colposcopy with endometrial biopsy, so how many codes does is this case
req? - Answer Two codes would be used in accordance with 2015 CPT code revisions
, Pt present to outpt surgical area for cystoscopy with mult biopsies of the bladder, and
pt's presenting symptom is hematuria, so what is the correct code assignment this
procedure? - Answer 52204, Cystourethroscopy with biopsy(s)
If pt has excision of malignant lesion of the skin, the CPT code is determined by the body
area from which the excision occurs and the: - Answer Diameter of lesion as well as
margins excised as described in Op Report
When coding arthrocentesis, the code assignment is determined by: - Answer Size of the
jt since arthrocentesis codes are based on whether jt is small, intermediate, or major
Assign correct code for open total cholecystectomy with exploration of common bile
duct and removal of common bile duct stone: - Answer 0FT40ZZ, resection gallbladder,
open approach
0FC90ZZ, removal, common bile duct stone, open
Assign correct code for total laparoscopic cholecystectomy with percutaneous removal
of common bile duct stone: - Answer 0FT44ZZ, Resection, gallbladder, Resection of
gallbladder, percutaneous endoscopic approach
0FC94ZZ, Removal, common bile duct stones, laparoscopic
Assign correct code for total open cholecystectomy with intraoperative cholangiogram
(done w/plain radiography with low osmolar contrast): - Answer 0FC94ZZ, Removal,
common bile duct stones, laparoscopic
0FT40ZZ, Resection, gallbladder, open approach
