CCS Exam Preparation/ Study Guide Questions with
Correct Verified Answers Latest Update 2024/ Rated A+
a patient is admitted to the hospital complaining of abdominal pain. following evaluation, it was
determined that the patient had an intestinal obstruction of the left colon due to adhesions from a prior
abdominal surgery. the patient underwent an exploratory laparotomy with lysis of adhesions. what
conditions and procedures should be coded?
a. abdominal pain, abdominal adhesions, abdominal obstruction, laparotomy, lysis of adhesions
b. abdominal adhesions, abdominal obstruction, postoperative complications of the digestive system,
laparotomy, lysis of adhesions
c. abdominal adhesions with obstruction, lysis of adhesions
d. abdominal adhesions and abdominal obstruction, postoperative complications of the digestive system,
lysis of adhesions - ANSWER - c
a patient has a principal diagnosis of pneumonia (J18.9) (MS-DRG 195). which of the following may
legitimately change the coding of the pneumonia in accordance with the UHDDS and relevant clinical
documentation?
a. sputum culture reflects growth of normal flora
b. patient has a positive gram stain
c. patient is found to have dysphagia with aspiration
d. patient has nonproductive sputum - ANSWER - c
the requirements for documentation and record completion (documents such as history and physicals,
discharge summaries, and consultations) as well as penalties for non-adherence must be specified in:
a. hospital rules and regulations
b. conditions of non participation
c. medical staff bylaws
d. nursing staff policies - ANSWER - c
pg. 1
,a policy states that inpatients who undergo open reduction and internal fixation of a fractured femur
should be routinely coded with blood loss anemia when there is intraoperative blood loss of 500 cc or
more documented in the operative report and patient has low hemoglobin. is this correct or incorrect
and why?
a. it is correct to code blood loss anemia because the policy requires it.
b. it is correct because the clinical signs are documented in the record.
c. it is incorrect because the patient must also have a blood transfusion in order for blood loss anemia to
be coded.
d. it is incorrect because the physician did not document the blood loss anemia in the progress notes. -
ANSWER - d
a 64-year-old female was discharged with the final diagnosis of acute renal failure and hypertension.
what coding rule applies?
a. use combination code of hypertension and renal failure.
b. use separate codes for hypertension and chronic renal failure.
c. use separate codes for hypertension and acute renal failure.
d. use separate codes for elevated blood pressure and chronic renal failure. - ANSWER - c
a patient was admitted to an acute care facility with a temperature of 102 and atrial fibrillation. the chest
x-ray reveals pneumonia with subsequent documentation by the physician of pneumonia in the progress
notes and discharge summary. the patient was treated with oral anti arrhythmic medications and IV
antibiotics. what is the correct code sequence?
a. J18.9, I48.91
b. I48.91, J18.9
c. it does not matter which is used as the principal diagnosis.
d. not enough information is present. query the physician. - ANSWER - a
syncope; bradycardia ruled out; due to taking Valium as prescribed by a physician. patient also took an
antihistamine as directed on the package without consulting a healthcare provider. what codes should be
assigned?
a. R55, T42.4X1A, T45.0X1A
b. T42.4X1A, T45.0X1A, R55
c. T45.0X1A, T42.4X1A
pg. 2
,d. T42.4X6A, T45.0X5A, R55 - ANSWER - b
assign the code for dilation and curettage for retained products of conception abortion at 11 weeks'
gestation.
10A07ZW-Abortion of products of conception, laminar, via natural or artificial opening
10A07ZZ-Abortion of products of conception, via natural or artificial opening
10D17ZZ-Extraction of products of conception, retained, via natural or artificial opening
10D27ZZ-Extraction of products of conception, ectopic, via natural or artificial opening
a. 10D17ZZ
b. 10A07ZZ
c. 10A07ZW
d. 10D27ZZ - ANSWER - a
assign the code(s) for bilateral epidural lumbar injection of steroids:
62282-injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or
without other therapeutic substance; epidural, lumbar, sacral (caudal)
62322-injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid,
steroid, other solution), not including neurolytic substances, including needle or catheter placement,
inter laminar epidural or subarachnoid; lumbar or sacral (caudal); without imaging guidance
-50-bilateral procedure
a. 62282
b. 62322
c. 62322, 62322
d. 62322-50 - ANSWER - b
a laparoscopic tubal ligation is completed. what is the correct CPT code assignment?
49320-laparoscopy, abdomen, peritoneum, and momentum, diagnostic, with or without collection of
specimen(s) by brushing or washing (separate procedure)
58662-laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or
peritoneal surface by any method
58670-laparoscopy, surgical; with fulguration of oviducts (with or without transection)
pg. 3
, 58671-laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)
a. 49320, 58662
b. 58670
c. 58671
d. 49320 - ANSWER - b
a laparoscopic cholecystectomy Was performed. what is the correct ICD-10-PCS code?
0FB40ZZ-Excision of gallbladder, open approach
0FB44ZZ-Excision of gallbladder, percutaneous endoscopic approach
0FT40ZZ-Resection of gallbladder, open approach
0FT44ZZ-Resection of gallbladder, percutaneous endoscopic approach
a. 0FB40ZZ
b. 0FT40ZZ
c. 0FT44ZZ
d. 0FB44ZZ - ANSWER - c
a female patient is admitted for a second-degree cystocele. a repair is performed. in order to code this
accurately, what document provides the required additional information?
a. History and Physical
b. Discharge summary
c. Consultation
d. Operative report - ANSWER - d
this is the first admission for a patient with adenocarcinoma of the right lower lung who was also found
with metastasis to the brain. the patient underwent a complete right lower lung lobectomy via
laparotomy. what codes should be assigned?
a. C34.31, C79.31, 0BTF0ZZ
b. C79.31, C34.31, 0BTF0ZZ
c. C34.31, C79.31, 0BTF4ZZ
d. C34.11, C79.31, 0BTF4ZZ - ANSWER - a
pg. 4
Correct Verified Answers Latest Update 2024/ Rated A+
a patient is admitted to the hospital complaining of abdominal pain. following evaluation, it was
determined that the patient had an intestinal obstruction of the left colon due to adhesions from a prior
abdominal surgery. the patient underwent an exploratory laparotomy with lysis of adhesions. what
conditions and procedures should be coded?
a. abdominal pain, abdominal adhesions, abdominal obstruction, laparotomy, lysis of adhesions
b. abdominal adhesions, abdominal obstruction, postoperative complications of the digestive system,
laparotomy, lysis of adhesions
c. abdominal adhesions with obstruction, lysis of adhesions
d. abdominal adhesions and abdominal obstruction, postoperative complications of the digestive system,
lysis of adhesions - ANSWER - c
a patient has a principal diagnosis of pneumonia (J18.9) (MS-DRG 195). which of the following may
legitimately change the coding of the pneumonia in accordance with the UHDDS and relevant clinical
documentation?
a. sputum culture reflects growth of normal flora
b. patient has a positive gram stain
c. patient is found to have dysphagia with aspiration
d. patient has nonproductive sputum - ANSWER - c
the requirements for documentation and record completion (documents such as history and physicals,
discharge summaries, and consultations) as well as penalties for non-adherence must be specified in:
a. hospital rules and regulations
b. conditions of non participation
c. medical staff bylaws
d. nursing staff policies - ANSWER - c
pg. 1
,a policy states that inpatients who undergo open reduction and internal fixation of a fractured femur
should be routinely coded with blood loss anemia when there is intraoperative blood loss of 500 cc or
more documented in the operative report and patient has low hemoglobin. is this correct or incorrect
and why?
a. it is correct to code blood loss anemia because the policy requires it.
b. it is correct because the clinical signs are documented in the record.
c. it is incorrect because the patient must also have a blood transfusion in order for blood loss anemia to
be coded.
d. it is incorrect because the physician did not document the blood loss anemia in the progress notes. -
ANSWER - d
a 64-year-old female was discharged with the final diagnosis of acute renal failure and hypertension.
what coding rule applies?
a. use combination code of hypertension and renal failure.
b. use separate codes for hypertension and chronic renal failure.
c. use separate codes for hypertension and acute renal failure.
d. use separate codes for elevated blood pressure and chronic renal failure. - ANSWER - c
a patient was admitted to an acute care facility with a temperature of 102 and atrial fibrillation. the chest
x-ray reveals pneumonia with subsequent documentation by the physician of pneumonia in the progress
notes and discharge summary. the patient was treated with oral anti arrhythmic medications and IV
antibiotics. what is the correct code sequence?
a. J18.9, I48.91
b. I48.91, J18.9
c. it does not matter which is used as the principal diagnosis.
d. not enough information is present. query the physician. - ANSWER - a
syncope; bradycardia ruled out; due to taking Valium as prescribed by a physician. patient also took an
antihistamine as directed on the package without consulting a healthcare provider. what codes should be
assigned?
a. R55, T42.4X1A, T45.0X1A
b. T42.4X1A, T45.0X1A, R55
c. T45.0X1A, T42.4X1A
pg. 2
,d. T42.4X6A, T45.0X5A, R55 - ANSWER - b
assign the code for dilation and curettage for retained products of conception abortion at 11 weeks'
gestation.
10A07ZW-Abortion of products of conception, laminar, via natural or artificial opening
10A07ZZ-Abortion of products of conception, via natural or artificial opening
10D17ZZ-Extraction of products of conception, retained, via natural or artificial opening
10D27ZZ-Extraction of products of conception, ectopic, via natural or artificial opening
a. 10D17ZZ
b. 10A07ZZ
c. 10A07ZW
d. 10D27ZZ - ANSWER - a
assign the code(s) for bilateral epidural lumbar injection of steroids:
62282-injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or
without other therapeutic substance; epidural, lumbar, sacral (caudal)
62322-injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid,
steroid, other solution), not including neurolytic substances, including needle or catheter placement,
inter laminar epidural or subarachnoid; lumbar or sacral (caudal); without imaging guidance
-50-bilateral procedure
a. 62282
b. 62322
c. 62322, 62322
d. 62322-50 - ANSWER - b
a laparoscopic tubal ligation is completed. what is the correct CPT code assignment?
49320-laparoscopy, abdomen, peritoneum, and momentum, diagnostic, with or without collection of
specimen(s) by brushing or washing (separate procedure)
58662-laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or
peritoneal surface by any method
58670-laparoscopy, surgical; with fulguration of oviducts (with or without transection)
pg. 3
, 58671-laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)
a. 49320, 58662
b. 58670
c. 58671
d. 49320 - ANSWER - b
a laparoscopic cholecystectomy Was performed. what is the correct ICD-10-PCS code?
0FB40ZZ-Excision of gallbladder, open approach
0FB44ZZ-Excision of gallbladder, percutaneous endoscopic approach
0FT40ZZ-Resection of gallbladder, open approach
0FT44ZZ-Resection of gallbladder, percutaneous endoscopic approach
a. 0FB40ZZ
b. 0FT40ZZ
c. 0FT44ZZ
d. 0FB44ZZ - ANSWER - c
a female patient is admitted for a second-degree cystocele. a repair is performed. in order to code this
accurately, what document provides the required additional information?
a. History and Physical
b. Discharge summary
c. Consultation
d. Operative report - ANSWER - d
this is the first admission for a patient with adenocarcinoma of the right lower lung who was also found
with metastasis to the brain. the patient underwent a complete right lower lung lobectomy via
laparotomy. what codes should be assigned?
a. C34.31, C79.31, 0BTF0ZZ
b. C79.31, C34.31, 0BTF0ZZ
c. C34.31, C79.31, 0BTF4ZZ
d. C34.11, C79.31, 0BTF4ZZ - ANSWER - a
pg. 4
