CERTIFIED CODING SPECIALIST MOCK EXAM/CCS MOCK
EXAM 2 NEWEST VERSIONS 2024 (VERSION A AND B) WITH
COMPLETE 300 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
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. Patient is
found to have dysphagia with aspiration.
** Patient is found to have dysphagia with aspiration is the
correct answer because it changes the coding to
aspiration pneumonia and would result in MS-DRG 179
RESPIRATORY INFECTIONS & INFLAMMATIONS
,W/O CC/MCC, which has a weight of 0.9325 (Medicare Grouper
Version Used: 2017). This is in comparison
to MS-DRG 0195, SIMPLE PNEUMONIA & PLEURISY W/O
CC/MCC MDC: 04 which has a DRG weight of
0.7028 (Medicare Grouper
Version Used: 2017).
A method of checking the accuracy of data is to:
a. Validate the purpose for the data collection
b. Warehouse data on a regular basis
c. Authenticate all end users
d. Ensure that each record or entry within the database is correct
- ANSWER -d. Ensure that each record or entry within the
database is correct
** A good process to ensure the data is accurate is to make
certain each record or entry within the database
is correct (Sharp and
Madlock-Brown 2016, 195).
Assign the code(s) for chest x-ray, complete.
71010 Radiologic examination, chest; single view, frontal
71020 Radiologic examination, chest, 2 views, frontal and lateral
,71030 Radiologic examination, chest, complete, minimum 4
views
71035 Radiologic examination, chest, special views (eg, lateral
decubitus, Bucky studies)
a.
71020
b.
71030
c. 71010,
71035
d. 71035 - ANSWER -b. 71030 Radiologic examination,
chest, complete, minimum 4 views
**The code for a complete chest x-ray includes a minimum of
four views and does not include computer-
aided detection or fluoroscopy (CPT
Assistant July 2007, 6; Dec. 2009, 14).
A 45-year-old female with chronic ulcerative enterocolitis and
steroid induced osteoporosis due to long-term
steroid therapy. What codes
should be assigned?
, K50.00 Crohn's disease of small intestine without complications
K51.00 Ulcerative pancolitis without complications
M81.0 Age-related osteoporosis without current pathological
fracture
M81.8 Other osteoporosis without current pathological fracture
T38.0X5A Adverse effects of glucocorticoids and synthetic
analogues, initial encounter
Z79.52 Long term (current) use of systemic steroids
Z79.899 Other long term (current) drug therapy
a. K51.00, M81.8, T38.0X5A, Z79.52
b. K50.00, M81.0, T38.0X5A, Z79.52
c. K51.00, M81.0, T38.0X5A, Z79.899
d. K50.00, M81.8, T38.0X5A, Z79.52 - ANSWER -a. K51.00:
Ulcerative pancolitis without complications. M81.8:Other
osteoporosis without current pathological fracture. T38.0X5A:
Adverse effects of glucocorticoids and synthetic analogues,
initial encounter. Z79.52:Long term (current) use of systemic
steroids
**The ulcerative colitis and osteoporosis should be coded as well
as the adverse effect and long term use of
the steroid (HHS 2017,
Section I.C.19.e, 74).
EXAM 2 NEWEST VERSIONS 2024 (VERSION A AND B) WITH
COMPLETE 300 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
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. Patient is
found to have dysphagia with aspiration.
** Patient is found to have dysphagia with aspiration is the
correct answer because it changes the coding to
aspiration pneumonia and would result in MS-DRG 179
RESPIRATORY INFECTIONS & INFLAMMATIONS
,W/O CC/MCC, which has a weight of 0.9325 (Medicare Grouper
Version Used: 2017). This is in comparison
to MS-DRG 0195, SIMPLE PNEUMONIA & PLEURISY W/O
CC/MCC MDC: 04 which has a DRG weight of
0.7028 (Medicare Grouper
Version Used: 2017).
A method of checking the accuracy of data is to:
a. Validate the purpose for the data collection
b. Warehouse data on a regular basis
c. Authenticate all end users
d. Ensure that each record or entry within the database is correct
- ANSWER -d. Ensure that each record or entry within the
database is correct
** A good process to ensure the data is accurate is to make
certain each record or entry within the database
is correct (Sharp and
Madlock-Brown 2016, 195).
Assign the code(s) for chest x-ray, complete.
71010 Radiologic examination, chest; single view, frontal
71020 Radiologic examination, chest, 2 views, frontal and lateral
,71030 Radiologic examination, chest, complete, minimum 4
views
71035 Radiologic examination, chest, special views (eg, lateral
decubitus, Bucky studies)
a.
71020
b.
71030
c. 71010,
71035
d. 71035 - ANSWER -b. 71030 Radiologic examination,
chest, complete, minimum 4 views
**The code for a complete chest x-ray includes a minimum of
four views and does not include computer-
aided detection or fluoroscopy (CPT
Assistant July 2007, 6; Dec. 2009, 14).
A 45-year-old female with chronic ulcerative enterocolitis and
steroid induced osteoporosis due to long-term
steroid therapy. What codes
should be assigned?
, K50.00 Crohn's disease of small intestine without complications
K51.00 Ulcerative pancolitis without complications
M81.0 Age-related osteoporosis without current pathological
fracture
M81.8 Other osteoporosis without current pathological fracture
T38.0X5A Adverse effects of glucocorticoids and synthetic
analogues, initial encounter
Z79.52 Long term (current) use of systemic steroids
Z79.899 Other long term (current) drug therapy
a. K51.00, M81.8, T38.0X5A, Z79.52
b. K50.00, M81.0, T38.0X5A, Z79.52
c. K51.00, M81.0, T38.0X5A, Z79.899
d. K50.00, M81.8, T38.0X5A, Z79.52 - ANSWER -a. K51.00:
Ulcerative pancolitis without complications. M81.8:Other
osteoporosis without current pathological fracture. T38.0X5A:
Adverse effects of glucocorticoids and synthetic analogues,
initial encounter. Z79.52:Long term (current) use of systemic
steroids
**The ulcerative colitis and osteoporosis should be coded as well
as the adverse effect and long term use of
the steroid (HHS 2017,
Section I.C.19.e, 74).
