CCS Exam 2 questions and correct answers A+
rated
1. Assign code(s) for the following diagnosis:
Con- gestive heart failure due to Correct Answer: D
hypertension. I10Essential (primary) Heart failure is assigned a
hypertension I11.0Hypertensive heart combi- nation code when a
disease with heart fail- ure
causal relation- ship is stated
I50.9Heart failure, unspecified
I50.23Acute on chronic systolic (congestive) (due to hypertension) or
heart failure implied (hypertensive). Use
an additional code to identify
a. I10, I50.9 the type of heart failure in
b. I11.0 those patients with heart
c. I50.23, I10 failure (CMS 2020a, Sec- tion
d. I11.0, I50.9 I.C.9.a.1, 46-47).
2. A patient is seen for evaluation of a right
orbital roof fracture. How should this be
coded?
Correct Answer: A
Alphabetic Index for fracture,
trau-
S02.121AFracture of orbital roof, right side, initial matic; orbit, orbital; roof
guides
encounter for closed fracture the coder to S02.12.
S02.31XAFracture of orbital floor, right side, Evaluation of a fracture is an
ini- tial encounter for closed fracture
example of active treatment
which is reported with
S02.92XAUnspecified fracture of facial bones, ini- 7th character "A"
(Schrattenberger
tial encounter for closed fracture b. S02.31XA
S02.91XAUnspecified fracture of skull, initial
en- counter for closed fracture c. S02.92XA
d. S02.91XA
a. S02.121A
3. Patient presents in
,CCS Exam 2 questions and correct answers A+
rated
the ER with thrombosis of a loop PTFE and Palkie 2020, 580-584).
hemodialysis fistula without mechan-
Correct Answer: B
This episode of care occurs in
the
,CCS Exam 2 questions and correct answers A+
rated
ical complications. The physician performed a ER which is an outpatient set-
percutaneous thrombectomy of the left brachial ting, therefore, a CPT code
should
vein. Assign a facility code for this outpatient be used. CPT code 36904
procedure. cor- rectly identifies the
05CA3ZZExtirpation of matter from left
brachial vein, percutaneous approach thrombecto- my procedure
36904Percutaneous transluminal because it speci- fies the
mechanical site of the thrombecto- my
as "dialysis circuit." 36904
in-
thrombectomy and/or infusion for thrombolysis, cludes imaging guidance,
diag-
dialysis circuit, any method, including all nostic angiography, catheter
imag- ing and radiological supervision and place- ment, and
interpreta- tion, diagnostic angiography,
fluoroscopic guid- ance, catheter intraprocedural pharma-
placement(s), and intraprocedur- al cological thrombolytic
pharmacological thrombolytic injection(s) injections" (Kirchott 2009,
36832Revision, open, arteriovenous fistula;
with- out thrombectomy, autogenous or 203).
nonautoge- nous dialysis graft (separate
procedure) 37184Primary percutaneous
transluminal me- chanical thrombectomy,
noncoronary, arterial or arterial bypass
graft, including fluoroscopic guidance and
intraprocedural pharmacological
thrombolytic injection(s); initial vessel
a. 05CA3ZZ
b. 36904
c. 37184
d. 36832
4. Patient admitted for laparoscopic repair of
right diaphragmatic hernia. Assign the ICD-
10-PCS procedure code for this surgery.
, CCS Exam 2 questions and correct answers A+
rated
Correct Answer: A
ICD-10-PCS code 0BQT4ZZ is the correct code based on the values
0BQT4ZZRepair diaphragm, percutaneous endo- for the body part and
approach.
scopic approach The correct body part is
diaphragm
rated
1. Assign code(s) for the following diagnosis:
Con- gestive heart failure due to Correct Answer: D
hypertension. I10Essential (primary) Heart failure is assigned a
hypertension I11.0Hypertensive heart combi- nation code when a
disease with heart fail- ure
causal relation- ship is stated
I50.9Heart failure, unspecified
I50.23Acute on chronic systolic (congestive) (due to hypertension) or
heart failure implied (hypertensive). Use
an additional code to identify
a. I10, I50.9 the type of heart failure in
b. I11.0 those patients with heart
c. I50.23, I10 failure (CMS 2020a, Sec- tion
d. I11.0, I50.9 I.C.9.a.1, 46-47).
2. A patient is seen for evaluation of a right
orbital roof fracture. How should this be
coded?
Correct Answer: A
Alphabetic Index for fracture,
trau-
S02.121AFracture of orbital roof, right side, initial matic; orbit, orbital; roof
guides
encounter for closed fracture the coder to S02.12.
S02.31XAFracture of orbital floor, right side, Evaluation of a fracture is an
ini- tial encounter for closed fracture
example of active treatment
which is reported with
S02.92XAUnspecified fracture of facial bones, ini- 7th character "A"
(Schrattenberger
tial encounter for closed fracture b. S02.31XA
S02.91XAUnspecified fracture of skull, initial
en- counter for closed fracture c. S02.92XA
d. S02.91XA
a. S02.121A
3. Patient presents in
,CCS Exam 2 questions and correct answers A+
rated
the ER with thrombosis of a loop PTFE and Palkie 2020, 580-584).
hemodialysis fistula without mechan-
Correct Answer: B
This episode of care occurs in
the
,CCS Exam 2 questions and correct answers A+
rated
ical complications. The physician performed a ER which is an outpatient set-
percutaneous thrombectomy of the left brachial ting, therefore, a CPT code
should
vein. Assign a facility code for this outpatient be used. CPT code 36904
procedure. cor- rectly identifies the
05CA3ZZExtirpation of matter from left
brachial vein, percutaneous approach thrombecto- my procedure
36904Percutaneous transluminal because it speci- fies the
mechanical site of the thrombecto- my
as "dialysis circuit." 36904
in-
thrombectomy and/or infusion for thrombolysis, cludes imaging guidance,
diag-
dialysis circuit, any method, including all nostic angiography, catheter
imag- ing and radiological supervision and place- ment, and
interpreta- tion, diagnostic angiography,
fluoroscopic guid- ance, catheter intraprocedural pharma-
placement(s), and intraprocedur- al cological thrombolytic
pharmacological thrombolytic injection(s) injections" (Kirchott 2009,
36832Revision, open, arteriovenous fistula;
with- out thrombectomy, autogenous or 203).
nonautoge- nous dialysis graft (separate
procedure) 37184Primary percutaneous
transluminal me- chanical thrombectomy,
noncoronary, arterial or arterial bypass
graft, including fluoroscopic guidance and
intraprocedural pharmacological
thrombolytic injection(s); initial vessel
a. 05CA3ZZ
b. 36904
c. 37184
d. 36832
4. Patient admitted for laparoscopic repair of
right diaphragmatic hernia. Assign the ICD-
10-PCS procedure code for this surgery.
, CCS Exam 2 questions and correct answers A+
rated
Correct Answer: A
ICD-10-PCS code 0BQT4ZZ is the correct code based on the values
0BQT4ZZRepair diaphragm, percutaneous endo- for the body part and
approach.
scopic approach The correct body part is
diaphragm
