CERTIFIED CODING SPECIALIST EXAM /CCS
EXAM 2 LATEST VERSIONS 2024 AND
PRACTICE QUESTIONS (VERSION A AND B)
COMPLETE 500 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
VERSION A
According to CPT, an endoscopy that is undertaken to the
level of the midtransverse colon would be coded as a:
a. Proctosigmoidoscopy
b. Sigmoidoscopy
c. Colonoscopy
d. Proctoscopy - ....ANSWER...c
A 56-year-old woman is admitted to an acute-care facility
from a skilled nursing facility. The patient has multiple
sclerosis and hypertension. During the course of
hospitalization, a decubitus ulcer is found and debrided at
the bedside by a physician. There is no typed operative
report and no pathology report. The coder should:
a. Use an excisional debridement code as these charts are
rarely reviewed to verify the excisional debridement
b. Code with a nonexcisional debridement procedure code
c. Query the healthcare provider who performed the
procedure to determine if the debridement was excisional
d. Eliminate the procedure code all together -
....ANSWER...c
,During a coronary artery bypass surgery, the patient
underwent saphenous bypass grafts; from the aorta to the
left anterior descending branch of the left main coronary
artery, and the left posterior descending of the left main
coronary artery. The patient also underwent a repositioning
of the mammary artery to the right coronary artery. Choose
the best description for this procedure.
a. Three aortocoronary grafts
b. Two aortocoronary grafts and one mammary-coronary
graft
c. Two aortocoronary grafts and two saphenous bypass
grafts
d. Three aortocoronary grafts and one mammary-coronary
graft - ....ANSWER...b
A patient is discharged with a diagnosis of acute pulmonary
edema due to congestive heart failure. What condition(s)
should be coded?
a. Acute pulmonary edema
b. Congestive heart failure
c. Acute pulmonary edema and congestive heart failure
d. Unable to determine based on the information provided -
....ANSWER...b
A patient is admitted with an acute inferior myocardial
infarction and discharged alive. Which condition would
increase the MS-DRG weight?
a. Respiratory failure
b. Atrial fibrillation
c. Hypertension
d. History of myocardial infarction - ....ANSWER...a
,A female patient is diagnosed with congestive heart failure.
Which of the following will increase the MS-DRG weight if
present on admission?
a. Atrial fibrillation
b. Stage III pressure ulcer
c. Blood loss anemia
d. Coronary artery disease - ....ANSWER...b
If the principal diagnosis is an initial episode of an anterior
wall myocardial infarction, which procedure will result in
the highest DRG?
a. Mechanical ventilator
b. Insertion central venous catheter
c. Right heart cardiac catheterization
d. Transbronchial lung biopsy - ....ANSWER...d
A patient is admitted with spotting and fever. She is found to
have been treated for a miscarriage (spontaneous abortion),
which was resolved two weeks prior to this admission. She
is treated with aspiration dilation and curettage and products
of conception are found. She is found to be septic. Which of
the following diagnoses should be principal diagnosis?
a. Complications following abortion and ectopic or other
pregnancy
b. Complications of spontaneous abortion with sepsis
c. Sepsis
d. Sepsis following incomplete spontaneous abortion -
....ANSWER...d
During an admission for congestive heart failure (CHF), a
chest x-ray was done to evaluate for the presence of CHF.
, An asymptomatic hernia was also found for which no
treatment or evaluation was done. What is the reason that
the hernia should not be coded?
a. The patient's primary condition of interest is the CHF.
b. The hernia is an incidental finding and does not meet the
UHDDS requirements.
c. The patient is asymptomatic.
d. The condition does not impact the reimbursement. -
....ANSWER...b
The outpatient code editor (OCE) has all of the following
types of edits except:
a. Claim accuracy
b. Discharge date discrepancy
c. Assigning APCs to the claim
d. Age and sex edits - ....ANSWER...b
According to the UHDDS, section III, the definition of other
diagnoses is all conditions that:
a. Coexist at the time of admission, that develop
subsequently, or that affect the treatment received or the
length of stay
b. Receive evaluation and are documented by the physician
c. Receive clinical evaluation, therapeutic treatment, further
evaluation, extend the length of stay, increase nursing
monitoring/care
d. Are consi - ....ANSWER...a
The quality of data is most directly tied to the:
a. Conditions treated in surrounding healthcare settings
b. Surgical case review committee
c. Length of hospital stay
EXAM 2 LATEST VERSIONS 2024 AND
PRACTICE QUESTIONS (VERSION A AND B)
COMPLETE 500 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
VERSION A
According to CPT, an endoscopy that is undertaken to the
level of the midtransverse colon would be coded as a:
a. Proctosigmoidoscopy
b. Sigmoidoscopy
c. Colonoscopy
d. Proctoscopy - ....ANSWER...c
A 56-year-old woman is admitted to an acute-care facility
from a skilled nursing facility. The patient has multiple
sclerosis and hypertension. During the course of
hospitalization, a decubitus ulcer is found and debrided at
the bedside by a physician. There is no typed operative
report and no pathology report. The coder should:
a. Use an excisional debridement code as these charts are
rarely reviewed to verify the excisional debridement
b. Code with a nonexcisional debridement procedure code
c. Query the healthcare provider who performed the
procedure to determine if the debridement was excisional
d. Eliminate the procedure code all together -
....ANSWER...c
,During a coronary artery bypass surgery, the patient
underwent saphenous bypass grafts; from the aorta to the
left anterior descending branch of the left main coronary
artery, and the left posterior descending of the left main
coronary artery. The patient also underwent a repositioning
of the mammary artery to the right coronary artery. Choose
the best description for this procedure.
a. Three aortocoronary grafts
b. Two aortocoronary grafts and one mammary-coronary
graft
c. Two aortocoronary grafts and two saphenous bypass
grafts
d. Three aortocoronary grafts and one mammary-coronary
graft - ....ANSWER...b
A patient is discharged with a diagnosis of acute pulmonary
edema due to congestive heart failure. What condition(s)
should be coded?
a. Acute pulmonary edema
b. Congestive heart failure
c. Acute pulmonary edema and congestive heart failure
d. Unable to determine based on the information provided -
....ANSWER...b
A patient is admitted with an acute inferior myocardial
infarction and discharged alive. Which condition would
increase the MS-DRG weight?
a. Respiratory failure
b. Atrial fibrillation
c. Hypertension
d. History of myocardial infarction - ....ANSWER...a
,A female patient is diagnosed with congestive heart failure.
Which of the following will increase the MS-DRG weight if
present on admission?
a. Atrial fibrillation
b. Stage III pressure ulcer
c. Blood loss anemia
d. Coronary artery disease - ....ANSWER...b
If the principal diagnosis is an initial episode of an anterior
wall myocardial infarction, which procedure will result in
the highest DRG?
a. Mechanical ventilator
b. Insertion central venous catheter
c. Right heart cardiac catheterization
d. Transbronchial lung biopsy - ....ANSWER...d
A patient is admitted with spotting and fever. She is found to
have been treated for a miscarriage (spontaneous abortion),
which was resolved two weeks prior to this admission. She
is treated with aspiration dilation and curettage and products
of conception are found. She is found to be septic. Which of
the following diagnoses should be principal diagnosis?
a. Complications following abortion and ectopic or other
pregnancy
b. Complications of spontaneous abortion with sepsis
c. Sepsis
d. Sepsis following incomplete spontaneous abortion -
....ANSWER...d
During an admission for congestive heart failure (CHF), a
chest x-ray was done to evaluate for the presence of CHF.
, An asymptomatic hernia was also found for which no
treatment or evaluation was done. What is the reason that
the hernia should not be coded?
a. The patient's primary condition of interest is the CHF.
b. The hernia is an incidental finding and does not meet the
UHDDS requirements.
c. The patient is asymptomatic.
d. The condition does not impact the reimbursement. -
....ANSWER...b
The outpatient code editor (OCE) has all of the following
types of edits except:
a. Claim accuracy
b. Discharge date discrepancy
c. Assigning APCs to the claim
d. Age and sex edits - ....ANSWER...b
According to the UHDDS, section III, the definition of other
diagnoses is all conditions that:
a. Coexist at the time of admission, that develop
subsequently, or that affect the treatment received or the
length of stay
b. Receive evaluation and are documented by the physician
c. Receive clinical evaluation, therapeutic treatment, further
evaluation, extend the length of stay, increase nursing
monitoring/care
d. Are consi - ....ANSWER...a
The quality of data is most directly tied to the:
a. Conditions treated in surrounding healthcare settings
b. Surgical case review committee
c. Length of hospital stay
