Certified Coding Specialist Practice Exam -
Questions With Efficient Solutions
Aidan is a 3 yr. old male who swallowed Drano crystals. He presents to the ED
with vomiting and decreased level of consciousness. He is examined by Dr.
Harris whose final diagnoses include second degree burns of mouth and
throat, vomiting and altered level of consciousness secondary to ingestion of
Drano. Aidan's diagnoses are coded as _________________. Correct Answer -
A corrosion and a toxic effect
Which of the following diagnoses is considered an MCC? Correct Answer
- Cerebral infarction due to unspecified occlusion or stenosis of unspecified
carotid artery
Lana comes to the endoscopy suite for a colonoscopy secondary to bleeding
from rectum. A suspicious lesion is found in the sigmoid colon and biopsied.
The post op diagnosis on the endoscopy report is "Lesion of large intestine,
rule carcinoma". The pathological analysis of the biopsy specimen identifies
the lesion as ulcerative colitis. Which of the following conditions would be
coded as the primary diagnosis for Lana's colonoscopy? Correct Answer -
Ulcerative colitis
Kameron has oropharyngeal phase dysphagia secondary to a previous
cerebrovascular accident which has resulted in him becoming dehydrated. He
is admitted to ABC Hospital for rehydration. What is the correct ICD-10-CM
code assignment for this admission? Correct Answer - E86.0, I69.391,
R13.12
Sherman had posterior spinal fusion of L3-L5 performed via posterior
approach. Fusion was an interspace. What is the correct CPT code assignment
and sequencing for this procedure? Correct Answer - 22612, 22614,
22853, 22853, 20930
Marshall, who is terminally ill and has been under hospice care at home is
transferred to ABC Hospital for palliative care. Based on the table, what point
, of origin code will be assigned for Marshall's admission to the hospital?
Correct Answer - F
Penny has stones in her left kidney with accompanying hydronephrosis. Dr.
Qadir treats Penny with lithotripsy via left ureteroscopy. Once the stones are
fragmented. Dr. Qadir removes the fragments with a stone basket and inserts
a double J stent in the left ureter. What is the correct CPT code assignment for
this procedure? Correct Answer - 52352-LT, 52356-LT
Which of the following diagnoses is not considered a CC or MCC? Correct
Answer - Coalworker's pneumoconiosis (black lung disease)
Which of the following are always considered exempt from present on
admission reporting? Correct Answer - Congenital conditions
Candace suffered a laceration on her eft leg when she fell from her bicycle into
gravel that contained broken glass. Her mother took her to ABC Hospital's
instant care where Dr. Galu removed gravel and glass from the wound,
irrigated the wound extensively with antibiotic solution and then repaired the
laceration by single-layer suture of the dermis and epidermis. Based on CPT
Integumentary System guidelines for "Repair" which of the following should
be reported for treatment of Cadence's laceration? Correct Answer -
Intermediate repair
Anthony is coding a lumbar epidural steroid injection performed under
uroscopy. When he enters his codes, the encoder gives him the following
information. Based on the information from the encoder which of the
following is the correct coding for this procedure? Correct Answer -
62323
Which of the following is true about selection the principal ICD-10-PCS
procedure code? Correct Answer - The principal ICD-10-PCS procedure
code is the one most closely related to the principal diagnosis
Samuel is admitted to the hospital with chest pain and shortness of breath.
After extensive work-up the attending physician's final diagnostic statement
is: Chest pain and shortness of breath; suspect congestive heart failure or
ischemic cardiomyopathy. If all work-up and treatment for the suspected
conditions are equal, what is the appropriate coding action? Correct
Questions With Efficient Solutions
Aidan is a 3 yr. old male who swallowed Drano crystals. He presents to the ED
with vomiting and decreased level of consciousness. He is examined by Dr.
Harris whose final diagnoses include second degree burns of mouth and
throat, vomiting and altered level of consciousness secondary to ingestion of
Drano. Aidan's diagnoses are coded as _________________. Correct Answer -
A corrosion and a toxic effect
Which of the following diagnoses is considered an MCC? Correct Answer
- Cerebral infarction due to unspecified occlusion or stenosis of unspecified
carotid artery
Lana comes to the endoscopy suite for a colonoscopy secondary to bleeding
from rectum. A suspicious lesion is found in the sigmoid colon and biopsied.
The post op diagnosis on the endoscopy report is "Lesion of large intestine,
rule carcinoma". The pathological analysis of the biopsy specimen identifies
the lesion as ulcerative colitis. Which of the following conditions would be
coded as the primary diagnosis for Lana's colonoscopy? Correct Answer -
Ulcerative colitis
Kameron has oropharyngeal phase dysphagia secondary to a previous
cerebrovascular accident which has resulted in him becoming dehydrated. He
is admitted to ABC Hospital for rehydration. What is the correct ICD-10-CM
code assignment for this admission? Correct Answer - E86.0, I69.391,
R13.12
Sherman had posterior spinal fusion of L3-L5 performed via posterior
approach. Fusion was an interspace. What is the correct CPT code assignment
and sequencing for this procedure? Correct Answer - 22612, 22614,
22853, 22853, 20930
Marshall, who is terminally ill and has been under hospice care at home is
transferred to ABC Hospital for palliative care. Based on the table, what point
, of origin code will be assigned for Marshall's admission to the hospital?
Correct Answer - F
Penny has stones in her left kidney with accompanying hydronephrosis. Dr.
Qadir treats Penny with lithotripsy via left ureteroscopy. Once the stones are
fragmented. Dr. Qadir removes the fragments with a stone basket and inserts
a double J stent in the left ureter. What is the correct CPT code assignment for
this procedure? Correct Answer - 52352-LT, 52356-LT
Which of the following diagnoses is not considered a CC or MCC? Correct
Answer - Coalworker's pneumoconiosis (black lung disease)
Which of the following are always considered exempt from present on
admission reporting? Correct Answer - Congenital conditions
Candace suffered a laceration on her eft leg when she fell from her bicycle into
gravel that contained broken glass. Her mother took her to ABC Hospital's
instant care where Dr. Galu removed gravel and glass from the wound,
irrigated the wound extensively with antibiotic solution and then repaired the
laceration by single-layer suture of the dermis and epidermis. Based on CPT
Integumentary System guidelines for "Repair" which of the following should
be reported for treatment of Cadence's laceration? Correct Answer -
Intermediate repair
Anthony is coding a lumbar epidural steroid injection performed under
uroscopy. When he enters his codes, the encoder gives him the following
information. Based on the information from the encoder which of the
following is the correct coding for this procedure? Correct Answer -
62323
Which of the following is true about selection the principal ICD-10-PCS
procedure code? Correct Answer - The principal ICD-10-PCS procedure
code is the one most closely related to the principal diagnosis
Samuel is admitted to the hospital with chest pain and shortness of breath.
After extensive work-up the attending physician's final diagnostic statement
is: Chest pain and shortness of breath; suspect congestive heart failure or
ischemic cardiomyopathy. If all work-up and treatment for the suspected
conditions are equal, what is the appropriate coding action? Correct
