2024/25 EXAM 2 CCS |2024 ACTUAL EXAM QUESTIONS AND VERIFIED ANSWERS /GET IT 100% ACCURATE|ALREADY GRADED A+

2024/25 EXAM 2 CCS |2024 ACTUAL EXAM QUESTIONS AND VERIFIED ANSWERS /GET IT 100% ACCURATE|ALREADY GRADED A+ Practice questions for this set Terms in this set (86) Learn Studied 7 terms Nice work, you're crushing it Continue studying in Learn 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 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). 12/13/24, 8:58 AM 2024/25 EXAM 2 CCS |2024 ACTUAL EXAM QUESTIONS AND VERIFIED ANSWERS /GET IT 100% ACCURATE|ALREADY GR… 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 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). 12/13/24, 8:58 AM 2024/25 EXAM 2 CCS |2024 ACTUAL EXAM QUESTIONS AND VERIFIED ANSWERS /GET IT 100% ACCURATE|ALREADY GR… 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 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). 12/13/24, 8:58 AM 2024/25 EXAM 2 CCS |2024 ACTUAL EXAM QUESTIONS AND VERIFIED ANSWERS /GET IT 100% ACCURATE|ALREADY GR… 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 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). 12/13/24, 8:58 AM 2024/25 EXAM 2 CCS |2024 ACTUAL EXAM QUESTIONS AND VERIFIED ANSWERS /GET IT 100% ACCURATE|ALREADY GR… 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 c. O03.6, Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion d. O07.1, Delayed or excessive hemorrhage following failed attempted termination of pregnancy Correct Answer: A A miscarriage is a spontaneous abortion. If the readmission is for the purpose of dealing with retained products of conception, the spontaneous abortion is incomplete; use a code from the O03 category (CMS 2020a, Section I.C.15.q., 68). 12/13/24, 8:58 AM 2024/25 EXAM 2 CCS |2024 ACTUAL EXAM QUESTIONS AND VERIFIED ANSWERS /GET IT 100% ACCURATE|ALREADY GR… A patient presents to the emergency department with a fractured arm secondary to a fall precipitated by syncope and ataxia. The patient undergoes a closed reduction of the fracture in the emergency department and is then admitted for work up for metastatic carcinoma secondary to ataxia and syncope in a patient with recent history of lung cancer. The patient's work- up confirms recurrent lung carcinoma metastatic to the brain.The principal diagnosis should be: a. Fractured arm b. Syncope c. Metastatic carcinoma of the brain d. Carcinoma of the lung Correct Answer: C According to the UHDDS definition, the principal diagnosis is "that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care." In this case, metastatic carcinoma of the brain is responsible for the patient's ataxia and syncope, which led to the fall (CMS 2020a, Section II, 107). A female patient with hematochezia presents to the hospital outpatient surgery department for a colonoscopy but the procedure was not performed due to elevated blood pressure. What is the firstlisted diagnosis for this encounter? a. Elevated blood pressure b. Hematochezia c. Procedure not performed due to contraindication d. Procedure not performed for other reason Correct Answer: B When a patient presents for outpatient surgery, code the reason for the surgery as the firstlisted diagnosis (reason for the encounter) even if the surgery is not performed due to a contraindication (CMS 2020a, Section IV.A.1., 113).