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 a a a a a



a SPECIALIST EXAM | |LATEST VERSIONS AND a a a a a



PRACTICE QUESTIONS AND CORRECT
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DETAILED ANSWERS WITH RATIONALES |
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ALREADY GRADED A+ a a a




A 55-year-old client has hypertensive heart disease with congestive heart
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a failure. Whatcode would be assigned?
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a. I15.8, aOther asecondary ahypertension

b. I11.0, aHypertensive aheart adisease awith aheart afailure aand aI50.9,

a Heart failure,unspecified
a a




c. I50.9, aHeart afailure, aunspecified aand aI15.0, aRenovascular ahypertension

d. N18.6, aEnd astage arenal adisease a

RIGHT ANS :->> b. I11.0, Hypertensive heart diseasewith heart
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a failure and I50.9, Heart failure, unspecified
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Rationale :->> There is a cause and effect relationship established
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a between the hypertension and the congestive heart failure. A separate
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a code for the congestive heart failure is assignedbased on the "code also"
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a 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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a 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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a could be used to provide this information?
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a. Obtain aa asummary aof athe acases afrom athe acancer aregistry,

a import them into aspreadsheet, and provide to the surgeon.
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,b. Obtain aa asummary aof athe acases afrom athe achart acompletion asoftware,

a import them intoa spreadsheet, and provide to the surgeon.
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c. Obtain aa asummary aof athe acases afrom athe amaster aclient aindex,

import them into aspreadsheet, and provide to the surgeon.
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d. Obtain aa asummary aof athe acases afrom athe atranscription atracking

a 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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a 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 a a a a a a a a a




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




A facility located near a national park has a significant number of
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a snake bites, and clients receive treatment with antivenom in urgent-care
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settings. Sometimes a clientis admitted to the hospital after several
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a days. Can the urgent-care setting provide the hospital with a list of
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a names of clients treated with snake antivenom?
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a. Only athe anames aof aclients awho aare aadmitted ato athe ahospital acan abe

a requested if the physician needs it for continuity of care, but an entire
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a list of clients cannot be provided.
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b. A alist aof anames acould abe aprovided.

c. No ainformation acan abe aobtained aunder aany acircumstances.

d. A alist aof aclients amay abe aavailable aafter aconsultation awith athe anational

a park ranger.
a a

, RIGHT ANS :->> a. Only the names of clients who are admitted to the
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a hospital can berequested if the physician needs it for continuity of
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a 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 the a a a a a a a a a a




a client can be released by the urgent-care facility to the acute-care facility
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a (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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a gangrene, recurrent49520 Repair recurrent inguinal hernia, any age;
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a reducible
49521 Repair recurrent inguinal hernia, any age; incarcerated or
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strangulated49651 Laparoscopy, surgical; repair recurrent inguinal
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a hernia


a. K40.91, 49520
a a



b. K40.31, 49521
a a



c. K40.91, 49651
a a



d. K40.30, 49520
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RIGHT ANS:->> c. K40.91:Unilateral inguinal hernia, without mentionof
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a 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 a a a a a a a a




a 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 aapproach aand athe aside aof athe aheart a(chambers) ainto awhich athe

catheter wasinserted
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b. The aapproach, athe aside aof athe aheart a(chambers) ainto awhich athe acatheter

a was inserted,as well as any additional procedures performed
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c. The aduration aof athe aprocedure

d. If athere ais adocumentation aof athe aprocedure ain athe amedical arecord

a 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 ais athe aprincipal adiagnosis

b. It ais aaccordance awith amedical astaff abylaws

c. A acondition athat aoccurs aprior ato aan ainclient aadmission

d. It ais apresent awithin a3 adays aafter aadmission a

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