CCS PRACTICE EXAM QUESTIONS
WITH COMPLETE ANSWERS
A nn12-year-old nnboy nnwas nnseen nnin nnan nnambulatory nnsurgical nncenter nnfor nnpain
nnin nnhis nnright nnarm. nnThe nnx-ray nnshowed nnfracture nnof nnulna. nnPatient nnunderwent
nnclosed nnreduction nnof nnfracture nnright nnproximal nnulna nnand nnan nnelbow-to-finger
nncast nnwas nnapplied. nnWhat nndiagnostic nnand nnprocedure nncodes nnshould nnbe
nnassigned?
S52.101AUnspecified nnfracture nnof nnupper nnend nnof nnright nnradius, nninitial nnencounter
nnfor nnclosed nnfracture
S52.101BUnspecified nnfracture nnof nnupper nnend nnof nnright nnradius, nninitial nnencounter
nnfor nnopen nnfracture
S52.001AUnspecified nnfracture nnof nnupper nnend nnof nnright nnulna, nninitial nnencounter
nnfor nnclosed nnfracture
S52.001BUnspecified nnfracture nnof nnupper nnend nnof nnright nnulna, nninitial nnencounter
nnfor nnopen nnfracture
0PSH0ZZReposition nnright nnradius, nnopen nnapproach
0PSK0ZZReposition nnright nnulna, nnopen nnapproach
24670Closed nntreatment nnof nnulnar nnfracture, nnproximal nnend nn(eg, nnolecranon nnor
nncoronoid nnprocess(es) nn); nnwithout nnmanipulation
24675Closed nntreatment nnof nnulnar nnfracture, nnproximal nnend nn(eg nn- nnAnswer
nnCorrect nnAnswer: nnD
The nnpatient nnhas nna nnfracture nnof nnthe nnright nnproximal nnulna nnand nnclosed
nnreduction nnis nnnecessary. nnIn nnthe nnICD-10-CM nnCode nnBook, nnunder nnFracture,
nnulna, nnproximal, nnthe nncoder nnis nnreferred nnto nnFracture, nnulna, nnupper nnend. nnThe
nnterm nn"manipulation" nnis nnused nnto nnindicate nnreduction nnin nnCPT. nnAccording nnto
nnCPT nnguidelines, nncast nnapplication nnor nnstrapping nn(including nnremoval) nnis nnonly
nnreported nnas nna nnreplacement nnprocedure nnor nnwhen nnthe nncast nnapplication nnor
nnstrapping nnis nnan nninitial nnservice nnperformed nnwithout nna nnrestorative nntreatment
nnor nnprocedure nn(AMA nnCPT nnProfessional nnEdition nn2020, nn182). nn(Note: nnSince
nnthis nnis nnan nnambulatory nnsurgery nncenter nncase, nnCPT nncodes nnare nnassigned
nnrather nnthan nnICD-10-PCS nncodes.)
A nnlaparoscopic nntubal nnligation nnis nncompleted. nnWhat nnis nnthe nncorrect nnCPT
nncode nnassignment?
,49320Laparoscopy, nnabdomen, nnperitoneum, nnand nnomentum, nndiagnostic, nnwith nnor
nnwithout nncollection nnof nnspecimen(s) nnby nnbrushing nnor nnwashing nn(separate
nnprocedure)
58662Laparoscopy, nnsurgical; nnwith nnfulguration nnor nnexcision nnof nnlesions nnof nnthe
nnovary, nnpelvic nnviscera, nnor nnperitoneal nnsurface nnby nnany nnmethod
58670Laparoscopy, nnsurgical; nnwith nnfulguration nnof nnoviducts nn(with nnor nnwithout
nntransection)
58671Laparoscopy, nnsurgical; nnwith nnocclusion nnof nnoviducts nnby nndevice nn(eg,
nnband, nnclip, nnor nnFalope nnring)
a. nn49320, nn58662
b. nn58670
c. nn58671
d. nn49320 nn- nnAnswer nnCorrect nnAnswer: nnB
The nncode nnthat nnbest nnreports nnthe nntubal nnligation nnis nn58670 nnLaparoscopy,
nnsurgical; nnwith nnfulguration nnof nnoviducts nnbecause nnthere nnare nnno nnclips nnor
nnexcision nnof nnlesion nncompleted nnduring nnthe nnprocedure nn(CPT nnAssistant nnNov.
nn1999, nn29; nnMarch nn2000, nn10).
Normal nntwin nndelivery nnat nn30 nnweeks. nnBoth nnbabies nnwere nndelivered nnvaginally
nnand nnwere nnliveborn. nnWhat nnconditions nnshould nnhave nncodes nnassigned?
O30.003Twin nnpregnancy, nnunspecified nnnumber nnof nnplacenta nnand nnunspecified
nnnumber nnof nnamniotic nnsacs, nnthird nntrimester
O30.009Twin nnpregnancy, nnunspecified nnnumber nnof nnplacenta nnand nnunspecified
nnnumber nnof nnamniotic nnsacs, nnunspecified nntrimester
O60.14X0Preterm nnlabor nnthird nntrimester nnwith nnpreterm nndelivery nnthird nntrimester,
nnnot nnapplicable nnor nnunspecified
O60.14X1 nnPreterm nnlabor nnthird nntrimester nnwith nnpreterm nndelivery nnthird
nntrimester, nnfetus nn1
O60.14X2Preterm nnlabor nnthird nntrimester nnwith nnpreterm nndelivery nnthird nntrimester,
nnfetus nn
2O80Encounter nnfor nnfull-term nnuncomplicated nndelivery
Z3A.3030 nnweeks nngestation nnof nnpregnancy
Z37.0Single nnlive nnbirth
Z37.2Twins, nnboth nnliveborn
a. nnO80, nnZ3A.30, nnZ37.0
b. nnO30.003, nnO60.14X0, nnZ3A.30, nnZ37.2
c. nnO60.14X1, nnO60.14X2 nnO30.003, nnZ3A.30, nnZ37.2
d. nnO80, nnO30.009, nnZ3A.30, nnZ37.2 nn- nnAnswer nnCorrect nnAnswer: nnC
A nncode nnfor nnpreterm nnlabor nnand nndelivery nnis nnassigned nnfor nneach nnfetus nnsince
nnboth nnbabies nnwere nnborn nnpreterm nnas nnnoted nnin nnCoding nnClinic. nnAdditionally,
nna nncode nnfrom nncategory nnO30, nnMultiple nngestations, nnmust nnbe nnassigned
nn(Leon-Chisen nn2020, nn325; nnAHA nnCoding nnClinic nn2016 nn2nd nnQuarter, nn10-11).
, A nnpatient nnwith nnacute nnrespiratory nnfailure, nnhypertension, nnand nncongestive nnheart
nnfailure nnis nnadmitted nnfor nnintubation nnand nnventilation. nnThe nnpatient's nnheart
nnfailure nnis nnstable nnon nncurrent nnmedications. nnWhat nnare nnthe nncorrect nndiagnosis
nncodes nnand nnsequencing?
I10Essential nnhypertension
I11.0Hypertensive nnheart nnwith nnheart nnfailure
I50.9Heart nnfailure, nnunspecified
J96.00Acute nnrespiratory nnfailure, nnunspecified nnwhether nnwith nnhypoxia nnor
nnhypercapnia
J96.20Acute nnand nnchronic nnrespiratory nnfailure, nnunspecified nnwhether nnwith
nnhypoxia nnor nnhypercapnia
a. nnJ96.00, nnI11.0, nnI50.9
b. nnI50.9, nnJ96.00, nnI10
c. nnJ96.20, nnI10, nnI50.9
d. nnI50.9, nnJ96.20, nnI11.0 nn- nnAnswer nnCorrect nnAnswer: nnA
The nnpatient nnwas nnadmitted nnand nntreated nnfor nnrespiratory nnfailure. nnThe nnother
nnconditions nnpresent nnare nnalso nncoded. nnThe nnclassification nnpresumes nna nncausal
nnrelationship nnbetween nnhypertension nnand nncongestive nnheart nnfailure nnunless nnthe
nnphysician nndocuments nnotherwise nn(Leon-Chisen nn2020, nn228-231; nnCMS nn2020a,
nnSection nnI.C.10.b., nn53, nnSection nnI.C.9.a, nn46; nnAHA nnCoding nnClinic nn2017 nn1st
nnQuarter, nn47).
A nn64-year-old nnfemale nnwas nndischarged nnwith nnthe nnfinal nndiagnosis nnof nnacute
nnrenal nnfailure nnand nnhypertension. nnWhat nncoding nnguideline nnapplies?
a. nnUse nncombination nncode nnof nnhypertension nnand nnchronic nnrenal nnfailure.
b. nnUse nnseparate nncodes nnfor nnhypertension nnand nnchronic nnrenal nnfailure.
c. nnUse nnseparate nncodes nnfor nnhypertension nnand nnacute nnrenal nnfailure.
d. nnUse nncombination nncode nnfor nnhypertension nnand nnacute nnrenal nnfailure. nn-
nnAnswer nnCorrect nnAnswer: nnC
There nnis nnnot nna nncombination nncode nnfor nnacute nnrenal nnfailure nnand
nnhypertension. nnAcute nnkidney nnfailure nnis nnnot nnthe nnsame nnas nnchronic nnkidney
nndisease nn(CMS nn2020a, nnSection nnI.C.9. nn2-3, nn46-47; nnLeon-Chisen nn2020, nn262).
A nnpatient nnwas nndischarged nnfrom nnthe nnsame-day-surgery nnunit nnwith nnthe
nnfollowing nndiagnoses: nnposterior nnsubcapsular, nnmature, nnincipient, nnsenile
nncataract nnright nneye, nndiabetes nnmellitus, nnhypertension, nnand nnwas nntreated nnfor
nnmild nnacute nnrenal nnfailure. nnWhich nncodes nnare nncorrect?
E11.36Type nn2 nndiabetes nnmellitus nnwith nndiabetic nncataract
E11.29Type nn2 nndiabetes nnmellitus nnwith nnother nndiabetic nnkidney nncomplication
E11.9Type nn2 nndiabetes nnmellitus nnwithout nncomplications
H25.9Unspecified nnage-related nncataract
H25.21Age-related nncataract, nnmorgagnian nntype, nnright nneye
H25.041Posterior nnsubcapsular nnpolar nnage-related nncataract, nnright nneyeI10Essential
nnhypertension