CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION QUESTIONS AND CORRECT VERIFIED ANSWERS

CERTIFIED CODING SPECIALIST (CCS)
EXAM PREPARATION QUESTIONS AND
CORRECT VERIFIED ANSWERS
Diagnostic-
relatedA2groupsA2(DRGs)A2andA2ambulatoryA2patientA2classificationsA2(APCs)A2areA2simila
rA2inA2thatA2theyA2areA2both:
a.A2DeterminedA2byA2HCPCSA2codes
b.A2FocusedA2onA2hospitalA2outpatients
c.A2FocusedA2onA2hospitalA2inpatients
d.A2ProspectiveA2paymentA2systemsA2-A2Ans--A2d.A2ProspectiveA2paymentA2systems

**A2BothA2areA2typesA2ofA2prospectiveA2paymentA2systemsA2(CastoA2andA2ForrestalA22015
,A26).

AA2patientA2isA2treatedA2forA2esophagealA2varicesA2withA2hemorrhageA2dueA2toA2cirrhosis.A
2TheA2diagnosticA2codesA2thatA2wouldA2beA2assignedA2are:


I85.01A2EsophagealA2varicesA2withA2bleeding
I85.11A2SecondaryA2esophagealA2varicesA2withA2bleeding
K74.60A2UnspecifiedA2cirrhosisA2ofA2liverA2-A2Ans--A2d.A2K74.60,A2I85.11

K74.60:A2UnspecifiedA2cirrhosisA2ofA2liver

I85.11:SecondaryA2esophagealA2varicesA2withA2bleeding

**TheA2patientA2hasA2cirrhosisA2ofA2theA2liverA2withA2resultingA2bleedingA2esophagealA2vari
ces.A2CirrhosisA2ofA2liverA2isA2sequencedA2firstA2followedA2byA2theA2codeA2forA2theA2bleedi
ngA2esophagealA2varicesA2(HHSA22017,A2SectionA2I.A.13,A211).

AssignA2theA2code(s)A2forA2bronchoscopyA2withA2bilateralA2transbronchialA2biopsyA2forA2ea
chA2lobeA2ofA2eachA2lung.

31628A2Bronchoscopy,A2rigidA2orA2flexible,A2includingA2fluoroscopicA2guidance,A2whenA2p
erformed;A2withA2transbronchialA2lungA2biopsy(s),A2singleA2lobe
31629A2Bronchoscopy,A2rigidA2orA2flexible,A2includingA2fluoroscopicA2guidance,A2whenA2p
erformed;A2withA2transbronchialA2needleA2aspirationA2biopsy(s),A2trachea,A2mainA2stemA2a
nd/orA2lobarA2bronchus(i)
31632A2Bronchoscopy,A2rigidA2orA2flexible,A2includingA2fluoroscopicA2guidance,A2whenA2p
erformed;A2withA2transbronchialA2lungA2biopsy(s),A2eachA2additionalA2lobe
−50A2BilateralA2procedureA2-A2Ans--A2

AssignA2theA2code(s)A2forA2endoscopicA2sinusotomyA2withA2bilateralA2anteriorA2ethmoidect
omy.

,31231A2NasalA2endoscopy,A2diagnostic,A2unilateralA2orA2bilateralA2(separateA2procedure)
31254A2Nasal/sinusA2endoscopy,A2surgical;A2withA2ethmoidectomy,A2partialA2(anterior)
−50A2BilateralA2procedurea.A2
a.A231254
b.A231254-50
c.A231254,A231254
d.A231231A2-A2Ans--A2b.A231254-50
31254A2Nasal/sinusA2endoscopy,A2surgical;A2withA2ethmoidectomy,A2partialA2(anterior)
−50A2BilateralA2procedurea.A2

**A2AA2codeA2forA2theA2anteriorA2ethmoidectomyA2isA2assignedA2andA2toA2denoteA2theA2bila
teralA2procedure,A2aA2modifierA2ofA2-
50A2isA2addedA2(CPTA2AssistantA2WinterA21993,A223;A2Jan.A21997,A24;A2Sept.A21997,A210;A
2Oct.A21997,A25;A2Dec.A22001,A26;A2MayA22003,A25).A2TheA2sinusotomyA2isA2notA2codedA2s
eparately,A2asA2itA2isA2aA2diagnosticA2procedure.

TheA2mostA2commonA2languageA2usedA2forA2bothA2dataA2definitionA2languageA2andA2data
A2manipulationA2languageA2is:
a.A2UnifiedA2modelingA2language
b.A2JAVA
c.A2Perl
d.A2StructuredA2queryA2languageA2-A2Ans--A2d.A2StructuredA2queryA2language

**A2StructuredA2queryA2languageA2(SQL)A2isA2usedA2commonlyA2forA2dataA2languageA2and
A2dataA2definitionsA2(SharpA22016,A2184).


AnA2ethmoidectomyA2removesA2infectedA2tissueA2andA2boneA2inA2theA2ethmoidA2sinusesA2
thatA2blocksA2naturalA2drainage.A2TheA2surgeonA2viewsA2yourA2ethmoidA2sinusesA2withA2a
nA2endoscope,A2aA2thinA2flexibleA2tubeA2withA2aA2veryA2smallA2cameraA2andA2lightA2atA2theA
2endA2ofA2it.A2-A2Ans--A2


DocumentationA2fromA2theA2nursingA2orA2otherA2alliedA2healthA2professionals'A2notesA2can
A2beA2usedA2toA2establishA2whichA2ofA2theA2followingA2diagnoses:


a.A2BodyA2massA2indexA2(BMI)
b.A2Malnutrition
c.A2AspirationA2pneumonia
d.A2FatigueA2-A2Ans--A2a.A2BodyA2massA2indexA2(BMI)

**A2TheA2physicianA2mustA2establishA2theA2diagnosis—obesityA2orA2morbidA2obesity—
andA2theA2additionalA2informationA2canA2beA2pulledA2fromA2ancillaryA2documentationA2toA2
establishA2theA2correctA2codeA2assignmentA2forA2bodyA2massA2indexA2(BMI)A2(Leon-
ChisenA22017,A2168).

,AA255-year-
oldA2patientA2hasA2hypertensiveA2heartA2diseaseA2withA2congestiveA2heartA2failure.A2What
A2codeA2wouldA2beA2assigned?


a.A2I15.8,A2OtherA2secondaryA2hypertension
b.A2I11.0,A2HypertensiveA2heartA2diseaseA2withA2heartA2failureA2andA2I50.9,A2HeartA2failure
,A2unspecified
c.A2I50.9,A2HeartA2failure,A2unspecifiedA2andA2I15.0,A2RenovascularA2hypertension
d.A2N18.6,A2EndA2stageA2renalA2diseaseA2-A2Ans--
A2b.A2I11.0,A2HypertensiveA2heartA2diseaseA2withA2heartA2failureA2andA2I50.9,A2HeartA2failu
re,A2unspecified

**A2ThereA2isA2aA2causeA2andA2effectA2relationshipA2establishedA2betweenA2theA2hyperten
sionA2andA2theA2congestiveA2heartA2failure.A2AA2separateA2codeA2forA2theA2congestiveA2he
artA2failureA2isA2assignedA2basedA2onA2theA2"codeA2also"A2noteA2(HHSA22017,A2SectionA2I.
C.9.a.,A240).

AA2surgeonA2wouldA2likeA2toA2undertakeA2aA2researchA2studyA2onA2hisA2patientsA2withA2sta
geA2IIA2malignantA2melanomaA2ofA2theA2back,A2whoA2haveA2undergoneA2wideA2excisionA2o
fA2theA2melanoma.A2WhatA2workA2processesA2andA2associatedA2softwareA2couldA2beA2use
dA2toA2provideA2thisA2information?

a.A2ObtainA2aA2summaryA2ofA2theA2casesA2fromA2theA2cancerA2registry,A2importA2themA2int
oA2aA2spreadsheet,A2andA2provideA2toA2theA2surgeon.
b.A2ObtainA2aA2summaryA2ofA2theA2casesA2fromA2theA2chartA2completionA2software,A2impor
tA2themA2intoA2aA2spreadsheet,A2andA2provideA2toA2theA2surgeon.
c.A2ObtainA2aA2summaryA2ofA2theA2casesA2fromA2theA2masterA2patientA2index,A2importA2the
mA2intoA2aA2spreadsheet,A2andA2provideA2toA2theA2surgeon.
d.A2ObtainA2aA2summaryA2ofA2theA2casesA2fromA2theA2transcriptionA2trackingA2software,A2i
mportA2themA2intoA2aA2spreadsheet,A2andA2provideA2toA2theA2surgeon.A2-A2Ans--
A2a.A2ObtainA2aA2summaryA2ofA2theA2casesA2fromA2theA2cancerA2registry,A2importA2themA2in
toA2aA2spreadsheet,A2andA2provideA2toA2theA2surgeon.

**TheA2cancerA2registryA2canA2beA2usedA2toA2undertakeA2studiesA2inA2additionA2toA2reporti
ngA2casesA2toA2aA2centralA2registryA2(SharpA2andA2Madlock-BrownA22016,A2173).

AA2facilityA2locatedA2nearA2aA2nationalA2parkA2hasA2aA2significantA2numberA2ofA2snakeA2bit
es,A2andA2patientsA2receiveA2treatmentA2withA2antivenomA2inA2urgent-
careA2settings.A2SometimesA2aA2patientA2isA2admittedA2toA2theA2hospitalA2afterA2severalA2d
ays.A2CanA2theA2urgent-
careA2settingA2provideA2theA2hospitalA2withA2aA2listA2ofA2namesA2ofA2patientsA2treatedA2with
A2snakeA2antivenom?


a.A2OnlyA2theA2namesA2ofA2patientsA2whoA2areA2admittedA2toA2theA2hospitalA2canA2beA2req
uestedA2ifA2theA2physicianA2needsA2itA2forA2continuityA2ofA2care,A2butA2anA2entireA2listA2ofA2
patientsA2cannotA2beA2provided.

, b.A2AA2listA2ofA2namesA2couldA2beA2provided.
c.A2NoA2informationA2canA2beA2obtainedA2underA2anyA2circumstances.
d.A2AA2listA2ofA2patientsA2mayA2beA2availableA2afterA2consultationA2withA2theA2nationalA2par
kA2ranger.A2-A2Ans--
A2a.A2OnlyA2theA2namesA2ofA2patientsA2whoA2areA2admittedA2toA2theA2hospitalA2canA2beA2re
questedA2ifA2theA2physicianA2needsA2itA2forA2continuityA2ofA2care,A2butA2anA2entireA2listA2ofA
2patientsA2cannotA2beA2provided.




**OnlyA2recordsA2thatA2areA2requiredA2forA2careA2orA2authorizedA2byA2theA2patientA2canA2b
eA2releasedA2byA2theA2urgent-careA2facilityA2toA2theA2acute-
careA2facilityA2(BrodnikA22012,A2225;A2Rinehart-ThompsonA22016b,A2243-247).

WhatA2diagnosesA2andA2proceduresA2shouldA2beA2reportedA2forA2recurrentA2leftA2inguinalA
2herniaA2withA2laparoscopicA2repair?


K40.30A2UnilateralA2inguinalA2hernia,A2withA2obstruction,A2withoutA2gangrene,A2notA2specif
iedA2asA2recurrent
K40.31A2UnilateralA2inguinalA2hernia,A2withA2obstruction,A2withoutA2gangrene,A2recurrent
K40.91A2UnilateralA2inguinalA2hernia,A2withoutA2mentionA2ofA2obstructionA2orA2gangrene,A2
recurrent
49520A2RepairA2recurrentA2inguinalA2hernia,A2anyA2age;A2reducible
49521A2RepairA2recurrentA2inguinalA2hernia,A2anyA2age;A2incarceratedA2orA2strangulated
49651A2Laparoscopy,A2surgical;A2repairA2recurrentA2inguinalA2hernia

a.A2K40.91,A249520
b.A2K40.31,A249521
c.A2K40.91,A249651
d.A2K40.30,A249520A2-A2Ans--
A2c.A2K40.91:UnilateralA2inguinalA2hernia,A2withoutA2mentionA2ofA2obstructionA2orA2gangre
ne,A2recurrent
49651:Laparoscopy,A2surgical;A2repairA2recurrentA2inguinalA2hernia

**TheA2patientA2hasA2aA2recurrentA2herniaA2withoutA2obstructionA2andA2thisA2isA2capturedA2
inA2diagnosisA2codeA2K40.91A2(Leon-
ChisenA22017,A2253;A2CPTA2AssistantA2Nov.A21999,A224;A2MarchA22000,A29).

.InA2orderA2toA2accuratelyA2codeA2aA2cardiacA2catheterization,A2whatA2needsA2toA2beA2dete
rminedA2basedA2onA2aA2reviewA2ofA2theA2documentation?

a.A2TheA2approachA2andA2theA2sideA2ofA2theA2heartA2(chambers)A2intoA2whichA2theA2cathet
erA2wasA2inserted
b.A2TheA2approach,A2theA2sideA2ofA2theA2heartA2(chambers)A2intoA2whichA2theA2catheterA2w
asA2inserted,A2asA2wellA2asA2anyA2additionalA2proceduresA2performed
c.A2TheA2durationA2ofA2theA2procedure