1
CCS Practice Exam Questions and
Correct Detailed Answers (Verified
Answers)
Q: 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
Master01 | 2025/2026 | Latest update
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24670Closed treatment of ulnar fracture, proximal end (eg,
olecranon or coronoid process(es) ); without manipulation
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.)
Q: 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
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, 3
58670Laparoscopy, surgical; with fulguration of oviducts (with or
without transection)
58671Laparoscopy, surgical; with occlusion of oviducts by device
(eg, band, clip, or Falope ring)
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).
Q: 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
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, 4
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
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
Master01 | 2025/2026 | Latest update
CCS Practice Exam Questions and
Correct Detailed Answers (Verified
Answers)
Q: 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
Master01 | 2025/2026 | Latest update
, 2
24670Closed treatment of ulnar fracture, proximal end (eg,
olecranon or coronoid process(es) ); without manipulation
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.)
Q: 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
Master01 | 2025/2026 | Latest update
, 3
58670Laparoscopy, surgical; with fulguration of oviducts (with or
without transection)
58671Laparoscopy, surgical; with occlusion of oviducts by device
(eg, band, clip, or Falope ring)
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).
Q: 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
Master01 | 2025/2026 | Latest update
, 4
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
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
Master01 | 2025/2026 | Latest update
