CCS EXAM PREP QUESTIONS AND
ANSWERS
A 12-year-old boy was seen in an ambulatory surgical center for pain in his right arm.
The x-ray showed fracture of ulna. Patient underwent closed reduction of fracture right
proximal ulna and an elbow-to-finger case was applied. What diagnostic and procedure
codes should be assigned?
A. S52.101A, S52.001A, 0PSK0ZZ
B. S52.101B, S52.001B, 0PSH0ZZ
C. S52.101B, S52.001B, 25560, 29075
D. S52.001A, 24675 - Correct Answers -D
Sepsis due to the presence of an indwelling urinary catheter with a positive blood
culture reflected in the progress notes as Staphylococcus aureus sepsis. What codes
should be assigned?
A. T83.511A, A41.01
B. T83.511A, A41.9
C. T83.510A, R78.81
D. T81.44XA, A41.01 - Correct Answers -A
A patient is admitted to an acute-care facility with chest pain. The patient was awakened
from sleep by the pain. This was the patient's first experience with chest pain. The
patient was given two nitroglycerin tablets in the emergency department. The chest pain
was not relieved, resulting in the diagnosis of new onset unstable angina. Serial
creatine phosphokinase was normal. Following a left cardiac catheterization with
fluoroscopic angiogram of multiple coronary arteries with low osmolar contrast, the
patient is found to have arteriosclerotic coronary arty disease. What ICD-10-CM and
PCS codes should be assigned?
A. I25.10, 4A023N7, B2111ZZ
B. I25.110, 4A023N7, B211Y10
C. I25.110, 4A023N7, B2111ZZ
D. I25.110, 4A023N6, B2111ZZ - Correct Answers -C
Normal twin delivery at 30 weeks. Both babies were delivered vaginally and were
liveborn. What codes should be assigned?
A. O80, Z3A.30, Z37.0
B. O30.003, O60,14X0, Z3A.30, Z37.2
C. O60.14X1, O60.14X2, O30.003, Z3A.30, Z37.2
D. O80, O30.009, Z3A.30, Z37.2 - Correct Answers -C
,A patient is admitted with metastatic carcinoma from breast to liver with previous
bilateral mastectomy and no recurrence at the primary site. In the progress note of day
three, the physician indicates that patient now has pneumonia and begins treatment
with an antibiotic that will be continued on discharge. What is the proper coding and
sequencing of this admission?
A. C78.6, Z85.3, Z90.13
B. C78.7, J18.9, Z85.3, Z90.13
C. J18.9, C78.7, Z90.13
D. C78.7, Z85.3, Z90.10 - Correct Answers -B
Patient admitted with syncope due to taking diazepam in combination with an over-the-
counter antihistamine, taken as directed on the package but without consulting a
healthcare provider. What are the correct codes and sequencing for this admission?
A. R55, T42.4X1A, T45.0X1A
B. T42.4X1A, T45.0X1A, R55
C. T45.0X1A, T42.4X1A
D. R55, T42.4X6A, T45.0X5A - Correct Answers -B
A 50-year-old woman with a diagnosis of metastatic ovarian cancer to the right pleura
has an outpatient thoracoscopic pleurodesis performed. What is the correct coding and
modifier to be assigned?
A. C56.9, C78.2, 32650-50
B. C78.2, C56.9, 32650-RT
C. C78.2, C56.9, 32661-50
D. C56.9, C78.2, 32609-LT - Correct Answers -B
A patient with acute respiratory failure, hypertension, congestive heart failure is
admitted for intubation and ventilation. The patient's heart failure is stable on current
medications. What are the correct diagnosis codes and sequencing?
A. J96.00, I11.0, I50.9
B. I50.9, J96.00, I10
C. J96.20, I10, I50.9
D. I50.9, J96.20, I11.0 - Correct Answers -A
A 34-year-old woman delivered a live-born, term baby boy (39 weeks) with macrosomia.
She had a hemorrhage following a low forceps delivery with episiotomy but prior to
expulsion of the placenta. What are the principal diagnosis and procedure codes for this
encounter?
A. O67.8, 0W8NXZZ
B. Z37.0, 10D0723
C. O36.80X0, 0W8NXXZZ
D. O36.63X0, 10D07Z3 - Correct Answers -D
A patient was discharged from observation following an outpatient surgery with the
following diagnoses: posterior subcapsular, mature, incipient, senile cataract right eye,
,diabetes mellitus, hypertension, with treatment for mild acute renal failure. Which codes
are correct?
A. H25.21, E11.29, I12.9, N17.9
B. E11.36, H25.041, I10, N17.9
C. H25.9, E11.29, I12.9, N17.9
D. H24.041, E11.9, I12.9 - Correct Answers -B
Current Procedural Terminology (CPT) defines a separate procedure as which of the
following?
A. Procedure considered an integral part of a more major service
B. Procedure that requires provision of anesthesia
C. Procedure that requires an add-on code
D. A surgical procedure performed in conjunction with an E/M visit - Correct Answers -A
A laparoscopic cholecystectomy was performed. What is the correct ICD-10-PCS code?
A. 0FB40ZZ
B. 0FT40ZZ
C. 0FT44ZZ
D. 0FB44ZZ - Correct Answers -C
A 59-year-old man is diagnosed with basal cell carcinoma of the eyelid An excision of
basal cell carcinoma of the left upper eyelid was performed with an excised diameter of
1.9 cm and single layer closure. What codes and modifiers should be assigned?
A. C44.121, 11622-E2
B. C44.1191, 11642.E1
C. C44.1191, 11640-E1
D. C44.121, 11642.E2 - Correct Answers -B
Carcinoma of multiple overlapping sites of the bladder. Diagnostic cystoscopy and
transurethral fulguration of bladder lesions over the dome and posterior wall (1.9 cm)
were completed. A biopsy was taken of a lesion in the lateral wall. What modifier should
be added to the biopsy procedure code?
A. 50, Bilateral procedure
B. 51, Multiple procedures
C. 59, Distinct procedural service
D. 99, Multiple modifiers - Correct Answers -C
A bronchoscopy with multiple biopsies of the left bronchus was completed and revealed
adenocarcinoma. What, if any, modifier should be added to the procedure code billed by
the facility?
A. 59, Distinct procedural service
B. 51, Multiple procedures
C. 76, Repeat procedure or service by same physician
D. No modifiers should be reported - Correct Answers -D
, A patient is admitted with fever and urinary burning. Urosepsis is suspected. The
discharge diagnosis is Escherichia coli, urinary tract infection; sepsis ruled out. Which of
the following represents the diagnoses to report for this encounter and the appropriate
sequencing of the codes for those conditions?
A. Fever, urinary burning, urosepsis
B. Fever, urinary burning, sepsis
C. Escherichia coli sepsis
D. Urinary tract infection, Escherichia coli - Correct Answers -D
A 30-year-old patient with acquired immunodeficiency syndrome (AIDS) is admitted for
repair of inguinal hernia. The procedure performed was a right indirect inguinal
herniorrhaphy via open approach. What is the principal diagnosis code for this
scenario?
A. B20
B. K40.90
C. Z21
D. K40.91 - Correct Answers -B
A patient underwent a CABG x2 from aorta to the right anterior descending and right
obtuse, using the left greater saphenous vein that was harvested via an open approach.
Cardiopulmonary bypass was utilized. The procedural coding and sequencing for the
hospitalization would be:
A. 02100AW, 5A1221Z
B. 02100AW, 06BQ0ZZ
C. 021109W, 06BQ0ZZ, 5A1221Z
D. 021109W - Correct Answers -C
Twin newborns are born prematurely at 32 weeks via cesarean section. The birth weight
of twin A was 1,002g. Twin B was stillborn. Twin A was admitted to the nursery from the
delivery room and had to be treated for jaundice due to APBO incompatibility, What
codes should be assigned for twin A and what is the proper sequencing?
A. Z38.31, P07.14, P07.35, P55.1
B. Z38.01, P07.35, P07.14, P55.8
C. P05.04, P07.35, Z38.31, P55.1
D. Z38.31, P07,14, P07.33, P55.1 - Correct Answers -A
A patient is admitted with hemoptysis. A bronchoscopy with transbronchial biopsy of the
lower lobe was undertaken that revealed squamous cell carcinoma of the right lung.
Which conditions should be identified as present on admission?
A. C3431, R04.2
B. R04.2
C. C34.31
D. C34.30, P26.9, R04.2 - Correct Answers -C
A condition is considered present on admission when it is:
A. The principal diagnosis
ANSWERS
A 12-year-old boy was seen in an ambulatory surgical center for pain in his right arm.
The x-ray showed fracture of ulna. Patient underwent closed reduction of fracture right
proximal ulna and an elbow-to-finger case was applied. What diagnostic and procedure
codes should be assigned?
A. S52.101A, S52.001A, 0PSK0ZZ
B. S52.101B, S52.001B, 0PSH0ZZ
C. S52.101B, S52.001B, 25560, 29075
D. S52.001A, 24675 - Correct Answers -D
Sepsis due to the presence of an indwelling urinary catheter with a positive blood
culture reflected in the progress notes as Staphylococcus aureus sepsis. What codes
should be assigned?
A. T83.511A, A41.01
B. T83.511A, A41.9
C. T83.510A, R78.81
D. T81.44XA, A41.01 - Correct Answers -A
A patient is admitted to an acute-care facility with chest pain. The patient was awakened
from sleep by the pain. This was the patient's first experience with chest pain. The
patient was given two nitroglycerin tablets in the emergency department. The chest pain
was not relieved, resulting in the diagnosis of new onset unstable angina. Serial
creatine phosphokinase was normal. Following a left cardiac catheterization with
fluoroscopic angiogram of multiple coronary arteries with low osmolar contrast, the
patient is found to have arteriosclerotic coronary arty disease. What ICD-10-CM and
PCS codes should be assigned?
A. I25.10, 4A023N7, B2111ZZ
B. I25.110, 4A023N7, B211Y10
C. I25.110, 4A023N7, B2111ZZ
D. I25.110, 4A023N6, B2111ZZ - Correct Answers -C
Normal twin delivery at 30 weeks. Both babies were delivered vaginally and were
liveborn. What codes should be assigned?
A. O80, Z3A.30, Z37.0
B. O30.003, O60,14X0, Z3A.30, Z37.2
C. O60.14X1, O60.14X2, O30.003, Z3A.30, Z37.2
D. O80, O30.009, Z3A.30, Z37.2 - Correct Answers -C
,A patient is admitted with metastatic carcinoma from breast to liver with previous
bilateral mastectomy and no recurrence at the primary site. In the progress note of day
three, the physician indicates that patient now has pneumonia and begins treatment
with an antibiotic that will be continued on discharge. What is the proper coding and
sequencing of this admission?
A. C78.6, Z85.3, Z90.13
B. C78.7, J18.9, Z85.3, Z90.13
C. J18.9, C78.7, Z90.13
D. C78.7, Z85.3, Z90.10 - Correct Answers -B
Patient admitted with syncope due to taking diazepam in combination with an over-the-
counter antihistamine, taken as directed on the package but without consulting a
healthcare provider. What are the correct codes and sequencing for this admission?
A. R55, T42.4X1A, T45.0X1A
B. T42.4X1A, T45.0X1A, R55
C. T45.0X1A, T42.4X1A
D. R55, T42.4X6A, T45.0X5A - Correct Answers -B
A 50-year-old woman with a diagnosis of metastatic ovarian cancer to the right pleura
has an outpatient thoracoscopic pleurodesis performed. What is the correct coding and
modifier to be assigned?
A. C56.9, C78.2, 32650-50
B. C78.2, C56.9, 32650-RT
C. C78.2, C56.9, 32661-50
D. C56.9, C78.2, 32609-LT - Correct Answers -B
A patient with acute respiratory failure, hypertension, congestive heart failure is
admitted for intubation and ventilation. The patient's heart failure is stable on current
medications. What are the correct diagnosis codes and sequencing?
A. J96.00, I11.0, I50.9
B. I50.9, J96.00, I10
C. J96.20, I10, I50.9
D. I50.9, J96.20, I11.0 - Correct Answers -A
A 34-year-old woman delivered a live-born, term baby boy (39 weeks) with macrosomia.
She had a hemorrhage following a low forceps delivery with episiotomy but prior to
expulsion of the placenta. What are the principal diagnosis and procedure codes for this
encounter?
A. O67.8, 0W8NXZZ
B. Z37.0, 10D0723
C. O36.80X0, 0W8NXXZZ
D. O36.63X0, 10D07Z3 - Correct Answers -D
A patient was discharged from observation following an outpatient surgery with the
following diagnoses: posterior subcapsular, mature, incipient, senile cataract right eye,
,diabetes mellitus, hypertension, with treatment for mild acute renal failure. Which codes
are correct?
A. H25.21, E11.29, I12.9, N17.9
B. E11.36, H25.041, I10, N17.9
C. H25.9, E11.29, I12.9, N17.9
D. H24.041, E11.9, I12.9 - Correct Answers -B
Current Procedural Terminology (CPT) defines a separate procedure as which of the
following?
A. Procedure considered an integral part of a more major service
B. Procedure that requires provision of anesthesia
C. Procedure that requires an add-on code
D. A surgical procedure performed in conjunction with an E/M visit - Correct Answers -A
A laparoscopic cholecystectomy was performed. What is the correct ICD-10-PCS code?
A. 0FB40ZZ
B. 0FT40ZZ
C. 0FT44ZZ
D. 0FB44ZZ - Correct Answers -C
A 59-year-old man is diagnosed with basal cell carcinoma of the eyelid An excision of
basal cell carcinoma of the left upper eyelid was performed with an excised diameter of
1.9 cm and single layer closure. What codes and modifiers should be assigned?
A. C44.121, 11622-E2
B. C44.1191, 11642.E1
C. C44.1191, 11640-E1
D. C44.121, 11642.E2 - Correct Answers -B
Carcinoma of multiple overlapping sites of the bladder. Diagnostic cystoscopy and
transurethral fulguration of bladder lesions over the dome and posterior wall (1.9 cm)
were completed. A biopsy was taken of a lesion in the lateral wall. What modifier should
be added to the biopsy procedure code?
A. 50, Bilateral procedure
B. 51, Multiple procedures
C. 59, Distinct procedural service
D. 99, Multiple modifiers - Correct Answers -C
A bronchoscopy with multiple biopsies of the left bronchus was completed and revealed
adenocarcinoma. What, if any, modifier should be added to the procedure code billed by
the facility?
A. 59, Distinct procedural service
B. 51, Multiple procedures
C. 76, Repeat procedure or service by same physician
D. No modifiers should be reported - Correct Answers -D
, A patient is admitted with fever and urinary burning. Urosepsis is suspected. The
discharge diagnosis is Escherichia coli, urinary tract infection; sepsis ruled out. Which of
the following represents the diagnoses to report for this encounter and the appropriate
sequencing of the codes for those conditions?
A. Fever, urinary burning, urosepsis
B. Fever, urinary burning, sepsis
C. Escherichia coli sepsis
D. Urinary tract infection, Escherichia coli - Correct Answers -D
A 30-year-old patient with acquired immunodeficiency syndrome (AIDS) is admitted for
repair of inguinal hernia. The procedure performed was a right indirect inguinal
herniorrhaphy via open approach. What is the principal diagnosis code for this
scenario?
A. B20
B. K40.90
C. Z21
D. K40.91 - Correct Answers -B
A patient underwent a CABG x2 from aorta to the right anterior descending and right
obtuse, using the left greater saphenous vein that was harvested via an open approach.
Cardiopulmonary bypass was utilized. The procedural coding and sequencing for the
hospitalization would be:
A. 02100AW, 5A1221Z
B. 02100AW, 06BQ0ZZ
C. 021109W, 06BQ0ZZ, 5A1221Z
D. 021109W - Correct Answers -C
Twin newborns are born prematurely at 32 weeks via cesarean section. The birth weight
of twin A was 1,002g. Twin B was stillborn. Twin A was admitted to the nursery from the
delivery room and had to be treated for jaundice due to APBO incompatibility, What
codes should be assigned for twin A and what is the proper sequencing?
A. Z38.31, P07.14, P07.35, P55.1
B. Z38.01, P07.35, P07.14, P55.8
C. P05.04, P07.35, Z38.31, P55.1
D. Z38.31, P07,14, P07.33, P55.1 - Correct Answers -A
A patient is admitted with hemoptysis. A bronchoscopy with transbronchial biopsy of the
lower lobe was undertaken that revealed squamous cell carcinoma of the right lung.
Which conditions should be identified as present on admission?
A. C3431, R04.2
B. R04.2
C. C34.31
D. C34.30, P26.9, R04.2 - Correct Answers -C
A condition is considered present on admission when it is:
A. The principal diagnosis
