2024/2025 Ccs Exam | Certified Coding Specialist Exam | |Latest Versions And Practice Questions And Correct Detailed Answers With Rationales | Already Graded A+

2024/2025 CCS EXAM | CERTIFIED CODING ll ll ll ll ll



SPECIALIST EXAM | |LATEST VERSIONS AND
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ll PRACTICE QUESTIONS AND CORRECT DETAILED ll ll ll ll



ll ANSWERS with rationales | ALREADY GRADED A+ ll ll ll ll ll ll




A 55-year-old client has hypertensive heart disease with congestive heart
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ll failure. Whatcode would be assigned?
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a. I15.8, llOther llsecondary llhypertension

b. I11.0, llHypertensive llheart lldisease llwith llheart llfailure lland llI50.9,

ll Heart failure,unspecified ll l




c. I50.9, llHeart llfailure, llunspecified lland llI15.0, llRenovascular llhypertension

d. N18.6, llEnd llstage llrenal lldisease ll

RIGHT ANS :->> b. I11.0, Hypertensive heart diseasewith heart
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ll failure and I50.9, Heart failure, unspecified
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Rationale :->> There is a cause and effect relationship established
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ll between the hypertension and the congestive heart failure. A separate
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ll code for the congestive heart failure is assignedbased on the "code also"
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ll note (HHS 2017, Section I.C.9.a., 40).
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A surgeon would like to undertake a research study on his clients with
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ll stage II malignant melanoma of the back, who have undergone wide
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excision of the melanoma.What work processes and associated software
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ll could be used to provide this information?
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a. Obtain lla llsummary llof llthe llcases llfrom llthe llcancer llregistry,

ll import them into aspreadsheet, and provide to the surgeon.
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b. Obtain lla llsummary llof llthe llcases llfrom llthe llchart llcompletion llsoftware,

,ll import them intoa spreadsheet, and provide to the surgeon.
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c. Obtain lla llsummary llof llthe llcases llfrom llthe llmaster llclient llindex,

import them into aspreadsheet, and provide to the surgeon.
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d. Obtain lla llsummary llof llthe llcases llfrom llthe lltranscription lltracking

ll software, import them into a spreadsheet, and provide to the surgeon.
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RIGHT ANS:->> a. Obtain a summary ofthe cases from the cancer
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ll registry, import them into a spreadsheet, and provide to the surgeon.
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Rationale:->>The cancer registry can be used to undertake studies in ll ll ll ll ll ll ll ll ll




addition to reporting cases toa central registry (Sharp and Madlock-
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Brown 2016, 173). ll ll




A facility located near a national park has a significant number of
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ll snake bites, and clients receive treatment with antivenom in urgent-
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care settings. Sometimes a clientis admitted to the hospital after several
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ll days. Can the urgent-care setting provide the hospital with a list of
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ll names of clients treated with snake antivenom?
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a. Only llthe llnames llof llclients llwho llare lladmitted llto llthe llhospital llcan llbe

ll requested if the physician needs it for continuity of care, but an entire
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ll list of clients cannot be provided.
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b. A lllist llof llnames llcould llbe llprovided.

c. No llinformation llcan llbe llobtained llunder llany llcircumstances.

d. A lllist llof llclients llmay llbe llavailable llafter llconsultation llwith llthe

ll national park ranger. ll ll ll




RIGHT ANS :->> a. Only the names of clients who are admitted to
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, the hospital can berequested if the physician needs it for continuity of
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ll care, but an entire list of clients cannot be provided.
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Rationale:->>Only records that are required for care or authorized by ll ll ll ll ll ll ll ll ll




ll the client can be released by the urgent-care facility to the acute-care
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ll facility (Brodnik 2012, 225; Rinehart-Thompson2016b, 243-247).
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What diagnoses and procedures should be reported for recurrent left
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inguinal herniawith laparoscopic repair?
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K40.30 Unilateral inguinal hernia, with obstruction, without gangrene, not
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specified asrecurrent
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K40.31 Unilateral inguinal hernia, with obstruction, without gangrene,
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recurrent
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K40.91 Unilateral inguinal hernia, without mention of obstruction or
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ll gangrene, recurrent49520 Repair recurrent inguinal hernia, any age;
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ll reducible
49521 Repair recurrent inguinal hernia, any age; incarcerated or
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strangulated49651 Laparoscopy, surgical; repair recurrent inguinal
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ll hernia


a. K40.91, 49520
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b. K40.31, 49521
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c. K40.91, 49651
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d. K40.30, 49520
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RIGHT ANS:->> c. K40.91:Unilateral inguinal hernia, without mentionof
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ll obstruction or gangrene, recurrent 49651:Laparoscopy, surgical; repair
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recurrent inguinal hernia
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, Rationale:->>The client has a recurrent hernia without obstruction and ll ll ll ll ll ll ll ll




ll this is captured in diagnosiscode K40.91 (Leon-Chisen 2017, 253; CPT
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Assistant Nov. 1999, 24; March 2000, 9).
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.In order to accurately code a cardiac catheterization, what needs to be
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determinedbased on a review of the documentation?
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a. The llapproach lland llthe llside llof llthe llheart ll(chambers) llinto llwhich

ll the catheter wasinserted
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b. The llapproach, llthe llside llof llthe llheart ll(chambers) llinto llwhich llthe

ll catheter was inserted,as well as any additional procedures performed
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c. The llduration llof llthe llprocedure

d. If llthere llis lldocumentation llof llthe llprocedure llin llthe llmedical llrecord

ll that stents are considered
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RIGHT ANS:->> b. The approach, the side of the heart (chambers)
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intowhich the catheter was inserted, as well as any additional
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procedures performed
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A condition is present on admission when:
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a. It llis llthe llprincipal lldiagnosis

b. It llis llaccordance llwith llmedical llstaff llbylaws

c. A llcondition llthat lloccurs llprior llto llan llinclient lladmission

d. It llis llpresent llwithin ll3 lldays llafter lladmission ll

RIGHT ANS:->> c. A condition that occursprior to an inclient
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ll admission


Rationale :->>It is important to understand the time frame for assigning
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