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 i# i# i# i# i#



SPECIALIST EXAM | |LATEST VERSIONS AND
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i# PRACTICE QUESTIONS AND CORRECT DETAILED i# i# i# i#



i# ANSWERS with rationales | ALREADY GRADED A+ i# i# i# i# i# i#




A 55-year-old client has hypertensive heart disease with congestive
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heart failure. Whatcode would be assigned?
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a. I15.8, i#Other i#secondary i#hypertension

b. I11.0, i#Hypertensive i#heart i#disease i#with i#heart i#failure i#and

I50.9, Heart failure,unspecified
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c. I50.9, i#Heart i#failure, i#unspecified i#and i#I15.0, i#Renovascular i#hypertension

d. N18.6, i#End i#stage i#renal i#disease i#

RIGHT ANS :->> b. I11.0, Hypertensive heart diseasewith heart
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i# failure and I50.9, Heart failure, unspecified
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Rationale :->> There is a cause and effect relationship established
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i# between the hypertension and the congestive heart failure. A separate
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i# code for the congestive heart failure is assignedbased on the "code
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i# also" 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
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i# with stage II malignant melanoma of the back, who have undergone
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wide excision of the melanoma.What work processes and associated
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i# software could be used to provide this information?
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a. Obtain i#a i#summary i#of i#the i#cases i#from i#the i#cancer i#registry,

i# import them into aspreadsheet, and provide to the surgeon.
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b. Obtain i#a i#summary i#of i#the i#cases i#from i#the i#chart i#completion i#software,

,i# import them intoa spreadsheet, and provide to the surgeon.
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c. Obtain i#a i#summary i#of i#the i#cases i#from i#the i#master i#client i#index,

import them into aspreadsheet, and provide to the surgeon.
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d. Obtain i#a i#summary i#of i#the i#cases i#from i#the i#transcription i#tracking

i# software, import them into a spreadsheet, and provide to the
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i# surgeon. i#




RIGHT ANS:->> a. Obtain a summary ofthe cases from the cancer
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i# registry, import them into a spreadsheet, and provide to the
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i# surgeon.


Rationale:->>The cancer registry can be used to undertake studies in
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addition to reporting cases toa central registry (Sharp and Madlock-
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Brown 2016, 173). i# i#




A facility located near a national park has a significant number of
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i# snake bites, and clients receive treatment with antivenom in urgent-
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care settings. Sometimes a clientis admitted to the hospital after
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i# several days. Can the urgent-care setting provide the hospital with
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i# a list of names of clients treated with snake antivenom?
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a. Only i#the i#names i#of i#clients i#who i#are i#admitted i#to i#the i#hospital i#can i#be

i# requested if the physician needs it for continuity of care, but an
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entire list of clients cannot be provided.
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b. A i#list i#of i#names i#could i#be i#provided.

c. No i#information i#can i#be i#obtained i#under i#any i#circumstances.

d. A i#list i#of i#clients i#may i#be i#available i#after i#consultation i#with i#the

i# national park ranger. i# i# i#

, 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
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i# of 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 i# i# i# i# i# i# i# i# i#




i# the client can be released by the urgent-care facility to the acute-care
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i# 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,
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i# not 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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i# gangrene, recurrent49520 Repair recurrent inguinal hernia, any age;
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i# reducible
49521 Repair recurrent inguinal hernia, any age; incarcerated or
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strangulated49651 Laparoscopy, surgical; repair recurrent inguinal
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i# 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 mention
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of obstruction or gangrene, recurrent 49651:Laparoscopy, surgical;
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, repair recurrent inguinal hernia
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Rationale:->>The client has a recurrent hernia without obstruction and i# i# i# i# i# i# i# i#




i# 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
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be determinedbased on a review of the documentation?
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a. The i#approach i#and i#the i#side i#of i#the i#heart i#(chambers) i#into i#which

i# the catheter wasinserted
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b. The i#approach, i#the i#side i#of i#the i#heart i#(chambers) i#into i#which i#the

i# catheter was inserted,as well as any additional procedures performed
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c. The i#duration i#of i#the i#procedure

d. If i#there i#is i#documentation i#of i#the i#procedure i#in i#the i#medical

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

b. It i#is i#accordance i#with i#medical i#staff i#bylaws

c. A i#condition i#that i#occurs i#prior i#to i#an i#inclient i#admission

d. It i#is i#present i#within i#3 i#days i#after i#admission i#

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