2024/2025 Ccs Exam | Certified Coding Specialist Exam | |Latest Versions And Practice Questions And Correct Detailed Answers With Rationales | Already Graded A+

2024/2025 CCS EXAM | CERTIFIED CODING aa aa aa aa aa



SPECIALIST EXAM | |LATEST VERSIONS AND
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aa PRACTICE QUESTIONS AND CORRECT DETAILED aa aa aa aa



ANSWERS with rationales | ALREADY GRADED A+
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A 55-year-old client has hypertensive heart disease with congestive heart
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aa failure. Whatcode would be assigned?
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a. I15.8, aaOther aasecondary aahypertension
b. I11.0, aaHypertensive aaheart aadisease aawith aaheart aafailure aaand aaI50.9,

aa Heart failure,unspecified
aa a



c. I50.9, aaHeart aafailure, aaunspecified aaand aaI15.0, aaRenovascular aahypertension
d. N18.6, aaEnd aastage aarenal aadisease aa

RIGHT ANS :->> b. I11.0, Hypertensive heart diseasewith heart failure
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aa and I50.9, Heart failure, unspecified
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Rationale :->> There is a cause and effect relationship established between
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aa the hypertension and the congestive heart failure. A separate code for the
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congestive heart failure is assignedbased on the "code also" note (HHS
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aa 2017, Section I.C.9.a., 40).
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A surgeon would like to undertake a research study on his clients with
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aa stage II malignant melanoma of the back, who have undergone wide
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excision of the melanoma.What work processes and associated software
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aa could be used to provide this information?
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a. Obtain aaa aasummary aaof aathe aacases aafrom aathe aacancer aaregistry, aaimport

aa them into aspreadsheet, and provide to the surgeon.
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b. Obtain aaa aasummary aaof aathe aacases aafrom aathe aachart aacompletion aasoftware,

aa import them intoa spreadsheet, and provide to the surgeon.
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c. Obtain aaa aasummary aaof aathe aacases aafrom aathe aamaster aaclient aaindex, aaimport

,aa them into aspreadsheet, and provide to the surgeon.
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d. Obtain aaa aasummary aaof aathe aacases aafrom aathe aatranscription aatracking aasoftware,

aa import them into a spreadsheet, and provide to the surgeon.
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RIGHT ANS:->> a. Obtain a summary ofthe cases from the cancer
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aa registry, import them into a spreadsheet, and provide to the surgeon.
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Rationale:->>The cancer registry can be used to undertake studies in addition
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to reporting cases toa central registry (Sharp and Madlock-Brown 2016,
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aa 173).

A facility located near a national park has a significant number of snake
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aa bites, and clients receive treatment with antivenom in urgent-care settings.
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Sometimes a clientis admitted to the hospital after several days. Can the
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aa urgent-care setting provide the hospital with a list of names of clients
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aa treated with snake antivenom?
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a. Only aathe aanames aaof aaclients aawho aaare aaadmitted aato aathe aahospital aacan aabe

aa requested if the physician needs it for continuity of care, but an entire list
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aa of clients cannot be provided.
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b. A aalist aaof aanames aacould aabe aaprovided.
c. No aainformation aacan aabe aaobtained aaunder aaany aacircumstances.
d. A aalist aaof aaclients aamay aabe aaavailable aaafter aaconsultation aawith aathe aanational

aa park ranger. aa aa




RIGHT ANS :->> a. Only the names of clients who are admitted to the
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aa hospital can berequested if the physician needs it for continuity of care,
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aa but an entire list of clients cannot be provided.
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Rationale:->>Only records that are required for care or authorized by the aa aa aa aa aa aa aa aa aa aa

, aa client can be released by the urgent-care facility to the acute-care facility
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aa (Brodnik 2012, 225; Rinehart-Thompson2016b, 243-247).
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What diagnoses and procedures should be reported for recurrent left inguinal
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herniawith laparoscopic repair?
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K40.30 Unilateral inguinal hernia, with obstruction, without gangrene, not
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specified asrecurrent
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K40.31 Unilateral inguinal hernia, with obstruction, without gangrene, recurrent
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K40.91 Unilateral inguinal hernia, without mention of obstruction or gangrene,
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recurrent49520 Repair recurrent inguinal hernia, any age; reducible
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49521 Repair recurrent inguinal hernia, any age; incarcerated or
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strangulated49651 Laparoscopy, surgical; repair recurrent inguinal hernia
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a. K40.91, 49520
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b. K40.31, 49521
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c. K40.91, 49651
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d. K40.30, 49520
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RIGHT ANS:->> c. K40.91:Unilateral inguinal hernia, without mentionof
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aa obstruction or gangrene, recurrent 49651:Laparoscopy, surgical; repair
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recurrent inguinal hernia
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Rationale:->>The client has a recurrent hernia without obstruction and this is aa aa aa aa aa aa aa aa aa aa



aa captured in diagnosiscode K40.91 (Leon-Chisen 2017, 253; CPT Assistant
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aa Nov. 1999, 24; March 2000, 9).
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.In order to accurately code a cardiac catheterization, what needs to be
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determinedbased on a review of the documentation?
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a. The aaapproach aaand aathe aaside aaof aathe aaheart aa(chambers) aainto aawhich aathe

catheter wasinserted
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, b. The aaapproach, aathe aaside aaof aathe aaheart aa(chambers) aainto aawhich aathe aacatheter

aa was inserted,as well as any additional procedures performed
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c. The aaduration aaof aathe aaprocedure
d. If aathere aais aadocumentation aaof aathe aaprocedure aain aathe aamedical aarecord aathat

aa stents are considered
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RIGHT ANS:->> b. The approach, the side of the heart (chambers)
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intowhich the catheter was inserted, as well as any additional
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procedures performed
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A condition is present on admission when:
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a. It aais aathe aaprincipal aadiagnosis
b. It aais aaaccordance aawith aamedical aastaff aabylaws
c. A aacondition aathat aaoccurs aaprior aato aaan aainclient aaadmission
d. It aais aapresent aawithin aa3 aadays aaafter aaadmission aa

RIGHT ANS:->> c. A condition that occursprior to an inclient admission
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Rationale :->>It is important to understand the time frame for assigning a
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aa status code specifying thata condition is present on admission (Leon-Chisen
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aa 2017, 571-574). aa



Diagnostic-related groups (DRGs) and ambulatory client classifications (APCs)
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aresimilar in that they are both:
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a. Determined aaby aaHCPCS aacodes
b. Focused aaon aahospital aaoutclients
c. Focused aaon aahospital aainclients
d. Prospective aapayment aasystems aa
RIGHT ANS:->> d. Prospective payment systems
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Rationale:->> Both are types of prospective payment systems (Casto and
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Forrestal 2015, 6).
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