CCS Practice Exam
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,A 12-year-old boy was seen in an Correct Answer: D
ambulatory surgical center for pain The patient has a fracture of the right proximal ulna
in his right arm. The x-ray showed and closed reduction is necessary. In the ICD-10-
fracture of ulna. Patient underwent CM Code Book, under Fracture, ulna, proximal, the
closed reduction of fracture right coder is referred to Fracture, ulna, upper end. The
proximal ulna and an elbow-to- term "manipulation" is used to indicate reduction in
finger cast was applied. What CPT. According to CPT guidelines, cast application
diagnostic and procedure codes or strapping (including removal) is only reported as
should be assigned? a replacement procedure or when the cast
S52.101AUnspecified fracture of application or strapping is an initial service
upper end of right radius, initial performed without a restorative treatment or
encounter for closed fracture procedure (AMA CPT Professional Edition 2020,
S52.101BUnspecified fracture of 182). (Note: Since this is an ambulatory surgery
upper end of right radius, initial center case, CPT codes are assigned rather than
encounter for open fracture ICD-10-PCS codes.)
S52.001AUnspecified fracture of
upper end of right ulna, initial
encounter for closed fracture
S52.001BUnspecified fracture of
upper end of right ulna, initial
encounter for open fracture
0PSH0ZZReposition right radius,
open approach
0PSK0ZZReposition right ulna, open
approach
24670Closed treatment of ulnar
fracture, proximal end (eg,
olecranon or coronoid process(es) );
without manipulation
24675Closed treatment of ulnar
fracture, proximal end (eg
,A laparoscopic tubal ligation is Correct Answer: B
completed. What is the correct CPT The code that best reports the tubal ligation is
code assignment? 58670 Laparoscopy, surgical; with fulguration of
49320Laparoscopy, abdomen, oviducts because there are no clips or excision of
peritoneum, and omentum, lesion completed during the procedure (CPT
diagnostic, with or without collection Assistant Nov. 1999, 29; March 2000, 10).
of specimen(s) by brushing or
washing (separate procedure)
58662Laparoscopy, surgical; with
fulguration or excision of lesions of
the ovary, pelvic viscera, or
peritoneal surface by any method
58670Laparoscopy, surgical; with
fulguration of oviducts (with or
without transection)
58671Laparoscopy, surgical; with
occlusion of oviducts by device (eg,
band, clip, or Falope ring)
a. 49320, 58662
b. 58670
c. 58671
d. 49320
, Normal twin delivery at 30 weeks. Correct Answer: C
Both babies were delivered vaginally A code for preterm labor and delivery is assigned
and were liveborn. What conditions for each fetus since both babies were born
should have codes assigned? preterm as noted in Coding Clinic. Additionally, a
O30.003Twin pregnancy, unspecified code from category O30, Multiple gestations, must
number of placenta and unspecified be assigned (Leon-Chisen 2020, 325; AHA Coding
number of amniotic sacs, third Clinic 2016 2nd Quarter, 10-11).
trimester
O30.009Twin pregnancy, unspecified
number of placenta and unspecified
number of amniotic sacs, unspecified
trimester
O60.14X0Preterm labor third
trimester with preterm delivery third
trimester, not applicable or
unspecified
O60.14X1 Preterm labor third
trimester with preterm delivery third
trimester, fetus 1
O60.14X2Preterm labor third
trimester with preterm delivery third
trimester, fetus
2O80Encounter for full-term
uncomplicated delivery
Z3A.3030 weeks gestation of
pregnancy
Z37.0Single live birth
Z37.2Twins, both liveborn
a. O80, Z3A.30, Z37.0
b. O30.003, O60.14X0, Z3A.30, Z37.2
c. O60.14X1, O60.14X2 O30.003,
Z3A.30, Z37.2
d. O80, O30.009, Z3A.30, Z37.2
Leave the first rating
Save
Terms in this set (82) Hide definitions
,A 12-year-old boy was seen in an Correct Answer: D
ambulatory surgical center for pain The patient has a fracture of the right proximal ulna
in his right arm. The x-ray showed and closed reduction is necessary. In the ICD-10-
fracture of ulna. Patient underwent CM Code Book, under Fracture, ulna, proximal, the
closed reduction of fracture right coder is referred to Fracture, ulna, upper end. The
proximal ulna and an elbow-to- term "manipulation" is used to indicate reduction in
finger cast was applied. What CPT. According to CPT guidelines, cast application
diagnostic and procedure codes or strapping (including removal) is only reported as
should be assigned? a replacement procedure or when the cast
S52.101AUnspecified fracture of application or strapping is an initial service
upper end of right radius, initial performed without a restorative treatment or
encounter for closed fracture procedure (AMA CPT Professional Edition 2020,
S52.101BUnspecified fracture of 182). (Note: Since this is an ambulatory surgery
upper end of right radius, initial center case, CPT codes are assigned rather than
encounter for open fracture ICD-10-PCS codes.)
S52.001AUnspecified fracture of
upper end of right ulna, initial
encounter for closed fracture
S52.001BUnspecified fracture of
upper end of right ulna, initial
encounter for open fracture
0PSH0ZZReposition right radius,
open approach
0PSK0ZZReposition right ulna, open
approach
24670Closed treatment of ulnar
fracture, proximal end (eg,
olecranon or coronoid process(es) );
without manipulation
24675Closed treatment of ulnar
fracture, proximal end (eg
,A laparoscopic tubal ligation is Correct Answer: B
completed. What is the correct CPT The code that best reports the tubal ligation is
code assignment? 58670 Laparoscopy, surgical; with fulguration of
49320Laparoscopy, abdomen, oviducts because there are no clips or excision of
peritoneum, and omentum, lesion completed during the procedure (CPT
diagnostic, with or without collection Assistant Nov. 1999, 29; March 2000, 10).
of specimen(s) by brushing or
washing (separate procedure)
58662Laparoscopy, surgical; with
fulguration or excision of lesions of
the ovary, pelvic viscera, or
peritoneal surface by any method
58670Laparoscopy, surgical; with
fulguration of oviducts (with or
without transection)
58671Laparoscopy, surgical; with
occlusion of oviducts by device (eg,
band, clip, or Falope ring)
a. 49320, 58662
b. 58670
c. 58671
d. 49320
, Normal twin delivery at 30 weeks. Correct Answer: C
Both babies were delivered vaginally A code for preterm labor and delivery is assigned
and were liveborn. What conditions for each fetus since both babies were born
should have codes assigned? preterm as noted in Coding Clinic. Additionally, a
O30.003Twin pregnancy, unspecified code from category O30, Multiple gestations, must
number of placenta and unspecified be assigned (Leon-Chisen 2020, 325; AHA Coding
number of amniotic sacs, third Clinic 2016 2nd Quarter, 10-11).
trimester
O30.009Twin pregnancy, unspecified
number of placenta and unspecified
number of amniotic sacs, unspecified
trimester
O60.14X0Preterm labor third
trimester with preterm delivery third
trimester, not applicable or
unspecified
O60.14X1 Preterm labor third
trimester with preterm delivery third
trimester, fetus 1
O60.14X2Preterm labor third
trimester with preterm delivery third
trimester, fetus
2O80Encounter for full-term
uncomplicated delivery
Z3A.3030 weeks gestation of
pregnancy
Z37.0Single live birth
Z37.2Twins, both liveborn
a. O80, Z3A.30, Z37.0
b. O30.003, O60.14X0, Z3A.30, Z37.2
c. O60.14X1, O60.14X2 O30.003,
Z3A.30, Z37.2
d. O80, O30.009, Z3A.30, Z37.2
