Certified Coding Specialist (CCS) Exam Preparation 100% accurate

Certified Coding Specialist (CCS) Exam PreDiagnostic-related groups (DRGs) and ambulatory patient classifications (APCs) are similar in that they are both: a. Determined by HCPCS codes b. Focused on hospital outpatients c. Focused on hospital inpatients d. Prospective payment systems - ANSWER d. Prospective payment systems ** Both are types of prospective payment systems (Casto and Forrestal 2015, 6). A patient is treated for esophageal varices with hemorrhage due to cirrhosis. The diagnostic codes that would be assigned are: I85.01 Esophageal varices with bleeding I85.11 Secondary esophageal varices with bleeding K74.60 Unspecified cirrhosis of liver - ANSWER d. K74.60, I85.11 K74.60: Unspecified cirrhosis of liver I85.11:Secondary esophageal varices with bleeding **The patient has cirrhosis of the liver with resulting bleeding esophageal varices. Cirrhosis of liver is sequenced first followed by the code for the bleeding esophageal varices (HHS 2017, Section I.A.13, 11). Assign the code(s) for bronchoscopy with bilateral transbronchial biopsy for each lobe of each lung. 31628 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe 31629 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i) 31632 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), each additional lobe −50 Bilateral procedure - ANSWER Assign the code(s) for endoscopic sinusotomy with bilateral anterior ethmoidectomy. 31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) 31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) −50 Bilateral procedurea. a. 31254 b. 31254-50 c. 31254, 31254 d. 31231 - ANSWER b. 31254-50 31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) −50 Bilateral procedurea. ** A code for the anterior ethmoidectomy is assigned and to denote the bilateral procedure, a modifier of -50 is added (CPT Assistant Winter 1993, 23; Jan. 1997, 4; Sept. 1997, 10; Oct. 1997, 5; Dec. 2001, 6; May 2003, 5). The sinusotomy is not coded separately, as it is a diagnostic procedure. The most common language used for both data definition language and data manipulation language is: a. Unified modeling language b. JAVA c. Perl d. Structured query language - ANSWER d. Structured query language ** Structured query language (SQL) is used commonly for data language and data definitions (Sharp 2016, 184). An ethmoidectomy removes infected tissue and bone in the ethmoid sinuses that blocks natural drainage. The surgeon views your ethmoid sinuses with an endoscope, a thin flexible tube with a very small camera and light at the end of it. - ANSWER Documentation from the nursing or other allied health professionals' notes can be used to establish which of the following diagnoses: a. Body mass index (BMI) b. Malnutrition c. Aspiration pneumonia d. Fatigue - ANSWER a. Body mass index (BMI) ** The physician must establish the diagnosis—obesity or morbid obesity—and the additional information can be pulled from ancillary documentation to establish the correct code assignment for body mass index (BMI) (Leon-Chisen 2017, 168). A 55-year-old patient has hypertensive heart disease with congestive heart failure. What code would be assigned? a. I15.8, Other secondary hypertension b. I11.0, Hypertensive heart disease with heart failure and I50.9, Heart failure, unspecified c. I5 paration 100% accurate