CCS PRACTICE EXAM Question with
100% verified Answers Latest Versions
2025 TOP RATED A+
The patient has posterior subcapsular, mature, incipient, senile cataract right
eye, diabetes mellitus, hypertension, acute renal failure. The hypertension
and diabetes are not related to the renal failure as it is acute and not
chronic. Because of this, no combination code is assigned for hypertension,
diabetes and chronic renal failure. However, the diabetes and cataract are
related conditions which are coded using a combination code. The
classification presumes a relationship between diabetes and cataracts (CMS
2020a, Sections I.A.15, 12-13 and I.B.9., 15; AHA Coding Clinic 2016 2nd
Quarter, 36-37; AHA Coding Clinic 2019 2nd Quarter, 30).
145
Correct0
Wrong1
Unanswered45
Current Procedural Terminology (CPT) defines a separate procedure as which
of the following?
,a. Procedure considered an integral part of a more major service
b. Provision of anesthesia
c. Procedure that requires an add-on code
d. A surgical procedure performed in conjunction with an E&M visit - Correct
answer: A
When a procedure is designated as a separate procedure in the CPT code
book and it is performed in conjunction with another service, it is considered
an integral part of the major service. The CPT code description includes
"separate procedure." The intention is not to provide payment for a
procedure that is already integral to any given procedure (Smith 2020, 68-
69; AMA CPT Professional Edition 2020, 72-73).
Documentation from the nursing or other allied health professionals' notes
can be used to provide specificity for code assignment for which of the
following diagnoses?
a. Body mass index (BMI)
b. Malnutrition
c. Aspiration pneumonia
d. Fatigue - Correct answer: A
,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) (CMS
2020a, Section I.B.14, 17-18).
A laparoscopic cholecystectomy was performed. What is the correct ICD-10-
PCS code?
0FB40ZZExcision of gallbladder, open approach
0FB44ZZExcision of gallbladder, percutaneous endoscopic approach
0FT40ZZResection of gallbladder, open approach
0FT44ZZResection of gallbladder, percutaneous endoscopic approach
a. 0FB40ZZ
b. 0FT40ZZ
c. 0FT44ZZ
d. 0FB44ZZ - Correct answer: C
A cholecystectomy includes complete removal of the gallbladder; therefore,
the correct root operation is Resection. Since the procedure is specified as a
laparoscopic cholecystectomy, the approach is percutaneous endoscopic
(Leon-Chisen 2020, 247-248).
, Carcinoma of multiple overlapping sites of the bladder. Diagnostic
cystoscopy and transurethral fulguration of bladder lesions over the dome
and posterior wall (1.9 cm.) was completed. A biopsy was taken of a lesion in
the lateral wall. What modifier should be added to the biopsy procedure
code?
a. -50, Bilateral procedure
b. -51, Multiple procedures
c. -59, Distinct procedural service
d. -99, Multiple modifiers - Correct answer: C
The surgery is done on two distinct areas within the bladder with two
distinct approaches. The biopsy is not of the area that was resected and
warrants the use of -59 (CPT Assistant Sept. 2001; CPT Professional Edition
2020, Appendix A).
A bronchoscopy with multiple biopsies of the left bronchus was completed
and revealed adenocarcinoma. What, if any, modifier should be added to the
procedure code billed by the facility?
100% verified Answers Latest Versions
2025 TOP RATED A+
The patient has posterior subcapsular, mature, incipient, senile cataract right
eye, diabetes mellitus, hypertension, acute renal failure. The hypertension
and diabetes are not related to the renal failure as it is acute and not
chronic. Because of this, no combination code is assigned for hypertension,
diabetes and chronic renal failure. However, the diabetes and cataract are
related conditions which are coded using a combination code. The
classification presumes a relationship between diabetes and cataracts (CMS
2020a, Sections I.A.15, 12-13 and I.B.9., 15; AHA Coding Clinic 2016 2nd
Quarter, 36-37; AHA Coding Clinic 2019 2nd Quarter, 30).
145
Correct0
Wrong1
Unanswered45
Current Procedural Terminology (CPT) defines a separate procedure as which
of the following?
,a. Procedure considered an integral part of a more major service
b. Provision of anesthesia
c. Procedure that requires an add-on code
d. A surgical procedure performed in conjunction with an E&M visit - Correct
answer: A
When a procedure is designated as a separate procedure in the CPT code
book and it is performed in conjunction with another service, it is considered
an integral part of the major service. The CPT code description includes
"separate procedure." The intention is not to provide payment for a
procedure that is already integral to any given procedure (Smith 2020, 68-
69; AMA CPT Professional Edition 2020, 72-73).
Documentation from the nursing or other allied health professionals' notes
can be used to provide specificity for code assignment for which of the
following diagnoses?
a. Body mass index (BMI)
b. Malnutrition
c. Aspiration pneumonia
d. Fatigue - Correct answer: A
,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) (CMS
2020a, Section I.B.14, 17-18).
A laparoscopic cholecystectomy was performed. What is the correct ICD-10-
PCS code?
0FB40ZZExcision of gallbladder, open approach
0FB44ZZExcision of gallbladder, percutaneous endoscopic approach
0FT40ZZResection of gallbladder, open approach
0FT44ZZResection of gallbladder, percutaneous endoscopic approach
a. 0FB40ZZ
b. 0FT40ZZ
c. 0FT44ZZ
d. 0FB44ZZ - Correct answer: C
A cholecystectomy includes complete removal of the gallbladder; therefore,
the correct root operation is Resection. Since the procedure is specified as a
laparoscopic cholecystectomy, the approach is percutaneous endoscopic
(Leon-Chisen 2020, 247-248).
, Carcinoma of multiple overlapping sites of the bladder. Diagnostic
cystoscopy and transurethral fulguration of bladder lesions over the dome
and posterior wall (1.9 cm.) was completed. A biopsy was taken of a lesion in
the lateral wall. What modifier should be added to the biopsy procedure
code?
a. -50, Bilateral procedure
b. -51, Multiple procedures
c. -59, Distinct procedural service
d. -99, Multiple modifiers - Correct answer: C
The surgery is done on two distinct areas within the bladder with two
distinct approaches. The biopsy is not of the area that was resected and
warrants the use of -59 (CPT Assistant Sept. 2001; CPT Professional Edition
2020, Appendix A).
A bronchoscopy with multiple biopsies of the left bronchus was completed
and revealed adenocarcinoma. What, if any, modifier should be added to the
procedure code billed by the facility?
