CCS EXAM PREP QUESTIONS AND
ANSWERS
inpatient - Correct Answers -The terms principal, first-listed, and primary are often used
interchangeably in coding. In this book, the term principal is applied to the coding of
_________ health records,
outpatient - Correct Answers -The terms principal, first-listed, and primary are often
used interchangeably in coding. In this book, the term first-listed is applied to the coding
of _________ health records.
additional diagnosis - Correct Answers -Select as many of these as are appropriate.
You may select "none" if no codes apply to the scenario. Overcoding will result in a loss
of points. Some scenarios may exclude this question, but please note that "none" is
almost always an option for this question.
Inpatient Scenarios - Correct Answers -Code all procedures that fall within the code
range 001 through 10Y.
Do not code procedures that fall within the code range 2W0 (Placement) through HZ9
(Substance Abuse Treatment). Do code procedures in the following ranges:
Cholangiograms
Retrogrades, urinary systems
Arteriography and angiography
Radiation therapy
Psychiatric therapy
Alcohol/drug detoxification and rehabilitation
Insertion of endotracheal tube
Other lavage of bronchus and trachea
Mechanical ventilation
ESWL
Chemotherapy
ambulatory scenarios - Correct Answers -Code all procedures that fall within the code
range 001 through 10Y.
Do not code procedures that fall within the code range 2W0 (Placement) through HZ9
(Substance Abuse Treatment). Do code procedures in the following ranges:
Cholangiograms
Retrogrades, urinary systems
Arteriography and angiography
, Radiation therapy
Psychiatric therapy
Alcohol/drug detoxification and rehabilitation
Insertion of endotracheal tube
Other lavage of bronchus and trachea
Mechanical ventilation
ESWL
Chemotherapy
Outpatient Prospective Payment System (OPPS) - Correct Answers -The __________,
for ambulatory care, began to be used for Medicare in August 2000.
ambulatory payment classifications (APCs) - Correct Answers -This system uses the
______________ for reimbursement for hospital-based outpatient services such as
outpatient surgery, emergency department visits, outpatient clinic visits, and outpatient
ancillary tests
ambulatory payment classifications (APCs) - Correct Answers -______ are different
from MS-DRGs because outpatients can have multiple ________ for a given encounter,
whereas an inpatient can have only one MS-DRG.
APCs & MS-DRGs - Correct Answers -________ are similar to _______ in that they are
both prospective payment methodologies and both have relative weights.
ambulatory payment classifications (APCs) - Correct Answers -__________ are
generated for many services, such as x-rays, medical tests, clinic or emergency visits,
surgical procedures, devices, drugs and biologicals, and partial hospitalizations
Status indicators - Correct Answers -reimbursed by the OPPS denote what type of
service was provided and assist in determining the payment.
Status Indicator X in APC's - Correct Answers -Ancillary status indicator
Status Indicator V in APC's - Correct Answers -clinic or emergency department visit
status indicator
Status Indicator T in APC's - Correct Answers -significant procedure that is discounted
when other _______ procedures are provided (the first procedure is paid at a rate of
100 percent whereas the second and those thereafter are paid at 50 percent) (status
Indicator)
Status Indicator S in APC's - Correct Answers -significant procedure that is paid at 100
percent and is not discounted (status indicator)
Status Indicator P in APC's - Correct Answers -partial hospitalization status indicator
ANSWERS
inpatient - Correct Answers -The terms principal, first-listed, and primary are often used
interchangeably in coding. In this book, the term principal is applied to the coding of
_________ health records,
outpatient - Correct Answers -The terms principal, first-listed, and primary are often
used interchangeably in coding. In this book, the term first-listed is applied to the coding
of _________ health records.
additional diagnosis - Correct Answers -Select as many of these as are appropriate.
You may select "none" if no codes apply to the scenario. Overcoding will result in a loss
of points. Some scenarios may exclude this question, but please note that "none" is
almost always an option for this question.
Inpatient Scenarios - Correct Answers -Code all procedures that fall within the code
range 001 through 10Y.
Do not code procedures that fall within the code range 2W0 (Placement) through HZ9
(Substance Abuse Treatment). Do code procedures in the following ranges:
Cholangiograms
Retrogrades, urinary systems
Arteriography and angiography
Radiation therapy
Psychiatric therapy
Alcohol/drug detoxification and rehabilitation
Insertion of endotracheal tube
Other lavage of bronchus and trachea
Mechanical ventilation
ESWL
Chemotherapy
ambulatory scenarios - Correct Answers -Code all procedures that fall within the code
range 001 through 10Y.
Do not code procedures that fall within the code range 2W0 (Placement) through HZ9
(Substance Abuse Treatment). Do code procedures in the following ranges:
Cholangiograms
Retrogrades, urinary systems
Arteriography and angiography
, Radiation therapy
Psychiatric therapy
Alcohol/drug detoxification and rehabilitation
Insertion of endotracheal tube
Other lavage of bronchus and trachea
Mechanical ventilation
ESWL
Chemotherapy
Outpatient Prospective Payment System (OPPS) - Correct Answers -The __________,
for ambulatory care, began to be used for Medicare in August 2000.
ambulatory payment classifications (APCs) - Correct Answers -This system uses the
______________ for reimbursement for hospital-based outpatient services such as
outpatient surgery, emergency department visits, outpatient clinic visits, and outpatient
ancillary tests
ambulatory payment classifications (APCs) - Correct Answers -______ are different
from MS-DRGs because outpatients can have multiple ________ for a given encounter,
whereas an inpatient can have only one MS-DRG.
APCs & MS-DRGs - Correct Answers -________ are similar to _______ in that they are
both prospective payment methodologies and both have relative weights.
ambulatory payment classifications (APCs) - Correct Answers -__________ are
generated for many services, such as x-rays, medical tests, clinic or emergency visits,
surgical procedures, devices, drugs and biologicals, and partial hospitalizations
Status indicators - Correct Answers -reimbursed by the OPPS denote what type of
service was provided and assist in determining the payment.
Status Indicator X in APC's - Correct Answers -Ancillary status indicator
Status Indicator V in APC's - Correct Answers -clinic or emergency department visit
status indicator
Status Indicator T in APC's - Correct Answers -significant procedure that is discounted
when other _______ procedures are provided (the first procedure is paid at a rate of
100 percent whereas the second and those thereafter are paid at 50 percent) (status
Indicator)
Status Indicator S in APC's - Correct Answers -significant procedure that is paid at 100
percent and is not discounted (status indicator)
Status Indicator P in APC's - Correct Answers -partial hospitalization status indicator
