CCS EXAM 2 NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT VERIFIED ANSWERS(DETAILED ANSWERS)WITH RATIONALES|100% GUARANTEED PASS!|GRADED A+

CCS EXAM 2 NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT VERIFIED ANSWERS(DETAILED ANSWERS)WITH RATIONALES|100% GUARANTEED PASS!|GRADED A+ Assign code(s) for the following diagnosis: Congestive heart failure due to hypertension. I10Essential (primary) hypertension I11.0Hypertensive heart disease with heart failure I50.9Heart failure, unspecified I50.23Acute on chronic systolic (congestive) heart failure a. I10, I50.9 b. I11.0 c. I50.23, I10 d. I11.0, I50.9 - ANSWER-Correct Answer: D Heart failure is assigned a combination code when a causal relationship is stated (due to hypertension) or implied (hypertensive). Use an additional code to identify the type of heart failure in those patients with heart failure (CMS 2020a, Section I.C.9.a.1, 46-47). A patient is seen for evaluation of a right orbital roof fracture. How should this be coded? S02.121AFracture of orbital roof, right side, initial encounter for closed fracture S02.31XAFracture of orbital floor, right side, initial encounter for closed fracture S02.92XAUnspecified fracture of facial bones, initial encounter for closed fracture S02.91XAUnspecified fracture of skull, initial encounter for closed fracture a. S02.121A b. S02.31XA c. S02.92XA d. S02.91XA - ANSWER-Correct Answer: A Alphabetic Index for fracture, traumatic; orbit, orbital; roof guides the coder to S02.12. Evaluation of a fracture is an example of active treatment which is reported with 7th character "A" (Schraffenberger and Palkie 2020, 580-584). Patient presents in the ER with thrombosis of a loop PTFE hemodialysis fistula without mechanical complications. The physician performed a percutaneous thrombectomy of the left brachial vein. Assign a facility code for this outpatient procedure. 05CA3ZZExtirpation of matter from left brachial vein, percutaneous approach 36904Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s) 36832Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) 37184Primary percutaneous transluminal mechanical thrombectomy, noncoronary, arterial or arterial bypass graft, including fluoroscopic guidance and intrapro - ANSWER-Correct Answer: B This episode of care occurs in the ER which is an outpatient setting, therefore, a CPT code should be used. CPT code 36904 correctly identifies the thrombectomy procedure because it specifies the site of the thrombectomy as "dialysis circuit." 36904 includes imaging guidance, diagnostic angiography, catheter placement, and intraprocedural pharmacological thrombolytic injections" (Kirchoff 2009, 203). Patient admitted for laparoscopic repair of right diaphragmatic hernia. Assign the ICD-10-PCS procedure code for this surgery. 0BQT4ZZRepair diaphragm, percutaneous endoscopic approach 0BQT3ZZRepair diaphragm, percutaneous approach 0WQF4ZZRepair abdominal wall, percutaneous endoscopic approach 0BQT0ZZRepair diaphragm, open approach a. 0BQT4ZZ b. 0BQT3ZZ c. 0WQF4ZZ d. 0BQT0ZZ - ANSWER-Correct Answer: A ICD-10-PCS code 0BQT4ZZ is the correct code based on the values for the body part and approach. The correct body part is diaphragm and laparoscopy is reported as a percutaneous endoscopic method of approach (Leon-Chisen 2020, 250-251). A 23-year-old female is admitted for vaginal bleeding following a miscarriage two weeks prior to this admission. She is afebrile at this time and is treated with an aspiration dilation and curettage. Products of conception are found. Which of the following should be the principal diagnosis? a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion b. O08.1, Delayed or excessive hemorrhage following ectopic and molar pregnancy