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CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION QUESTIONS WITH ACTUAL SOLUTIONS.
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CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION QUESTIONS WITH ACTUAL SOLUTIONS.
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CERTIFIED CODING SPECIALIST (CCS)EXAM PREPARATION QUESTIONS WITH
ACTUAL SOLUTIONS
Diagnostic-related mmgroups mm(DRGs) mmand mmambulatory mmpatient mmclassifications
mm(APCs) mmare mmsimilar mmin mmthat mmthey mmare mmboth:
a. mmDetermined mmby mmHCPCS mmcodes
b. mmFocused mmon mmhospital mmoutpatients
c. mmFocused mmon mmhospital mminpatients
d. mmProspective mmpayment mmsystems mm- mmAnswer mmd. mmProspective mmpayment
mmsystems
** mmBoth mmare mmtypes mmof mmprospective mmpayment mmsystems mm(Casto mmand
mmForrestal mm2015, mm6).
A mmpatient mmis mmtreated mmfor mmesophageal mmvarices mmwith mmhemorrhage mmdue
mmto mmcirrhosis. mmThe mmdiagnostic mmcodes mmthat mmwould mmbe mmassigned mmare:
I85.01 mmEsophageal mmvarices mmwith mmbleeding
I85.11 mmSecondary mmesophageal mmvarices mmwith mmbleeding
K74.60 mmUnspecified mmcirrhosis mmof mmliver mm- mmAnswer mmd. mmK74.60, mmI85.11
K74.60: mmUnspecified mmcirrhosis mmof mmliver
I85.11:Secondary mmesophageal mmvarices mmwith mmbleeding
**The mmpatient mmhas mmcirrhosis mmof mmthe mmliver mmwith mmresulting mmbleeding
mmesophageal mmvarices. mmCirrhosis mmof mmliver mmis mmsequenced mmfirst mmfollowed
mmby mmthe mmcode mmfor mmthe mmbleeding mmesophageal mmvarices mm(HHS mm2017,
mmSection mmI.A.13, mm11).
Assign mmthe mmcode(s) mmfor mmbronchoscopy mmwith mmbilateral mmtransbronchial
mmbiopsy mmfor mmeach mmlobe mmof mmeach mmlung.
31628 mmBronchoscopy, mmrigid mmor mmflexible, mmincluding mmfluoroscopic mmguidance,
mmwhen mmperformed; mmwith mmtransbronchial mmlung mmbiopsy(s), mmsingle mmlobe
,31629 mmBronchoscopy, mmrigid mmor mmflexible, mmincluding mmfluoroscopic mmguidance,
mmwhen mmperformed; mmwith mmtransbronchial mmneedle mmaspiration mmbiopsy(s),
mmtrachea, mmmain mmstem mmand/or mmlobar mmbronchus(i)
31632 mmBronchoscopy, mmrigid mmor mmflexible, mmincluding mmfluoroscopic mmguidance,
mmwhen mmperformed; mmwith mmtransbronchial mmlung mmbiopsy(s), mmeach mmadditional
mmlobe
−50 mmBilateral mmprocedure mm- mmAnswer mm
Assign mmthe mmcode(s) mmfor mmendoscopic mmsinusotomy mmwith mmbilateral mmanterior
mmethmoidectomy.
31231 mmNasal mmendoscopy, mmdiagnostic, mmunilateral mmor mmbilateral mm(separate
mmprocedure)
31254 mmNasal/sinus mmendoscopy, mmsurgical; mmwith mmethmoidectomy, mmpartial
mm(anterior)
−50 mmBilateral mmprocedurea. mm
a. mm31254
b. mm31254-50
c. mm31254, mm31254
d. mm31231 mm- mmAnswer mmb. mm31254-50
31254 mmNasal/sinus mmendoscopy, mmsurgical; mmwith mmethmoidectomy, mmpartial
mm(anterior)
−50 mmBilateral mmprocedurea. mm
** mmA mmcode mmfor mmthe mmanterior mmethmoidectomy mmis mmassigned mmand mmto
mmdenote mmthe mmbilateral mmprocedure, mma mmmodifier mmof mm-50 mmis mmadded
mm(CPT mmAssistant mmWinter mm1993, mm23; mmJan. mm1997, mm4; mmSept. mm1997, mm10;
mmOct. mm1997, mm5; mmDec. mm2001, mm6; mmMay mm2003, mm5). mmThe mmsinusotomy
mmis mmnot mmcoded mmseparately, mmas mmit mmis mma mmdiagnostic mmprocedure.
The mmmost mmcommon mmlanguage mmused mmfor mmboth mmdata mmdefinition mmlanguage
mmand mmdata mmmanipulation mmlanguage mmis:
a. mmUnified mmmodeling mmlanguage
b. mmJAVA
c. mmPerl
d. mmStructured mmquery mmlanguage mm- mmAnswer mmd. mmStructured mmquery
mmlanguage
** mmStructured mmquery mmlanguage mm(SQL) mmis mmused mmcommonly mmfor mmdata
mmlanguage mmand mmdata mmdefinitions mm(Sharp mm2016, mm184).
An mmethmoidectomy mmremoves mminfected mmtissue mmand mmbone mmin mmthe
mmethmoid mmsinuses mmthat mmblocks mmnatural mmdrainage. mmThe mmsurgeon mmviews
mmyour mmethmoid mmsinuses mmwith mman mmendoscope, mma mmthin mmflexible mmtube
mmwith mma mmvery mmsmall mmcamera mmand mmlight mmat mmthe mmend mmof mmit. mm-
mmAnswer mm
,Documentation mmfrom mmthe mmnursing mmor mmother mmallied mmhealth mmprofessionals'
mmnotes mmcan mmbe mmused mmto mmestablish mmwhich mmof mmthe mmfollowing
mmdiagnoses:
a. mmBody mmmass mmindex mm(BMI)
b. mmMalnutrition
c. mmAspiration mmpneumonia
d. mmFatigue mm- mmAnswer mma. mmBody mmmass mmindex mm(BMI)
** mmThe mmphysician mmmust mmestablish mmthe mmdiagnosis—obesity mmor mmmorbid
mmobesity—and mmthe mmadditional mminformation mmcan mmbe mmpulled mmfrom
mmancillary mmdocumentation mmto mmestablish mmthe mmcorrect mmcode mmassignment
mmfor mmbody mmmass mmindex mm(BMI) mm(Leon-Chisen mm2017, mm168).
A mm55-year-old mmpatient mmhas mmhypertensive mmheart mmdisease mmwith mmcongestive
mmheart mmfailure. mmWhat mmcode mmwould mmbe mmassigned?
a. mmI15.8, mmOther mmsecondary mmhypertension
b. mmI11.0, mmHypertensive mmheart mmdisease mmwith mmheart mmfailure mmand mmI50.9,
mmHeart mmfailure, mmunspecified
c. mmI50.9, mmHeart mmfailure, mmunspecified mmand mmI15.0, mmRenovascular
mmhypertension
d. mmN18.6, mmEnd mmstage mmrenal mmdisease mm- mmAnswer mmb. mmI11.0,
mmHypertensive mmheart mmdisease mmwith mmheart mmfailure mmand mmI50.9, mmHeart
mmfailure, mmunspecified
** mmThere mmis mma mmcause mmand mmeffect mmrelationship mmestablished mmbetween
mmthe mmhypertension mmand mmthe mmcongestive mmheart mmfailure. mmA mmseparate
mmcode mmfor mmthe mmcongestive mmheart mmfailure mmis mmassigned mmbased mmon mmthe
mm"code mmalso" mmnote mm(HHS mm2017, mmSection mmI.C.9.a., mm40).
A mmsurgeon mmwould mmlike mmto mmundertake mma mmresearch mmstudy mmon mmhis
mmpatients mmwith mmstage mmII mmmalignant mmmelanoma mmof mmthe mmback, mmwho
mmhave mmundergone mmwide mmexcision mmof mmthe mmmelanoma. mmWhat mmwork
mmprocesses mmand mmassociated mmsoftware mmcould mmbe mmused mmto mmprovide mmthis
mminformation?
a. mmObtain mma mmsummary mmof mmthe mmcases mmfrom mmthe mmcancer mmregistry,
mmimport mmthem mminto mma mmspreadsheet, mmand mmprovide mmto mmthe mmsurgeon.
b. mmObtain mma mmsummary mmof mmthe mmcases mmfrom mmthe mmchart mmcompletion
mmsoftware, mmimport mmthem mminto mma mmspreadsheet, mmand mmprovide mmto mmthe
mmsurgeon.
c. mmObtain mma mmsummary mmof mmthe mmcases mmfrom mmthe mmmaster mmpatient
mmindex, mmimport mmthem mminto mma mmspreadsheet, mmand mmprovide mmto mmthe
mmsurgeon.
, d. mmObtain mma mmsummary mmof mmthe mmcases mmfrom mmthe mmtranscription mmtracking
mmsoftware, mmimport mmthem mminto mma mmspreadsheet, mmand mmprovide mmto mmthe
mmsurgeon. mm- mmAnswer mma. mmObtain mma mmsummary mmof mmthe mmcases mmfrom
mmthe mmcancer mmregistry, mmimport mmthem mminto mma mmspreadsheet, mmand mmprovide
mmto mmthe mmsurgeon.
**The mmcancer mmregistry mmcan mmbe mmused mmto mmundertake mmstudies mmin
mmaddition mmto mmreporting mmcases mmto mma mmcentral mmregistry mm(Sharp mmand
mmMadlock-Brown mm2016, mm173).
A mmfacility mmlocated mmnear mma mmnational mmpark mmhas mma mmsignificant mmnumber
mmof mmsnake mmbites, mmand mmpatients mmreceive mmtreatment mmwith mmantivenom mmin
mmurgent-care mmsettings. mmSometimes mma mmpatient mmis mmadmitted mmto mmthe
mmhospital mmafter mmseveral mmdays. mmCan mmthe mmurgent-care mmsetting mmprovide
mmthe mmhospital mmwith mma mmlist mmof mmnames mmof mmpatients mmtreated mmwith
mmsnake mmantivenom?
a. mmOnly mmthe mmnames mmof mmpatients mmwho mmare mmadmitted mmto mmthe mmhospital
mmcan mmbe mmrequested mmif mmthe mmphysician mmneeds mmit mmfor mmcontinuity mmof
mmcare, mmbut mman mmentire mmlist mmof mmpatients mmcannot mmbe mmprovided.
b. mmA mmlist mmof mmnames mmcould mmbe mmprovided.
c. mmNo mminformation mmcan mmbe mmobtained mmunder mmany mmcircumstances.
d. mmA mmlist mmof mmpatients mmmay mmbe mmavailable mmafter mmconsultation mmwith mmthe
mmnational mmpark mmranger. mm- mmAnswer mma. mmOnly mmthe mmnames mmof mmpatients
mmwho mmare mmadmitted mmto mmthe mmhospital mmcan mmbe mmrequested mmif mmthe
mmphysician mmneeds mmit mmfor mmcontinuity mmof mmcare, mmbut mman mmentire mmlist mmof
mmpatients mmcannot mmbe mmprovided.
**Only mmrecords mmthat mmare mmrequired mmfor mmcare mmor mmauthorized mmby mmthe
mmpatient mmcan mmbe mmreleased mmby mmthe mmurgent-care mmfacility mmto mmthe mmacute-
care mmfacility mm(Brodnik mm2012, mm225; mmRinehart-Thompson mm2016b, mm243-247).
What mmdiagnoses mmand mmprocedures mmshould mmbe mmreported mmfor mmrecurrent
mmleft mminguinal mmhernia mmwith mmlaparoscopic mmrepair?
K40.30 mmUnilateral mminguinal mmhernia, mmwith mmobstruction, mmwithout mmgangrene,
mmnot mmspecified mmas mmrecurrent
K40.31 mmUnilateral mminguinal mmhernia, mmwith mmobstruction, mmwithout mmgangrene,
mmrecurrent
K40.91 mmUnilateral mminguinal mmhernia, mmwithout mmmention mmof mmobstruction mmor
mmgangrene, mmrecurrent
49520 mmRepair mmrecurrent mminguinal mmhernia, mmany mmage; mmreducible
49521 mmRepair mmrecurrent mminguinal mmhernia, mmany mmage; mmincarcerated mmor
mmstrangulated
49651 mmLaparoscopy, mmsurgical; mmrepair mmrecurrent mminguinal mmhernia
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