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CCS Exam 2 MULTIPLE CHOICE QUESTIONS AND ANSWERS | GRADED A+ WITH 100% ACCURATE ANSWERS | CORRECT SCORE!!
CCS Exam 2 MULTIPLE CHOICE QUESTIONS AND ANSWERS | GRADED A+ WITH 100% ACCURATE ANSWERS | CORRECT SCORE!!
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CCS Exam 2 MULTIPLE CHOICE QUESTIONS AND ANSWERS 2024-2025| GRADED A+ WITH 100% ACCURATE ANSWERS | CORRECT
SCORE!!
Assign code(s) for the following diagnosis: Congestive heart failure due to hypertension.
I10Essential (primary) hypertension
I11.0Hypertensive heart disease with heart failure
I50.9Heart failure, unspecified
I50.23Acute on chronic systolic (congestive) heart failure
a. I10, I50.9
b. I11.0
c. I50.23, I10
d. I11.0, I50.9 - (answer)Correct Answer: D
Heart failure is assigned a combination code when a causal relationship is stated (due to
hypertension) or implied (hypertensive). Use an additional code to identify the type of heart
failure in those patients with heart failure (CMS 2020a, Section I.C.9.a.1, 46-47).
应、主动运输和信号传
A patient is seen for evaluation of a right orbital roof fracture. How should this be coded?
S02.121AFracture of orbital roof, right side, initial encounter for closed fracture
S02.31XAFracture of orbital floor, right side, initial encounter for closed fracture
S02.92XAUnspecified fracture of facial bones, initial encounter for closed fracture
S02.91XAUnspecified fracture of skull, initial encounter for closed fracture
,a. S02.121A
b. S02.31XA
c. S02.92XA
d. S02.91XA - (answer)Correct Answer: A
Alphabetic Index for fracture, traumatic; orbit, orbital; roof guides the coder to S02.12.
Evaluation of a fracture is an example of active treatment which is reported with 7th character
"A" (Schraffenberger and Palkie 2020, 580-584).
Patient presents in the ER with thrombosis of a loop PTFE hemodialysis fistula without
mechanical complications. The physician performed a percutaneous thrombectomy of the left
brachial vein. Assign a facility code for this outpatient procedure.
05CA3ZZExtirpation of matter from left brachial vein, percutaneous approach
36904Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis,
dialysis circuit, any method, including all imaging and radiological supervision and
interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and
intraprocedural pharmacological thrombolytic injection(s)
36832Revision, open, arteriovenous fistula; without thrombectomy, autogenous or
nonautogenous dialysis graft (separate procedure)
应、主动运输和信号传
37184Primary percutaneous transluminal mechanical thrombectomy, noncoronary, arterial or
arterial bypass graft, including fluoroscopic guidance and intrapro - (answer)Correct Answer: B
This episode of care occurs in the ER which is an outpatient setting, therefore, a CPT code
should be used. CPT code 36904 correctly identifies the thrombectomy procedure because it
specifies the site of the thrombectomy as "dialysis circuit." 36904 includes imaging guidance,
diagnostic angiography, catheter placement, and intraprocedural pharmacological thrombolytic
injections" (Kirchoff 2009, 203).
,Patient admitted for laparoscopic repair of right diaphragmatic hernia. Assign the ICD-10-PCS
procedure code for this surgery.
0BQT4ZZRepair diaphragm, percutaneous endoscopic approach
0BQT3ZZRepair diaphragm, percutaneous approach
0WQF4ZZRepair abdominal wall, percutaneous endoscopic approach
0BQT0ZZRepair diaphragm, open approach
a. 0BQT4ZZ
b. 0BQT3ZZ
c. 0WQF4ZZ
d. 0BQT0ZZ - (answer)Correct Answer: A
ICD-10-PCS code 0BQT4ZZ is the correct code based on the values for the body part and
approach. The correct body part is diaphragm and laparoscopy is reported as a percutaneous
endoscopic method of approach (Leon-Chisen 2020, 250-251).
A 23-year-old female is admitted for vaginal bleeding following a miscarriage two weeks prior to
应、主动运输和信号传
this admission. She is afebrile at this time and is treated with an aspiration dilation and curettage.
Products of conception are found. Which of the following should be the principal diagnosis?
a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion
b. O08.1, Delayed or excessive hemorrhage following ectopic and molar pregnancy
c. O03.6, Delayed or excessive hemorrhage following complete or unspecified spontaneous
abortion
d. O07.1, Delayed or excessive hemorrhage following failed attempted termination of pregnancy
- (answer)Correct Answer: A
, A miscarriage is a spontaneous abortion. If the readmission is for the purpose of dealing with
retained products of conception, the spontaneous abortion is incomplete; use a code from the
O03 category (CMS 2020a, Section I.C.15.q., 68).
A patient presents to the emergency department with a fractured arm secondary to a fall
precipitated by syncope and ataxia. The patient undergoes a closed reduction of the fracture in
the emergency department and is then admitted for work up for metastatic carcinoma secondary
to ataxia and syncope in a patient with recent history of lung cancer. The patient's work-up
confirms recurrent lung carcinoma metastatic to the brain.The principal diagnosis should be:
a. Fractured arm
b. Syncope
c. Metastatic carcinoma of the brain
d. Carcinoma of the lung - (answer)Correct Answer: C
According to the UHDDS definition, the principal diagnosis is "that condition established after
study to be chiefly responsible for occasioning the admission of the patient to the hospital for
care." In this case, metastatic carcinoma of the brain is responsible for the patient's ataxia and
syncope, which led to the fall (CMS 2020a, Section II, 107).
应、主动运输和信号传
A female patient with hematochezia presents to the hospital outpatient surgery department for a
colonoscopy but the procedure was not performed due to elevated blood pressure. What is the
firstlisted diagnosis for this encounter?
a. Elevated blood pressure
b. Hematochezia
c. Procedure not performed due to contraindication
d. Procedure not performed for other reason - (answer)Correct Answer: B
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