Certified Coding Specialist (CCS) Exam
Preparation correctly answered already passed
1. Diagnostic-related groups (DRGs) and ambulatory d. Prospective
payment sys-
patient classifications (APCs) are similar in that they tems
are both:
a. Determined by HCPCS codes including flu-
b. Focused on hospital outpatients oroscopic
c. Focused on hospital inpatients guidance, when
d. Prospective payment systems performed; with
trans- bronchial
2. A patient is treated for esophageal varices lung biopsy(s),
with hemorrhage due to cirrhosis. The single lobe
diagnostic codes that would be assigned 31629
are: Bronchoscopy,
rigid or flexible,
I85.01 Esophageal varices with bleeding
including flu-
I85.11 Secondary esophageal varices with
oroscopic
bleed- ing
guidance, when
K74.60 Unspecified cirrhosis of liver
performed; with
trans- bronchial
needle
aspiration
biopsy(s),
trachea,
3. Assign the code(s) for bronchoscopy with
bilateral transbronchial biopsy for each
lobe of each lung.
31628 Bronchoscopy, rigid or flexible,
,Certified Coding Specialist (CCS) Exam
Preparation correctly answered already passed
** Both are types of prospec- tive payment systems (Casto and
Forrestal 2015, 6).
d. K74.60, I85.11
K74.60: Unspecified cirrhosis of liver
I85.11:Secondary esophageal varices with bleeding
**The patient has cirrhosis of the liver with resulting bleeding
esophageal varices. Cirrhosis of liver is sequenced first followed by the
code for the bleeding esophageal varices (HHS 2017, Section I.A.13,
11).
,Certified Coding Specialist (CCS) Exam
Preparation correctly answered already passed
main stem and/or lobar bronchus(i)
31632 Bronchoscopy, rigid or flexible,
including flu- oroscopic guidance, when
performed; with trans- bronchial lung
biopsy(s), each additional lobe
−50 Bilateral procedure
4. Assign the code(s) for endoscopic sinusotomy with b. 31254-50
bilateral anterior ethmoidectomy.
31231 Nasal endoscopy, diagnostic, 6. An
unilateral or bilateral (separate procedure) ethmoidectomy
31254 Nasal/sinus endoscopy, surgical; with removes
eth- moidectomy, partial (anterior) infected tissue
−50 Bilateral procedurea. and bone in
a. 31254 the ethmoid
b. 31254-50 sinuses that
c. 31254, 31254 blocks natural
d. 31231
5. The most common language used for
both data definition language and data
manipulation lan- guage is:
a. Unified modeling language
b. JAVA
c. Perl
d. Structured query language
, Certified Coding Specialist (CCS) Exam
Preparation correctly answered already passed
31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial
(anterior)
−50 Bilateral procedurea.
** A code for the anterior eth- moidectomy is assigned and to denote
the bilateral procedure, a modifier of -50 is added (CPT Assistant
Winter 1993, 23; Jan.
1997, 4; Sept. 1997, 10; Oct.
1997, 5; Dec. 2001, 6; May 2003,
5). The sinusotomy is not coded separately, as it is a diagnostic
procedure.
d. Structured query language
** Structured query language (SQL) is used commonly for data
language and data definitions (Sharp 2016, 184).
Preparation correctly answered already passed
1. Diagnostic-related groups (DRGs) and ambulatory d. Prospective
payment sys-
patient classifications (APCs) are similar in that they tems
are both:
a. Determined by HCPCS codes including flu-
b. Focused on hospital outpatients oroscopic
c. Focused on hospital inpatients guidance, when
d. Prospective payment systems performed; with
trans- bronchial
2. A patient is treated for esophageal varices lung biopsy(s),
with hemorrhage due to cirrhosis. The single lobe
diagnostic codes that would be assigned 31629
are: Bronchoscopy,
rigid or flexible,
I85.01 Esophageal varices with bleeding
including flu-
I85.11 Secondary esophageal varices with
oroscopic
bleed- ing
guidance, when
K74.60 Unspecified cirrhosis of liver
performed; with
trans- bronchial
needle
aspiration
biopsy(s),
trachea,
3. Assign the code(s) for bronchoscopy with
bilateral transbronchial biopsy for each
lobe of each lung.
31628 Bronchoscopy, rigid or flexible,
,Certified Coding Specialist (CCS) Exam
Preparation correctly answered already passed
** Both are types of prospec- tive payment systems (Casto and
Forrestal 2015, 6).
d. K74.60, I85.11
K74.60: Unspecified cirrhosis of liver
I85.11:Secondary esophageal varices with bleeding
**The patient has cirrhosis of the liver with resulting bleeding
esophageal varices. Cirrhosis of liver is sequenced first followed by the
code for the bleeding esophageal varices (HHS 2017, Section I.A.13,
11).
,Certified Coding Specialist (CCS) Exam
Preparation correctly answered already passed
main stem and/or lobar bronchus(i)
31632 Bronchoscopy, rigid or flexible,
including flu- oroscopic guidance, when
performed; with trans- bronchial lung
biopsy(s), each additional lobe
−50 Bilateral procedure
4. Assign the code(s) for endoscopic sinusotomy with b. 31254-50
bilateral anterior ethmoidectomy.
31231 Nasal endoscopy, diagnostic, 6. An
unilateral or bilateral (separate procedure) ethmoidectomy
31254 Nasal/sinus endoscopy, surgical; with removes
eth- moidectomy, partial (anterior) infected tissue
−50 Bilateral procedurea. and bone in
a. 31254 the ethmoid
b. 31254-50 sinuses that
c. 31254, 31254 blocks natural
d. 31231
5. The most common language used for
both data definition language and data
manipulation lan- guage is:
a. Unified modeling language
b. JAVA
c. Perl
d. Structured query language
, Certified Coding Specialist (CCS) Exam
Preparation correctly answered already passed
31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial
(anterior)
−50 Bilateral procedurea.
** A code for the anterior eth- moidectomy is assigned and to denote
the bilateral procedure, a modifier of -50 is added (CPT Assistant
Winter 1993, 23; Jan.
1997, 4; Sept. 1997, 10; Oct.
1997, 5; Dec. 2001, 6; May 2003,
5). The sinusotomy is not coded separately, as it is a diagnostic
procedure.
d. Structured query language
** Structured query language (SQL) is used commonly for data
language and data definitions (Sharp 2016, 184).
