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CCS PRACTICE EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY
GRADED A+ LATEST UPDATE | 2024-2025
A 12-year-old boy was seen in an ambulatory surgical center for pain in his
right arm. The x-ray showed fracture of ulna. Patient underwent closed
reduction of fracture right proximal ulna and an elbow-to-finger cast was
applied. What diagnostic and procedure codes should be assigned?
S52.101AUnspecified fracture of upper end of right radius, initial encounter for
closed fracture
S52.101BUnspecified fracture of upper end of right radius, initial encounter for
open fracture
S52.001AUnspecified fracture of upper end of right ulna, initial encounter for
closed fracture
S52.001BUnspecified fracture of upper end of right ulna, initial encounter for
open fracture
0PSH0ZZReposition right radius, open approach
0PSK0ZZReposition right ulna, open approach
24670Closed treatment of ulnar fracture, proximal end (eg, olecranon or
coronoid process(es) ); without manipulation
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24675Closed treatment of ulnar fracture, proximal end (eg
Ans
Correct Answer: D
The patient has a fracture of the right proximal ulna and closed reduction is necessary. In the ICD-
10-CM Code Book, under Fracture, ulna, proximal, the coder is referred to Fracture, ulna, upper
end. The term "manipulation" is used to indicate reduction in CPT. According to CPT guidelines,
cast application or strapping (including removal) is only reported as a replacement procedure or
when the cast application or strapping is an initial service performed without a restorative treatment
or procedure (AMA CPT Professional Edition 2020, 182). (Note: Since this is an ambulatory surgery
center case, CPT codes are assigned rather than ICD-10-PCS codes.)
A laparoscopic tubal ligation is completed. What is the correct CPT code
assignment?
49320Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or
without collection of specimen(s) by brushing or washing (separate procedure)
58662Laparoscopy, surgical; with fulguration or excision of lesions of the
ovary, pelvic viscera, or peritoneal surface by any method
58670Laparoscopy, surgical; with fulguration of oviducts (with or without
transection)
58671Laparoscopy, surgical; with occlusion of oviducts by device (eg, band,
clip, or Falope ring)
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a. 49320, 58662
b. 58670
c. 58671
d. 49320
Ans
Correct Answer: B
The code that best reports the tubal ligation is 58670 Laparoscopy, surgical; with fulguration of
oviducts because there are no clips or excision of lesion completed during the procedure (CPT
Assistant Nov. 1999, 29; March 2000, 10).
Normal twin delivery at 30 weeks. Both babies were delivered vaginally and
were liveborn. What conditions should have codes assigned?
O30.003Twin pregnancy, unspecified number of placenta and unspecified
number of amniotic sacs, third trimester
O30.009Twin pregnancy, unspecified number of placenta and unspecified
number of amniotic sacs, unspecified trimester
O60.14X0Preterm labor third trimester with preterm delivery third trimester,
not applicable or unspecified
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O60.14X1 Preterm labor third trimester with preterm delivery third trimester,
fetus 1
O60.14X2Preterm labor third trimester with preterm delivery third trimester,
fetus
2O80Encounter for full-term uncomplicated delivery
Z3A.3030 weeks gestation of pregnancy
Z37.0Single live birth
Z37.2Twins, both liveborn
a. O80, Z3A.30, Z37.0
b. O30.003, O60.14X0, Z3A.30, Z37.2
c. O60.14X1, O60.14X2 O30.003, Z3A.30, Z37.2
d. O80, O30.009, Z3A.30, Z37.2
Ans
Correct Answer: C
A code for preterm labor and delivery is assigned for each fetus since both babies were born
preterm as noted in Coding Clinic. Additionally, a code from category O30, Multiple gestations, must
be assigned (Leon-Chisen 2020, 325; AHA Coding Clinic 2016 2nd Quarter, 10-11).
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A 12-year-old boy was seen in an ambulatory surgical center for pain in his
right arm. The x-ray showed fracture of ulna. Patient underwent closed
reduction of fracture right proximal ulna and an elbow-to-finger cast was
applied. What diagnostic and procedure codes should be assigned?
S52.101AUnspecified fracture of upper end of right radius, initial encounter for
closed fracture
S52.101BUnspecified fracture of upper end of right radius, initial encounter for
open fracture
S52.001AUnspecified fracture of upper end of right ulna, initial encounter for
closed fracture
S52.001BUnspecified fracture of upper end of right ulna, initial encounter for
open fracture
0PSH0ZZReposition right radius, open approach
0PSK0ZZReposition right ulna, open approach
24670Closed treatment of ulnar fracture, proximal end (eg, olecranon or
coronoid process(es) ); without manipulation
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24675Closed treatment of ulnar fracture, proximal end (eg
Ans
Correct Answer: D
The patient has a fracture of the right proximal ulna and closed reduction is necessary. In the ICD-
10-CM Code Book, under Fracture, ulna, proximal, the coder is referred to Fracture, ulna, upper
end. The term "manipulation" is used to indicate reduction in CPT. According to CPT guidelines,
cast application or strapping (including removal) is only reported as a replacement procedure or
when the cast application or strapping is an initial service performed without a restorative treatment
or procedure (AMA CPT Professional Edition 2020, 182). (Note: Since this is an ambulatory surgery
center case, CPT codes are assigned rather than ICD-10-PCS codes.)
A laparoscopic tubal ligation is completed. What is the correct CPT code
assignment?
49320Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or
without collection of specimen(s) by brushing or washing (separate procedure)
58662Laparoscopy, surgical; with fulguration or excision of lesions of the
ovary, pelvic viscera, or peritoneal surface by any method
58670Laparoscopy, surgical; with fulguration of oviducts (with or without
transection)
58671Laparoscopy, surgical; with occlusion of oviducts by device (eg, band,
clip, or Falope ring)
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a. 49320, 58662
b. 58670
c. 58671
d. 49320
Ans
Correct Answer: B
The code that best reports the tubal ligation is 58670 Laparoscopy, surgical; with fulguration of
oviducts because there are no clips or excision of lesion completed during the procedure (CPT
Assistant Nov. 1999, 29; March 2000, 10).
Normal twin delivery at 30 weeks. Both babies were delivered vaginally and
were liveborn. What conditions should have codes assigned?
O30.003Twin pregnancy, unspecified number of placenta and unspecified
number of amniotic sacs, third trimester
O30.009Twin pregnancy, unspecified number of placenta and unspecified
number of amniotic sacs, unspecified trimester
O60.14X0Preterm labor third trimester with preterm delivery third trimester,
not applicable or unspecified
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O60.14X1 Preterm labor third trimester with preterm delivery third trimester,
fetus 1
O60.14X2Preterm labor third trimester with preterm delivery third trimester,
fetus
2O80Encounter for full-term uncomplicated delivery
Z3A.3030 weeks gestation of pregnancy
Z37.0Single live birth
Z37.2Twins, both liveborn
a. O80, Z3A.30, Z37.0
b. O30.003, O60.14X0, Z3A.30, Z37.2
c. O60.14X1, O60.14X2 O30.003, Z3A.30, Z37.2
d. O80, O30.009, Z3A.30, Z37.2
Ans
Correct Answer: C
A code for preterm labor and delivery is assigned for each fetus since both babies were born
preterm as noted in Coding Clinic. Additionally, a code from category O30, Multiple gestations, must
be assigned (Leon-Chisen 2020, 325; AHA Coding Clinic 2016 2nd Quarter, 10-11).
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