Certified Coding Specialist (CCS) Exam
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Terms in this set (83)
Diagnostic-related groups (DRGs) d. Prospective payment systems
and ambulatory patient
classifications (APCs) are similar in ** Both are types of prospective payment systems
that they are both: (Casto and Forrestal 2015, 6).
a. Determined by HCPCS codes
b. Focused on hospital outpatients
c. Focused on hospital inpatients
d. Prospective payment systems
A patient is treated for esophageal d. K74.60, I85.11
varices with hemorrhage due to
cirrhosis. The diagnostic codes that K74.60: Unspecified cirrhosis of liver
would be assigned are:
I85.11:Secondary esophageal varices with bleeding
I85.01 Esophageal varices with
bleeding **The patient has cirrhosis of the liver with resulting
I85.11 Secondary esophageal varices bleeding esophageal varices. Cirrhosis of liver is
with bleeding sequenced first followed by the code for the
K74.60 Unspecified cirrhosis of liver 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
Assign the code(s) for endoscopic b. 31254-50
sinusotomy with bilateral anterior 31254 Nasal/sinus endoscopy, surgical; with
ethmoidectomy. ethmoidectomy, partial (anterior)
31231 Nasal endoscopy, diagnostic, −50 Bilateral procedurea.
unilateral or bilateral (separate
procedure) ** A code for the anterior ethmoidectomy is
31254 Nasal/sinus endoscopy, assigned and to denote the bilateral procedure, a
surgical; with ethmoidectomy, partial modifier of -50 is added (CPT Assistant Winter 1993,
(anterior) 23; Jan. 1997, 4; Sept. 1997, 10; Oct. 1997, 5; Dec.
−50 Bilateral procedurea. 2001, 6; May 2003, 5). The sinusotomy is not coded
a. 31254 separately, as it is a diagnostic procedure.
b. 31254-50
c. 31254, 31254
d. 31231
,The most common language used d. Structured query language
for both data definition language
and data manipulation language is: ** Structured query language (SQL) is used
a. Unified modeling language commonly for data language and data definitions
b. JAVA (Sharp 2016, 184).
c. Perl
d. Structured query language
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.
Documentation from the nursing or a. Body mass index (BMI)
other allied health professionals'
notes can be used to establish which ** The physician must establish the diagnosis—
of the following diagnoses: obesity or morbid obesity—and the additional
information can be pulled from ancillary
a. Body mass index (BMI) documentation to establish the correct code
b. Malnutrition assignment for body mass index (BMI) (Leon-
c. Aspiration pneumonia Chisen 2017, 168).
d. Fatigue
, A 55-year-old patient has b. I11.0, Hypertensive heart disease with heart
hypertensive heart disease with failure and I50.9, Heart failure, unspecified
congestive heart failure. What code
would be assigned? ** There is a cause and effect relationship
established between the hypertension and the
a. I15.8, Other secondary congestive heart failure. A separate code for the
hypertension congestive heart failure is assigned based on the
b. I11.0, Hypertensive heart disease "code also" note (HHS 2017, Section I.C.9.a., 40).
with heart failure and I50.9, Heart
failure, unspecified
c. I50.9, Heart failure, unspecified
and I15.0, Renovascular hypertension
d. N18.6, End stage renal disease
Preparation 2026 Complete Questions And
Correct Detailed Answers (Verified
Answers)|Already Graded A+
Save
Terms in this set (83)
Diagnostic-related groups (DRGs) d. Prospective payment systems
and ambulatory patient
classifications (APCs) are similar in ** Both are types of prospective payment systems
that they are both: (Casto and Forrestal 2015, 6).
a. Determined by HCPCS codes
b. Focused on hospital outpatients
c. Focused on hospital inpatients
d. Prospective payment systems
A patient is treated for esophageal d. K74.60, I85.11
varices with hemorrhage due to
cirrhosis. The diagnostic codes that K74.60: Unspecified cirrhosis of liver
would be assigned are:
I85.11:Secondary esophageal varices with bleeding
I85.01 Esophageal varices with
bleeding **The patient has cirrhosis of the liver with resulting
I85.11 Secondary esophageal varices bleeding esophageal varices. Cirrhosis of liver is
with bleeding sequenced first followed by the code for the
K74.60 Unspecified cirrhosis of liver 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
Assign the code(s) for endoscopic b. 31254-50
sinusotomy with bilateral anterior 31254 Nasal/sinus endoscopy, surgical; with
ethmoidectomy. ethmoidectomy, partial (anterior)
31231 Nasal endoscopy, diagnostic, −50 Bilateral procedurea.
unilateral or bilateral (separate
procedure) ** A code for the anterior ethmoidectomy is
31254 Nasal/sinus endoscopy, assigned and to denote the bilateral procedure, a
surgical; with ethmoidectomy, partial modifier of -50 is added (CPT Assistant Winter 1993,
(anterior) 23; Jan. 1997, 4; Sept. 1997, 10; Oct. 1997, 5; Dec.
−50 Bilateral procedurea. 2001, 6; May 2003, 5). The sinusotomy is not coded
a. 31254 separately, as it is a diagnostic procedure.
b. 31254-50
c. 31254, 31254
d. 31231
,The most common language used d. Structured query language
for both data definition language
and data manipulation language is: ** Structured query language (SQL) is used
a. Unified modeling language commonly for data language and data definitions
b. JAVA (Sharp 2016, 184).
c. Perl
d. Structured query language
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.
Documentation from the nursing or a. Body mass index (BMI)
other allied health professionals'
notes can be used to establish which ** The physician must establish the diagnosis—
of the following diagnoses: obesity or morbid obesity—and the additional
information can be pulled from ancillary
a. Body mass index (BMI) documentation to establish the correct code
b. Malnutrition assignment for body mass index (BMI) (Leon-
c. Aspiration pneumonia Chisen 2017, 168).
d. Fatigue
, A 55-year-old patient has b. I11.0, Hypertensive heart disease with heart
hypertensive heart disease with failure and I50.9, Heart failure, unspecified
congestive heart failure. What code
would be assigned? ** There is a cause and effect relationship
established between the hypertension and the
a. I15.8, Other secondary congestive heart failure. A separate code for the
hypertension congestive heart failure is assigned based on the
b. I11.0, Hypertensive heart disease "code also" note (HHS 2017, Section I.C.9.a., 40).
with heart failure and I50.9, Heart
failure, unspecified
c. I50.9, Heart failure, unspecified
and I15.0, Renovascular hypertension
d. N18.6, End stage renal disease
