WEEK 8 CCS FINAL EXAM
QUESTIONS AND ANSWERS
Your organization is sending confidential patient information across the Internet using
technology that will transform the original data into unintelligible code that can be re-
created by authorized users. This technique is called
-a firewall.
-encryption.
-validity processing.
-A call-back process. - Correct Answers -encryption
The patient is admitted for elective cholecystectomy for treatment of chronic
cholecystitis with cholelithiasis. Prior to the administration of general anesthesia, the
patient suffers cerebral thrombosis. Surgery is subsequently canceled. Code and
sequence the coding using the following codes.
-I66.9, Z53.09
-I97.821, K80.10, 0FT40ZZ
-K80.10, I66.9, Z53.09
-I97.821, I66.9, Z53.09 - Correct Answers -K80.10, I66.9, Z53.09
Patient presents to the hospital for a three-view X-ray of the right shoulder. The
diagnosis is shoulder pain and the radiology report states the patient has a dislocated
shoulder. What would be the correct codes to report to the insurance company?
-S43.014A; 73030-RT
-S43.004A; 73030-RT
-S43.004A; 73060-RT
-M25.511; 73020-RT - Correct Answers -S43.004A; 73030-RT
A patient was sent to the surgeon's office (as requested by the patient), because the
insurance company requires a second opinion regarding surgery. The patient has been
complaining of lower back pain for over a year due to a herniated disk. The patient
presents to the surgeon's office where a detailed history and physical examination was
performed. Medical records from the primary care physician and the physical therapist
were reviewed along with the tests performed in the office. Low medical decision-
making was made. A copy of the surgeon's reports was sent to the insurance company.
-99243
-99242-32
-99253-32
-99203-32 - Correct Answers -99203-32
,Excision of simple internal and external hemorrhoids.
-46260
-46255
-46945
-46221 - Correct Answers -46255
The purpose of the Correct Coding Initiative is to
-increase fines and penalties for bundling services into comprehensive CPT codes.
-restrict Medicare reimbursement to hospitals for ancillary services.
-detect and prevent payment for improperly coded services.
-teach coders how to unbundle codes. - Correct Answers -detect and prevent payment
for improperly coded services.
Patient was admitted from the nursing home with 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.)
-I50.9, J81.0, 0BH17EZ, 5A1935Z
-I50.9, J96.20, J81.0, 0BH17EZ, 5A1935Z
-I50.9, J96.00, J81.0, 0BH17EZ, 5A1935Z
-J96.00, I50.1, 5A1935Z - Correct Answers -J96.00, I50.1, 5A1935Z
Which of the following is coded as a late effect in ICD-10-CM?
-tinnitus due to allergic reaction after administration of eardrops
-mental retardation due to intracranial abscess
-nonfunctioning pacemaker due to defective soldering
-rejection of transplanted kidney - Correct Answers -mental retardation due to
intracranial abscess
A 43-year-old female went to the clinic complaining of fever, and dyspnea and is sent
for a chest x-ray to rule out pneumonia. After examination, the physician documents
pneumonia, confirmed. The query sent to the attending physician read, "What type of
pneumonia does this patient have: bacterial, viral, fungal, or other?" This query is:
-not compliant because it is too direct.
-not valid. There is no such diagnosis as pneumonia.
-not compliant. Queries must be written as Yes or No.
-compliant. It can be answered from multiple choice. - Correct Answers -compliant. It
can be answered from multiple choice.
A participating (PAR) physician is one who
-can bill 115% above the Medicare Fee Schedule.
-signs an agreement to participate in the Medicare program and agrees to ----accept
whatever Medicare pays for a provider or service.
receives 5% less than other non-PAR physicians.
, -submits claim forms using ICD-10-CM procedure codes. - Correct Answers -signs an
agreement to participate in the Medicare program and agrees to accept whatever
Medicare pays for a provider or service.
Aunt Elsie is brought to the emergency department for increased confusion. She is
subsequently diagnosed with Alzheimer's disease with dementia and cerebral
atherosclerosis. She is also treated for hypertension and hypothyroidism. (Code the
ICD-10-CM diagnoses.)
-G30.9, E03.9, I10, E03.91
-I67.2, F03.90, E03.9, I10
-F03.90, I10, E03.9
-G30.9, F03.90, I67.2, E03.9, I10 - Correct Answers -G30.9, F03.90, I67.2, E03.9, I10
The diagnosis reads "first-, second-, and third-degree burns of the right arm." You would
code
-the third degree only.
-each degree of burn separately.
-the second degree only.
-the first degree only. - Correct Answers -the third degree only.
Rachel, a 17-year-old female, was brought into the emergency department (ED) after a
motor vehicle accident (MVA) between a car and the motorcycle on which she was
riding. She needed additional blood, and the nurse grabbed A+ blood, which was
immediately administered. However, Rachel is actually B+. The danger to the patient is
a result of blood incompatibility, a nonreimbursable _____.
-component of the surgical package
-ethical violation
-hospital-acquired condition
-patient out-of-pocket expense - Correct Answers -hospital-acquired condition
Phacoemulsification of left cataract, age related, with IOL implant and subconjunctival
injection. (Code ICD-10-CM for diagnosis and CPT for procedures.)
-H25.12, 66984-LT
-H26.9, 66984-LT, 68200-LT
-H26.9, 66940-LT
-H25.12, 66983, 68200 - Correct Answers -H25.12, 66984-LT
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.)
-L97.219, L98.429, 0HBKXZZ, 0HB6XZZ, 0HR6X74
-L98.429, 0HBKXZZ, 0HB6XZZ, 0HR6X74
-L97.219, L98.429, 0HB6XZZ
-L98.429, 0HB6XZZ, 0HR6X74 - Correct Answers -L97.219, L98.429, 0HBKXZZ,
0HB6XZZ, 0HR6X74
QUESTIONS AND ANSWERS
Your organization is sending confidential patient information across the Internet using
technology that will transform the original data into unintelligible code that can be re-
created by authorized users. This technique is called
-a firewall.
-encryption.
-validity processing.
-A call-back process. - Correct Answers -encryption
The patient is admitted for elective cholecystectomy for treatment of chronic
cholecystitis with cholelithiasis. Prior to the administration of general anesthesia, the
patient suffers cerebral thrombosis. Surgery is subsequently canceled. Code and
sequence the coding using the following codes.
-I66.9, Z53.09
-I97.821, K80.10, 0FT40ZZ
-K80.10, I66.9, Z53.09
-I97.821, I66.9, Z53.09 - Correct Answers -K80.10, I66.9, Z53.09
Patient presents to the hospital for a three-view X-ray of the right shoulder. The
diagnosis is shoulder pain and the radiology report states the patient has a dislocated
shoulder. What would be the correct codes to report to the insurance company?
-S43.014A; 73030-RT
-S43.004A; 73030-RT
-S43.004A; 73060-RT
-M25.511; 73020-RT - Correct Answers -S43.004A; 73030-RT
A patient was sent to the surgeon's office (as requested by the patient), because the
insurance company requires a second opinion regarding surgery. The patient has been
complaining of lower back pain for over a year due to a herniated disk. The patient
presents to the surgeon's office where a detailed history and physical examination was
performed. Medical records from the primary care physician and the physical therapist
were reviewed along with the tests performed in the office. Low medical decision-
making was made. A copy of the surgeon's reports was sent to the insurance company.
-99243
-99242-32
-99253-32
-99203-32 - Correct Answers -99203-32
,Excision of simple internal and external hemorrhoids.
-46260
-46255
-46945
-46221 - Correct Answers -46255
The purpose of the Correct Coding Initiative is to
-increase fines and penalties for bundling services into comprehensive CPT codes.
-restrict Medicare reimbursement to hospitals for ancillary services.
-detect and prevent payment for improperly coded services.
-teach coders how to unbundle codes. - Correct Answers -detect and prevent payment
for improperly coded services.
Patient was admitted from the nursing home with 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.)
-I50.9, J81.0, 0BH17EZ, 5A1935Z
-I50.9, J96.20, J81.0, 0BH17EZ, 5A1935Z
-I50.9, J96.00, J81.0, 0BH17EZ, 5A1935Z
-J96.00, I50.1, 5A1935Z - Correct Answers -J96.00, I50.1, 5A1935Z
Which of the following is coded as a late effect in ICD-10-CM?
-tinnitus due to allergic reaction after administration of eardrops
-mental retardation due to intracranial abscess
-nonfunctioning pacemaker due to defective soldering
-rejection of transplanted kidney - Correct Answers -mental retardation due to
intracranial abscess
A 43-year-old female went to the clinic complaining of fever, and dyspnea and is sent
for a chest x-ray to rule out pneumonia. After examination, the physician documents
pneumonia, confirmed. The query sent to the attending physician read, "What type of
pneumonia does this patient have: bacterial, viral, fungal, or other?" This query is:
-not compliant because it is too direct.
-not valid. There is no such diagnosis as pneumonia.
-not compliant. Queries must be written as Yes or No.
-compliant. It can be answered from multiple choice. - Correct Answers -compliant. It
can be answered from multiple choice.
A participating (PAR) physician is one who
-can bill 115% above the Medicare Fee Schedule.
-signs an agreement to participate in the Medicare program and agrees to ----accept
whatever Medicare pays for a provider or service.
receives 5% less than other non-PAR physicians.
, -submits claim forms using ICD-10-CM procedure codes. - Correct Answers -signs an
agreement to participate in the Medicare program and agrees to accept whatever
Medicare pays for a provider or service.
Aunt Elsie is brought to the emergency department for increased confusion. She is
subsequently diagnosed with Alzheimer's disease with dementia and cerebral
atherosclerosis. She is also treated for hypertension and hypothyroidism. (Code the
ICD-10-CM diagnoses.)
-G30.9, E03.9, I10, E03.91
-I67.2, F03.90, E03.9, I10
-F03.90, I10, E03.9
-G30.9, F03.90, I67.2, E03.9, I10 - Correct Answers -G30.9, F03.90, I67.2, E03.9, I10
The diagnosis reads "first-, second-, and third-degree burns of the right arm." You would
code
-the third degree only.
-each degree of burn separately.
-the second degree only.
-the first degree only. - Correct Answers -the third degree only.
Rachel, a 17-year-old female, was brought into the emergency department (ED) after a
motor vehicle accident (MVA) between a car and the motorcycle on which she was
riding. She needed additional blood, and the nurse grabbed A+ blood, which was
immediately administered. However, Rachel is actually B+. The danger to the patient is
a result of blood incompatibility, a nonreimbursable _____.
-component of the surgical package
-ethical violation
-hospital-acquired condition
-patient out-of-pocket expense - Correct Answers -hospital-acquired condition
Phacoemulsification of left cataract, age related, with IOL implant and subconjunctival
injection. (Code ICD-10-CM for diagnosis and CPT for procedures.)
-H25.12, 66984-LT
-H26.9, 66984-LT, 68200-LT
-H26.9, 66940-LT
-H25.12, 66983, 68200 - Correct Answers -H25.12, 66984-LT
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.)
-L97.219, L98.429, 0HBKXZZ, 0HB6XZZ, 0HR6X74
-L98.429, 0HBKXZZ, 0HB6XZZ, 0HR6X74
-L97.219, L98.429, 0HB6XZZ
-L98.429, 0HB6XZZ, 0HR6X74 - Correct Answers -L97.219, L98.429, 0HBKXZZ,
0HB6XZZ, 0HR6X74
