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CCS Exam Prep | Questions and Answers Latest {} A+ Graded | 100% Verified
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CCS Exam Prep | Questions and Answers Latest {} A+ Graded | 100% Verified
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CCS Exam Prep | Questions and Answers Latest {2024- 2025} A+ Graded | 100% Verified7 yo pt admitted to ED for tx of shortness of breath and given epinephrine and nebulizer tx. Shortness of
breath and wheezing are unabated following tx, so what dx should be suspected? - Asthma with status
asthmaticus
Pt admitted with high temp, lethargy, hypotension, tachycardia, oliguria, elevated WBC, and has more
than 100K organisms of E. coli per cc of urine. Attending phys documents "urosepsis", so what is the
next step for the coder? - Since PD is a nonspecific term and has no code in Alpha Index, query phys to
determine if pt is being treated for sepsis, highlighting the clinical signs, symptoms
During CABG, pt underwent saphenous bypass grafts; from aorta to left ant desc branch of left main
coronary artery, and the left post desc of left main coronary artery. Pt also underwent repositioning of
the mammary artery to the right coronary artery. What is the best description for this px? - 2
aortocoronary grafts and 1 mammary-coronary graft
According to CPT, an endoscopy that is undertaken to the level of midtransverse colon would be coded
as a: - Colonoscopy since this is an examination of entire colon from rectum to cecum that may include
terminal ileum
Infusion of Herceptin, a monoclonal antibody used for tx of breast cancer in pts carrying a certain
mutation of the HER2 gene, is classified as: - Molecular Targets which block the growth, spread of cancer
by interfering with specific molecules involved in tumor growth, progression
Pt has findings suggestive of COPD on chest x-ray and Attending phys mentions x-ray finding in one
progress note but no meds, tx, or further eval. The coder should: - Query phys regarding clinical
significance of findings and request appropriate documentation be provided as this is example of a
circumstance where chronic condition must be verified; all secondary conditions must meet the UHDDS
definitions although it is not clear if COPD does
Pt undergoes inpatient px and final summary dx is difference from dx on path report, the coder should: -
Query Attending phys as final dx as coding strictly from path report is not appropriate since coder would
be assigning dx without Attending phys' corroboration
,56 yo woman admitted to acute-care facility from SNF and has multiple sclerosis and hypertension.
During course of hospitalization, decubitus ulcer is found and debrided at bedside by phys. There is no
typed op report and no path report. The coder should: - Query healthcare provider who performed px to
determine if debridement was excisional as coders are encouraged to work with physicians, healthcare
providers to ensure documentation is very specific and clarified
23 yo female admitted for shock following tx of miscarriage and path report from prev admit reveals pt
had no decidua or POC in tissue removed. Encounter would be coded as: - O08.9 = complication
following abortion and ectopic and molar pregnancies since miscarriage was dealt with in a prior
episode of care
Most hospitals require a medical record is completed within: - 30 days due to Medicare CofP and TJC
To correct an entry in the MR, the provider should: - Draw single line through the error, add a note
explaining the error, initial, date, and add correct info in chronological order
After pt is discharged from hospital, the MR must be reviewed for: - Certain basic reports such as history
and physical, discharge summary, etc.
Pt is discharged with diagnosis of acute pulmonary edema due to CHF so what cn(s) should be coded? -
CHF
Pt is admitted for chest pain, was stabilized and discharged. In subsequent adm, pt was admitted an
outpt for left heart catheterization, coronary arteriography using 2 catheters, left ventricular
angiography, and found to have arteriosclerotic heart disease. Pt has no hx of cardiac surgery. What is
the proper sequencing of ICD-10-CM and CPT codes for outpt catheterization? - I25.10 (Atherosclerotic
heart disease of native coronary artery without angina pectoris)
93458 (Catheter placement in coronary artery(s) for coronary angiography, incl intraprocedural
injection(s) for coronary angiography, imaging supervision and interpretation with left heart
catheterization including intraprocedural injection(s) for left ventriculography, when performed
65yo pt adm w/pain and loosening of left total hip prosthesis along with the loosening of the acetabular
component which has become painful. Pt ad for open removal/replacement of acetabular component of
left hip prosthesis, so what is the correct coding for admission? - T84.031A (mechanical loosening of int
lt hip prosth jt, initial enc
,0SPB0JZ (removal synthetic sub fro lt hip jt, open approach
0SRE0JZ (replacement lt hip jt, acetabular surface w/synthetic sub, open approach)
Maternity pt adm in labor at 43 wks and has normal delivery with vacuum extraction to facilitate baby's
delivery. What is the PD? - O48.1 (prolonged pg)
With regard to implementation of ICD-10-CM, all of these are correct: - ICD-10-CM was developed by
NCHS; it was implemented on 10/1/15; was already being used by death certificate coding in US; the
process of adopting ICD-10-CM is specified in HIPAA
What does NCHS stand for? - 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: - 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? - 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? - 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: - CHF and abnormal liver function tests
Pt adm with hypotension due to dobutamine taken and prescribed correctly. How is this coded? - 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? - 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: - CHF and resp failure
Pt adm w/pneumococcal pneumonia and pneumococcal sepsis, so the coder should: - 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: -
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: - 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? - Coding audits performed by payers (while this
has value, payers are considered external reviewing)
What are various parts of a facility coding compliance plan? - Regular internal audits, audits performed
by objective external reviewers, sharing/discussing results with coding staff
In CPT, unlisted codes are reported only if: - There is a not a HCPCS level II or a current CPT level III code
available
A virtual screening colonoscopy would be coded as: - 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? - 11602, Excision malignant lesion of trunk;
excised diameter 1.1-2.0cm
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