CODE SPECIALIST MODULE CS NATIONAL ACTUAL EXAM TEST PAPER FULL
QUESTIONS CORRECT RESPONSES
CODE Specialist Module CS National Certification
EXAM 2026/2027 Final Questions and Answers
Verified Solutions Latest Update
Question:
According to CPT, a repair of laceration that includes retention sutures would be considered what
type of closure? A. Simple b. Intermediate c. Complex d. Not specified
Answer:
CComplex closure includes the repair of wounds requiring more than layered closure, namely, scar
revision, debridement, extensive undermining, stents, or retention sutures.
Question:
thrombectomy
Answer:
removing a thrombus; use root operation EXTIRPATION which is taking or cutting out solid
material from a body part
Question:
judkins technique
Answer:
The Judkins technique provides x-ray imaging of the coronary arteries by introducing one catheter
into the femoral artery with maneuvering up into the left coronary artery orifice, followed by a
second catheter guided up into the right coronary artery, and subsequent injection of a contrast
material.
Question:
For ulcers that were present on admission but healed at the time of discharge, assign the code for the
site and stage of the pressure ulcer __________.
,Answer:
Coding Guideline I.C.12.a.5 notes that pressure ulcers present on admission but healed at the time of
discharge are assigned the code for site and stage at time of admission.
Question:
If a patient is admitted with a pressure ulcer of one stage, and it progresses to a higher stage during
the same encounter, what should the coder do?
Answer:
Report two codes for that site-one for the stage on admission and one for the highest stage during the
hospitalization.
Question:
CMS developed medically unlikely edits (MUEs) to prevent providers from billing units of services
greater than the norm would indicate. These MUEs were implemented on January 1, 2007, and are
applied to which code set?
Answer:
HCPCS/ CPT codes
Question:
Which classification system is in place to reimburse home health agencies?
Answer:
HHRGs, Home health resource groups
Question:
Different prospective payment systems: hospital inpatient hospital reahbilitation long-term care
home health
Answer:
MS-DRGs CMGs (case mix groups) LTC-MS-DRGs (long term care medicare severity.) HHRGs
(Home health resource groups)
, Question:
On October 1, 2012, the Affordable Care Act established which of the following, requiring CMS to
reduce payments to IPPS hospitals with excess admissions?a. hospital acquired conditions (HACs)b.
MS-DRGsc. hospital readmissions reduction programd. RUG-111
Answer:
c. hospital readmissions reduction program
Question:
Which of the following fails to meet the CMS classification of a hospital-acquired condition?
Answer:
Gram-negative pneumonia and Stage I pressure ulcers (HOAs are Foreign Object Retained After
Surgery. Air Embolism, Blood Incompatibility, Stage III and IV Pressure Ulcers, Falls and Trauma,
Manifestations of Poor Glycemic Control, Catheter-Associated Urinary Tract Infection (UTI),
Vascular Catheter-Associated Infection, Surgical Site Infection Following CABG, SSI Following
Bariatric Surgery, SSI Following Certain Orthopedic Procedures, SSI Following Cardiac
Implantable Electronic Device, Deep Vein Thrombosis (DVT)/Pulmonary Embolism (PE)
Following Total Knee Replacement or Hip Replacement, Iatrogenic Pneumothorax with Venous
Catheterization
Question:
Which of the following status indicators indicates that the APC payment is reduced when multiple
procedures with this status are reported together?
Answer:
T - surgical service (procedures with T are usually reimbursed 50%)
Question:
What is the maximum number of APCs that may be assigned per encounter?
Answer:
unlimited
QUESTIONS CORRECT RESPONSES
CODE Specialist Module CS National Certification
EXAM 2026/2027 Final Questions and Answers
Verified Solutions Latest Update
Question:
According to CPT, a repair of laceration that includes retention sutures would be considered what
type of closure? A. Simple b. Intermediate c. Complex d. Not specified
Answer:
CComplex closure includes the repair of wounds requiring more than layered closure, namely, scar
revision, debridement, extensive undermining, stents, or retention sutures.
Question:
thrombectomy
Answer:
removing a thrombus; use root operation EXTIRPATION which is taking or cutting out solid
material from a body part
Question:
judkins technique
Answer:
The Judkins technique provides x-ray imaging of the coronary arteries by introducing one catheter
into the femoral artery with maneuvering up into the left coronary artery orifice, followed by a
second catheter guided up into the right coronary artery, and subsequent injection of a contrast
material.
Question:
For ulcers that were present on admission but healed at the time of discharge, assign the code for the
site and stage of the pressure ulcer __________.
,Answer:
Coding Guideline I.C.12.a.5 notes that pressure ulcers present on admission but healed at the time of
discharge are assigned the code for site and stage at time of admission.
Question:
If a patient is admitted with a pressure ulcer of one stage, and it progresses to a higher stage during
the same encounter, what should the coder do?
Answer:
Report two codes for that site-one for the stage on admission and one for the highest stage during the
hospitalization.
Question:
CMS developed medically unlikely edits (MUEs) to prevent providers from billing units of services
greater than the norm would indicate. These MUEs were implemented on January 1, 2007, and are
applied to which code set?
Answer:
HCPCS/ CPT codes
Question:
Which classification system is in place to reimburse home health agencies?
Answer:
HHRGs, Home health resource groups
Question:
Different prospective payment systems: hospital inpatient hospital reahbilitation long-term care
home health
Answer:
MS-DRGs CMGs (case mix groups) LTC-MS-DRGs (long term care medicare severity.) HHRGs
(Home health resource groups)
, Question:
On October 1, 2012, the Affordable Care Act established which of the following, requiring CMS to
reduce payments to IPPS hospitals with excess admissions?a. hospital acquired conditions (HACs)b.
MS-DRGsc. hospital readmissions reduction programd. RUG-111
Answer:
c. hospital readmissions reduction program
Question:
Which of the following fails to meet the CMS classification of a hospital-acquired condition?
Answer:
Gram-negative pneumonia and Stage I pressure ulcers (HOAs are Foreign Object Retained After
Surgery. Air Embolism, Blood Incompatibility, Stage III and IV Pressure Ulcers, Falls and Trauma,
Manifestations of Poor Glycemic Control, Catheter-Associated Urinary Tract Infection (UTI),
Vascular Catheter-Associated Infection, Surgical Site Infection Following CABG, SSI Following
Bariatric Surgery, SSI Following Certain Orthopedic Procedures, SSI Following Cardiac
Implantable Electronic Device, Deep Vein Thrombosis (DVT)/Pulmonary Embolism (PE)
Following Total Knee Replacement or Hip Replacement, Iatrogenic Pneumothorax with Venous
Catheterization
Question:
Which of the following status indicators indicates that the APC payment is reduced when multiple
procedures with this status are reported together?
Answer:
T - surgical service (procedures with T are usually reimbursed 50%)
Question:
What is the maximum number of APCs that may be assigned per encounter?
Answer:
unlimited
