CCS EXAM QUESTIONS AND
ANSWERS
aplastic anemia - Correct Answers -The type of anemia caused by a failure of the bone
marrow to produce red blood cells is
CPT/HCPCS codes - Correct Answers -The APC payment system is based on what
coding system(s)?
the third-degree burn only - Correct Answers -In the diagnosis "first-, second-, and third-
degree burns of the chest wall," a code is required for
K80.10, I66.9, Z53.09 - Correct Answers -6) Patient is admitted for elective
cholecystectomy for treatment of chronic cholecystitis with cholelithiasis. Prior to
administration of general anesthesia, patient suffers cerebral thrombosis. Surgery is
subsequently canceled. Code and sequence the coding using the following codes.
J96.00, I50.1, 5A1935Z - Correct Answers -Patient was admitted from the nursing home
in acute respiratory failure due to congestive heart failure. Chest X-ray also showed
acute pulmonary edema. Patient was intubated and placed on mechanical ventilation for
less than 24 hours and expired the day after admission. (Code diagnoses using ICD-10-
CM and procedures using ICD-PCS.)
laboratory information system - Correct Answers -You have been asked to give an
example of a clinical information system. Which one of the following would you cite?
whether the patient is obese - Correct Answers -In order to correctly code a hernia
repair, the coder needs to know all of the following EXCEPT
natural language processing - Correct Answers -You have been hired to work with a
computer-assisted coding initiative. The technology you will be working with is
the sympathetic system and the parasympathetic system - Correct Answers -The
autonomic nervous system has two divisions.
- 24 - Correct Answers -A patient has major surgery and sees the surgeon 10 days later
for an unrelated E/M service. Indicate the modifier that should be attached to the E/M
code for the service provided.
,Holter monitor - Correct Answers -Which diagnostic technique records the patient's
heart rates and rhythms over a 24-hour period?
67108 - Correct Answers -Repair of retinal detachment with vitrectomy.
Chromosomal - Correct Answers -Down's syndrome, Edwards' syndrome, and Patau
syndrome are all examples of _________ defects.
L97.219, L98.429, 0HBKXZZ, 0HB6XZZ, 0HR6X74 - Correct Answers -John has
chronic ulcers of the right calf and back. Both ulcers are excisionally debrided, and the
ulcer of the back has a split-thickness skin graft, autologous. (Code the diagnoses using
ICD-10-CM and procedures using ICD-10-PCS.)
the Medicare administrative contractor (MAC) - Correct Answers -CMS delegates its
daily operations of the Medicare and Medicaid programs to
revenue code - Correct Answers -A four-digit code that describes a classification of a
product or service provided to a patient is a
reattachment - Correct Answers -What is the root operation main term? Reattachment
fourth finger
National Provider Identifier (NPI) - Correct Answers -This is a 10-digit, intelligence-free,
numeric identifier designed to replace all previous provider legacy numbers. This
number identifies the physician universally to all payers. This number is issued to all
HIPAA-covered entities. It is mandatory on the CMS-1500 and UB-04 claim forms.
cancer hospital - Correct Answers -This type of hospital is considered excluded when it
applies for, and receives, a waiver from CMS. This means that the hospital does not
participate in the inpatient prospective payment system (IPPS).
an initial inpatient consult and a subsequent hospital visit - Correct Answers -The
attending physician requests a consultation from a cardiologist. The cardiologist takes a
detailed history, performs a detailed examination, and utilizes moderate medical
decision making. The cardiologist orders diagnostic tests and prescribes medication. He
documents his findings in the patient's medical record and communicates in writing with
the attending physician. The following day the consultant visits the patient to evaluate
the patient's response to the medication, to review results from the diagnostic tests, and
to discuss treatment options. What codes should the consultant report for the two visits?
24 hours after admission or prior to surgery - Correct Answers -You have been asked to
recommend time-limited documentation standards for inclusion in the Medical Staff
Bylaws, Rules, and Regulations. The committee documentation standards must meet
the standards of both the Joint Commission and the Medicare Conditions of
Participation. The standards for the history and physical exam documentation are
,discussed first. You advise them that the time period for completion of this report should
be set at
Digoxin - Correct Answers -The patient is diagnosed with congestive heart failure. A
drug of choice is
use of prohibited or "dangerous" abbreviations - Correct Answers -In the past, Joint
Commission standards have focused on promoting the use of a facility-approved
abbreviation list to be used by hospital care providers. With the advent of the
Commission's national patient safety goals, the focus has shifted to the
significant procedure - Correct Answers -According to the UHDDS, a procedure that is
surgical in nature, carries a procedural or anesthetic risk, or requires special training is
defined as a
fiscal year beginning October 1 - Correct Answers -CMS adjusts the Medicare Severity
DRGs and the reimbursement rates every
replacement - Correct Answers -What is the root operation main term?
Total left knee replacement
restriction - Correct Answers -What is the root operation main term?
Gastric lap band for treatment of morbid obesity
dilation - Correct Answers -What main term would be used?
Percutaneous angioplasty right coronary artery using a balloon-tipped catheter to
expand the vessel
$200.00 - Correct Answers -A patient with Medicare is seen in the physician's office.
The total charge for this office visit is $250.00.
The patient has previously paid his deductible under Medicare Part B.
The PAR Medicare fee schedule amount for this service is $200.00.
The non-PAR Medicare fee schedule amount for this service is $190.00.
If this physician is a participating physician who accepts assignment for this claim, the
total amount the physician will receive is
O80, Z37.0, Z30.2, 10E0XZZ, 0W8NXZZ, 0UL74ZZ - Correct Answers -Vaginal delivery
with episiotomy of full-term liveborn infant. Patient undergoes repair of delivery
, episiotomy and postdelivery elective vaginal endoscopic ligation of fallopian tubes
bilaterally. (Code the diagnoses using ICD-10-CM and procedures using ICD-10-PCS.)
be assigned when they affect the management of the mother - Correct Answers -Codes
from category O36, known or suspected fetal abnormality affecting the mother, should
drugs - Correct Answers -HCPCS codes beginning with the letter J represent
__________________.
drug products - Correct Answers -NDC codes represent __________________.
People over 65, People under 65 with certain disabilities, and ESRD - Correct Answers
-Medicare covers which of the following scenarios?
Coordination of care - Correct Answers -_________________________ means that
providers work together to ensure that the patient receives the best care and providers
in different locations are not duplicating care.
Continuity of care - Correct Answers -__________________ means that providers work
toward the same treatment goal for the patient.
The patient - Correct Answers -The information the patient gives to the provider belongs
to ____________________.
Seven years - Correct Answers -State laws require providers to keep medical records
for patients discharged, no longer seen or deceased for a minimum period of
_______________.
Providers can simultaneously access the same patient's record - Correct Answers -An
advantage of an electronic health record is _________________.
They may suffer financial distress - Correct Answers -What is the major disadvantage
for providers who do not participate with Medicare or Medicaid?
Improve coordination and continuity of patient care - Correct Answers -The federal
government will pay Medicare and Medicaid participating providers to implement EHRs,
because it will ________________________.
Morbidity - Correct Answers -_________________ is the term used to classify the
presence of an illness, disease, or injury.
Tabular List - Correct Answers -A coder should never code inpatient procedures directly
from the Alphabetic Index without cross-referencing the codes to the
____________________.
ANSWERS
aplastic anemia - Correct Answers -The type of anemia caused by a failure of the bone
marrow to produce red blood cells is
CPT/HCPCS codes - Correct Answers -The APC payment system is based on what
coding system(s)?
the third-degree burn only - Correct Answers -In the diagnosis "first-, second-, and third-
degree burns of the chest wall," a code is required for
K80.10, I66.9, Z53.09 - Correct Answers -6) Patient is admitted for elective
cholecystectomy for treatment of chronic cholecystitis with cholelithiasis. Prior to
administration of general anesthesia, patient suffers cerebral thrombosis. Surgery is
subsequently canceled. Code and sequence the coding using the following codes.
J96.00, I50.1, 5A1935Z - Correct Answers -Patient was admitted from the nursing home
in acute respiratory failure due to congestive heart failure. Chest X-ray also showed
acute pulmonary edema. Patient was intubated and placed on mechanical ventilation for
less than 24 hours and expired the day after admission. (Code diagnoses using ICD-10-
CM and procedures using ICD-PCS.)
laboratory information system - Correct Answers -You have been asked to give an
example of a clinical information system. Which one of the following would you cite?
whether the patient is obese - Correct Answers -In order to correctly code a hernia
repair, the coder needs to know all of the following EXCEPT
natural language processing - Correct Answers -You have been hired to work with a
computer-assisted coding initiative. The technology you will be working with is
the sympathetic system and the parasympathetic system - Correct Answers -The
autonomic nervous system has two divisions.
- 24 - Correct Answers -A patient has major surgery and sees the surgeon 10 days later
for an unrelated E/M service. Indicate the modifier that should be attached to the E/M
code for the service provided.
,Holter monitor - Correct Answers -Which diagnostic technique records the patient's
heart rates and rhythms over a 24-hour period?
67108 - Correct Answers -Repair of retinal detachment with vitrectomy.
Chromosomal - Correct Answers -Down's syndrome, Edwards' syndrome, and Patau
syndrome are all examples of _________ defects.
L97.219, L98.429, 0HBKXZZ, 0HB6XZZ, 0HR6X74 - Correct Answers -John has
chronic ulcers of the right calf and back. Both ulcers are excisionally debrided, and the
ulcer of the back has a split-thickness skin graft, autologous. (Code the diagnoses using
ICD-10-CM and procedures using ICD-10-PCS.)
the Medicare administrative contractor (MAC) - Correct Answers -CMS delegates its
daily operations of the Medicare and Medicaid programs to
revenue code - Correct Answers -A four-digit code that describes a classification of a
product or service provided to a patient is a
reattachment - Correct Answers -What is the root operation main term? Reattachment
fourth finger
National Provider Identifier (NPI) - Correct Answers -This is a 10-digit, intelligence-free,
numeric identifier designed to replace all previous provider legacy numbers. This
number identifies the physician universally to all payers. This number is issued to all
HIPAA-covered entities. It is mandatory on the CMS-1500 and UB-04 claim forms.
cancer hospital - Correct Answers -This type of hospital is considered excluded when it
applies for, and receives, a waiver from CMS. This means that the hospital does not
participate in the inpatient prospective payment system (IPPS).
an initial inpatient consult and a subsequent hospital visit - Correct Answers -The
attending physician requests a consultation from a cardiologist. The cardiologist takes a
detailed history, performs a detailed examination, and utilizes moderate medical
decision making. The cardiologist orders diagnostic tests and prescribes medication. He
documents his findings in the patient's medical record and communicates in writing with
the attending physician. The following day the consultant visits the patient to evaluate
the patient's response to the medication, to review results from the diagnostic tests, and
to discuss treatment options. What codes should the consultant report for the two visits?
24 hours after admission or prior to surgery - Correct Answers -You have been asked to
recommend time-limited documentation standards for inclusion in the Medical Staff
Bylaws, Rules, and Regulations. The committee documentation standards must meet
the standards of both the Joint Commission and the Medicare Conditions of
Participation. The standards for the history and physical exam documentation are
,discussed first. You advise them that the time period for completion of this report should
be set at
Digoxin - Correct Answers -The patient is diagnosed with congestive heart failure. A
drug of choice is
use of prohibited or "dangerous" abbreviations - Correct Answers -In the past, Joint
Commission standards have focused on promoting the use of a facility-approved
abbreviation list to be used by hospital care providers. With the advent of the
Commission's national patient safety goals, the focus has shifted to the
significant procedure - Correct Answers -According to the UHDDS, a procedure that is
surgical in nature, carries a procedural or anesthetic risk, or requires special training is
defined as a
fiscal year beginning October 1 - Correct Answers -CMS adjusts the Medicare Severity
DRGs and the reimbursement rates every
replacement - Correct Answers -What is the root operation main term?
Total left knee replacement
restriction - Correct Answers -What is the root operation main term?
Gastric lap band for treatment of morbid obesity
dilation - Correct Answers -What main term would be used?
Percutaneous angioplasty right coronary artery using a balloon-tipped catheter to
expand the vessel
$200.00 - Correct Answers -A patient with Medicare is seen in the physician's office.
The total charge for this office visit is $250.00.
The patient has previously paid his deductible under Medicare Part B.
The PAR Medicare fee schedule amount for this service is $200.00.
The non-PAR Medicare fee schedule amount for this service is $190.00.
If this physician is a participating physician who accepts assignment for this claim, the
total amount the physician will receive is
O80, Z37.0, Z30.2, 10E0XZZ, 0W8NXZZ, 0UL74ZZ - Correct Answers -Vaginal delivery
with episiotomy of full-term liveborn infant. Patient undergoes repair of delivery
, episiotomy and postdelivery elective vaginal endoscopic ligation of fallopian tubes
bilaterally. (Code the diagnoses using ICD-10-CM and procedures using ICD-10-PCS.)
be assigned when they affect the management of the mother - Correct Answers -Codes
from category O36, known or suspected fetal abnormality affecting the mother, should
drugs - Correct Answers -HCPCS codes beginning with the letter J represent
__________________.
drug products - Correct Answers -NDC codes represent __________________.
People over 65, People under 65 with certain disabilities, and ESRD - Correct Answers
-Medicare covers which of the following scenarios?
Coordination of care - Correct Answers -_________________________ means that
providers work together to ensure that the patient receives the best care and providers
in different locations are not duplicating care.
Continuity of care - Correct Answers -__________________ means that providers work
toward the same treatment goal for the patient.
The patient - Correct Answers -The information the patient gives to the provider belongs
to ____________________.
Seven years - Correct Answers -State laws require providers to keep medical records
for patients discharged, no longer seen or deceased for a minimum period of
_______________.
Providers can simultaneously access the same patient's record - Correct Answers -An
advantage of an electronic health record is _________________.
They may suffer financial distress - Correct Answers -What is the major disadvantage
for providers who do not participate with Medicare or Medicaid?
Improve coordination and continuity of patient care - Correct Answers -The federal
government will pay Medicare and Medicaid participating providers to implement EHRs,
because it will ________________________.
Morbidity - Correct Answers -_________________ is the term used to classify the
presence of an illness, disease, or injury.
Tabular List - Correct Answers -A coder should never code inpatient procedures directly
from the Alphabetic Index without cross-referencing the codes to the
____________________.
