CCS EXAM: Thorough Questions And Detailed Solutions
Aplastic anemia Correct Answer - The type of anemia caused by a failure
of the bone marrow to produce red blood cells is
CPT/HCPCS codes Correct Answer - The APC payment system is based
on what coding system(s)?
The third-degree burn only Correct Answer - 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 Answer - 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 Answer - 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 Answer - 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 Answer - In order to correctly code
a hernia repair, the coder needs to know all of the following EXCEPT
Natural language processing Correct Answer - 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 Answer -
The autonomic nervous system has two divisions.
,- 24 Correct Answer - 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 Answer - Which diagnostic technique records
the patient's heart rates and rhythms over a 24-hour period?
67108 Correct Answer - Repair of retinal detachment with vitrectomy.
Chromosomal Correct Answer - Down's syndrome, Edwards' syndrome,
and Patau syndrome are all examples of _________ defects.
L97.219, L98.429, 0HBKXZZ, 0HB6XZZ, 0HR6X74 Correct Answer - 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 Answer - CMS
delegates its daily operations of the Medicare and Medicaid programs to
Revenue code Correct Answer - A four-digit code that describes a
classification of a product or service provided to a patient is a
Reattachment Correct Answer - What is the root operation main term?
Reattachment fourth finger
National Provider Identifier (NPI) Correct Answer - 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 Answer - 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 Answer -
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 Answer - 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 Answer - The patient is diagnosed with congestive heart
failure. A drug of choice is
Use of prohibited or "dangerous" abbreviations Correct Answer - 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 Answer - 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 Answer - CMS adjusts the
Medicare Severity DRGs and the reimbursement rates every
Replacement Correct Answer - What is the root operation main term?
Total left knee replacement
Restriction Correct Answer - What is the root operation main term?
Gastric lap band for treatment of morbid obesity
, Dilation Correct Answer - What main term would be used?
Percutaneous angioplasty right coronary artery using a balloon-tipped
catheter to expand the vessel
$200.00 Correct Answer - 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 Answer -
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
Answer - Codes from category O36, known or suspected fetal abnormality
affecting the mother, should
Drugs Correct Answer - HCPCS codes beginning with the letter J
represent __________________.
Drug products Correct Answer - NDC codes represent __________________.
People over 65, People under 65 with certain disabilities, and ESRD Correct
Answer - Medicare covers which of the following scenarios?
Aplastic anemia Correct Answer - The type of anemia caused by a failure
of the bone marrow to produce red blood cells is
CPT/HCPCS codes Correct Answer - The APC payment system is based
on what coding system(s)?
The third-degree burn only Correct Answer - 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 Answer - 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 Answer - 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 Answer - 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 Answer - In order to correctly code
a hernia repair, the coder needs to know all of the following EXCEPT
Natural language processing Correct Answer - 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 Answer -
The autonomic nervous system has two divisions.
,- 24 Correct Answer - 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 Answer - Which diagnostic technique records
the patient's heart rates and rhythms over a 24-hour period?
67108 Correct Answer - Repair of retinal detachment with vitrectomy.
Chromosomal Correct Answer - Down's syndrome, Edwards' syndrome,
and Patau syndrome are all examples of _________ defects.
L97.219, L98.429, 0HBKXZZ, 0HB6XZZ, 0HR6X74 Correct Answer - 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 Answer - CMS
delegates its daily operations of the Medicare and Medicaid programs to
Revenue code Correct Answer - A four-digit code that describes a
classification of a product or service provided to a patient is a
Reattachment Correct Answer - What is the root operation main term?
Reattachment fourth finger
National Provider Identifier (NPI) Correct Answer - 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 Answer - 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 Answer -
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 Answer - 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 Answer - The patient is diagnosed with congestive heart
failure. A drug of choice is
Use of prohibited or "dangerous" abbreviations Correct Answer - 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 Answer - 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 Answer - CMS adjusts the
Medicare Severity DRGs and the reimbursement rates every
Replacement Correct Answer - What is the root operation main term?
Total left knee replacement
Restriction Correct Answer - What is the root operation main term?
Gastric lap band for treatment of morbid obesity
, Dilation Correct Answer - What main term would be used?
Percutaneous angioplasty right coronary artery using a balloon-tipped
catheter to expand the vessel
$200.00 Correct Answer - 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 Answer -
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
Answer - Codes from category O36, known or suspected fetal abnormality
affecting the mother, should
Drugs Correct Answer - HCPCS codes beginning with the letter J
represent __________________.
Drug products Correct Answer - NDC codes represent __________________.
People over 65, People under 65 with certain disabilities, and ESRD Correct
Answer - Medicare covers which of the following scenarios?
