CCS Final Exam: Accurate Answers To All Questions
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 Answer - 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 Answer - 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 Answer - 99203-32
Excision of simple internal and external hemorrhoids.
-46260
-46255
-46945
-46221 Correct Answer - 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 Answer - detect and
prevent payment for improperly coded services.
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 Answer - Encryption
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 Answer - 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 Answer - 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 Answer -
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 Answer -
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 Answer - 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 Answer - 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
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 Answer - 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 Answer - 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 Answer - 99203-32
Excision of simple internal and external hemorrhoids.
-46260
-46255
-46945
-46221 Correct Answer - 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 Answer - detect and
prevent payment for improperly coded services.
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 Answer - Encryption
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 Answer - 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 Answer - 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 Answer -
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 Answer -
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 Answer - 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 Answer - 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
