Certified Coding Specialist (CCS) Exam
Prep Questions & Answers | Questions with
100% Correct Answers | Verified | Updated
2024
** The physician must establish the diagnosis—obesity or morbid obesity—and the
additional information can be pulled from ancillary documentation to establish the correct
code assignment for body mass index (BMI) (Leon-Chisen 2017, 168).
A 55-year-old patient has hypertensive heart disease with congestive heart failure. What
code would be assigned?
a. I15.8, Other secondary hypertension
b. I11.0, Hypertensive heart disease with heart failure and I50.9, Heart failure, unspecified
c. I50.9, Heart failure, unspecified and I15.0, Renovascular hypertension
d. N18.6, End stage renal disease ✔✔b. I11.0, Hypertensive heart disease with heart failure
and I50.9, Heart failure, unspecified
,** There is a cause and effect relationship established between the hypertension and the
congestive heart failure. A separate code for the congestive heart failure is assigned based
on the "code also" note (HHS 2017, Section I.C.9.a., 40).
A surgeon would like to undertake a research study on his patients with stage II
malignant melanoma of the back, who have undergone wide excision of the melanoma.
What work processes and associated software could be used to provide this information?
a. Obtain a summary of the cases from the cancer registry, import them into a spreadsheet,
and provide to the surgeon.
b. Obtain a summary of the cases from the chart completion software, import them into
a spreadsheet, and provide to the surgeon.
c. Obtain a summary of the cases from the master patient index, import them into a
spreadsheet, and provide to the surgeon.
d. Obtain a summary of the cases from the transcription tracking software, import them into a
spreadsheet, and provide to the surgeon. ✔✔a. Obtain a summary of the cases from the
cancer registry, import them into a spreadsheet, and provide to the surgeon.
**The cancer registry can be used to undertake studies in addition to reporting cases to a
central registry (Sharp and Madlock-Brown 2016, 173).
A facility located near a national park has a significant number of snake bites, and patients
receive treatment with antivenom in urgent-care settings. Sometimes a patient is admitted to
the hospital after several days. Can the urgent-care setting provide the hospital with a list of
names of patients treated with snake antivenom?
,a. Only the names of patients who are admitted to the hospital can be requested if the
physician needs it for continuity of care, but an entire list of patients cannot be
provided.
b. A list of names could be provided.
c. No information can be obtained under any circumstances.
d. A list of patients may be available after consultation with the national park ranger. ✔✔a.
Only the names of patients who are admitted to the hospital can be requested if the
physician needs it for continuity of care, but an entire list of patients cannot be provided.
**Only records that are required for care or authorized by the patient can be released by
the urgent-care facility to the acute-care facility (Brodnik 2012, 225; Rinehart-Thompson
2016b, 243-247).
What diagnoses and procedures should be reported for recurrent left inguinal hernia with
laparoscopic repair?
K40.30 Unilateral inguinal hernia, with obstruction, without gangrene, not specified
as recurrent
K40.31 Unilateral inguinal hernia, with obstruction, without gangrene, recurrent
K40.91 Unilateral inguinal hernia, without mention of obstruction or gangrene, recurrent
49520 Repair recurrent inguinal hernia, any age; reducible
49521 Repair recurrent inguinal hernia, any age; incarcerated or strangulated
, 49651 Laparoscopy, surgical; repair recurrent inguinal hernia
a. K40.91, 49520
b. K40.31, 49521
c. K40.91, 49651
d. K40.30, 49520 ✔✔c. K40.91:Unilateral inguinal hernia, without mention of obstruction
or gangrene, recurrent
49651:Laparoscopy, surgical; repair recurrent inguinal hernia
**The patient has a recurrent hernia without obstruction and this is captured in diagnosis
code K40.91 (Leon-Chisen 2017, 253; CPT Assistant Nov. 1999, 24; March 2000, 9).
.In order to accurately code a cardiac catheterization, what needs to be determined based on
a review of the documentation?
a. The approach and the side of the heart (chambers) into which the catheter was inserted
b. The approach, the side of the heart (chambers) into which the catheter was inserted, as
well as any additional procedures performed
c. The duration of the procedure
d. If there is documentation of the procedure in the medical record that stents are considered
✔✔b. The approach, the side of the heart (chambers) into which the catheter was inserted, as
well as any additional procedures performed
Prep Questions & Answers | Questions with
100% Correct Answers | Verified | Updated
2024
** The physician must establish the diagnosis—obesity or morbid obesity—and the
additional information can be pulled from ancillary documentation to establish the correct
code assignment for body mass index (BMI) (Leon-Chisen 2017, 168).
A 55-year-old patient has hypertensive heart disease with congestive heart failure. What
code would be assigned?
a. I15.8, Other secondary hypertension
b. I11.0, Hypertensive heart disease with heart failure and I50.9, Heart failure, unspecified
c. I50.9, Heart failure, unspecified and I15.0, Renovascular hypertension
d. N18.6, End stage renal disease ✔✔b. I11.0, Hypertensive heart disease with heart failure
and I50.9, Heart failure, unspecified
,** There is a cause and effect relationship established between the hypertension and the
congestive heart failure. A separate code for the congestive heart failure is assigned based
on the "code also" note (HHS 2017, Section I.C.9.a., 40).
A surgeon would like to undertake a research study on his patients with stage II
malignant melanoma of the back, who have undergone wide excision of the melanoma.
What work processes and associated software could be used to provide this information?
a. Obtain a summary of the cases from the cancer registry, import them into a spreadsheet,
and provide to the surgeon.
b. Obtain a summary of the cases from the chart completion software, import them into
a spreadsheet, and provide to the surgeon.
c. Obtain a summary of the cases from the master patient index, import them into a
spreadsheet, and provide to the surgeon.
d. Obtain a summary of the cases from the transcription tracking software, import them into a
spreadsheet, and provide to the surgeon. ✔✔a. Obtain a summary of the cases from the
cancer registry, import them into a spreadsheet, and provide to the surgeon.
**The cancer registry can be used to undertake studies in addition to reporting cases to a
central registry (Sharp and Madlock-Brown 2016, 173).
A facility located near a national park has a significant number of snake bites, and patients
receive treatment with antivenom in urgent-care settings. Sometimes a patient is admitted to
the hospital after several days. Can the urgent-care setting provide the hospital with a list of
names of patients treated with snake antivenom?
,a. Only the names of patients who are admitted to the hospital can be requested if the
physician needs it for continuity of care, but an entire list of patients cannot be
provided.
b. A list of names could be provided.
c. No information can be obtained under any circumstances.
d. A list of patients may be available after consultation with the national park ranger. ✔✔a.
Only the names of patients who are admitted to the hospital can be requested if the
physician needs it for continuity of care, but an entire list of patients cannot be provided.
**Only records that are required for care or authorized by the patient can be released by
the urgent-care facility to the acute-care facility (Brodnik 2012, 225; Rinehart-Thompson
2016b, 243-247).
What diagnoses and procedures should be reported for recurrent left inguinal hernia with
laparoscopic repair?
K40.30 Unilateral inguinal hernia, with obstruction, without gangrene, not specified
as recurrent
K40.31 Unilateral inguinal hernia, with obstruction, without gangrene, recurrent
K40.91 Unilateral inguinal hernia, without mention of obstruction or gangrene, recurrent
49520 Repair recurrent inguinal hernia, any age; reducible
49521 Repair recurrent inguinal hernia, any age; incarcerated or strangulated
, 49651 Laparoscopy, surgical; repair recurrent inguinal hernia
a. K40.91, 49520
b. K40.31, 49521
c. K40.91, 49651
d. K40.30, 49520 ✔✔c. K40.91:Unilateral inguinal hernia, without mention of obstruction
or gangrene, recurrent
49651:Laparoscopy, surgical; repair recurrent inguinal hernia
**The patient has a recurrent hernia without obstruction and this is captured in diagnosis
code K40.91 (Leon-Chisen 2017, 253; CPT Assistant Nov. 1999, 24; March 2000, 9).
.In order to accurately code a cardiac catheterization, what needs to be determined based on
a review of the documentation?
a. The approach and the side of the heart (chambers) into which the catheter was inserted
b. The approach, the side of the heart (chambers) into which the catheter was inserted, as
well as any additional procedures performed
c. The duration of the procedure
d. If there is documentation of the procedure in the medical record that stents are considered
✔✔b. The approach, the side of the heart (chambers) into which the catheter was inserted, as
well as any additional procedures performed
