CCS CERTIFIED CODING SPECIALIST
EXAM PREPARATION QUESTIONS
WITH DETAILED VERIFIED ANSWERS
.In order to accurately code a cardiac catheterization, what
needs to be determined based on a review of the
documentation?
a. The approach and the side of the heart (chambers) into which
the catheter was inserted
b. The approach, the side of the heart (chambers) into which the
catheter was inserted, as well as any additional procedures
performed
c. The duration of the procedure
d. If there is documentation of the procedure in the medical
record that stents are considered - correct answer- b.
The approach, the side of the heart (chambers) into which the
catheter was inserted, as well as any additional procedures
performed
(OPPS)
outpatient prospective payment system - correct answer-
outpatient prospective payment system (OPPS).
,1. Assign the code(s) for bronchoscopy with bilateral
transbronchial biopsy for each lobe of each lung.
31628 Bronchoscopy, rigid or flexible, including fluoroscopic
guidance, when performed; with transbronchial lung biopsy(s),
single lobe
31629 Bronchoscopy, rigid or flexible, including fluoroscopic
guidance, when performed; with transbronchial needle
aspiration biopsy(s), trachea, main stem and/or lobar
bronchus(i)
31632 Bronchoscopy, rigid or flexible, including fluoroscopic
guidance, when performed; with transbronchial lung biopsy(s),
each additional lobe
−50 Bilateral procedure
a. 31628
b. 31628-50
c. 31628, 31632
d. 31629 - correct answer- c. 31628, 31632
31628: Bronchoscopy, rigid or flexible, including fluoroscopic
guidance, when performed; with transbronchial lung biopsy(s),
single lobe
,31632: Bronchoscopy, rigid or flexible, including fluoroscopic
guidance, when performed; with transbronchial lung biopsy(s),
each additional lobe
In contrast to question 28, the code description for the
transbronchial biopsy includes the specification that the biopsy
is in a single lobe. An additional CPT code is needed (as opposed
to a modifier) to denote the bilateral aspect of the biopsy. CPT
code 31632 is an "add-on" code, which means it is coded in
addition to the primary procedure code (CPT Assistant 2005;
May 2008, 15; Feb. 2010, 6; April 2010, 5; AMA CPT Professional
Edition 2017, 181).
A 12-year-old boy was seen in an ambulatory surgical center for
pain in his right arm. The x-ray showed fracture of ulna. Patient
underwent closed reduction of fracture right proximal ulna.
What diagnostic and procedure codes should be assigned?
S52.101A Unspecified fracture of upper end of right radius,
initial encounter for closed fracture
S52.101B Unspecified fracture of upper end of right radius,
initial encounter for open fracture
, S52.001A Unspecified fracture of upper end of right ulna, initial
encounter for closed fracture
S52.001B Unspecified fracture of upper end of right ulna, initial
encounter for open fracture
0PSH0ZZ Reposition right radius, open approach
0PSK0ZZ Reposition right ulna, open approach
24670 Closed treatment of ulnar fracture, proximal end (eg,
olecranon or coronoid process(es) ); without manipulation
24675 Closed treatment of ulnar fracture, proximal end (eg,
olecranon or coronoid process - correct answer- d.
S52.001A, 24675
S52.001A: Unspecified fracture of upper end of right ulna, initial
encounter for closed fracture.
24675: Closed treatment of ulnar fracture, proximal end (eg,
olecranon or coronoid process(es) ); with manipulation
**The patient has a fracture of the right proximal ulna and
closed reduction is necessary. In the ICD-10-CM codebook,
under Fracture, ulna, proximal, the coder is referred to Fracture,
ulna, upper end. The term "manipulation" is used to indicate
reduction in CPT (AMA CPT Professional Edition 2017, 104).
EXAM PREPARATION QUESTIONS
WITH DETAILED VERIFIED ANSWERS
.In order to accurately code a cardiac catheterization, what
needs to be determined based on a review of the
documentation?
a. The approach and the side of the heart (chambers) into which
the catheter was inserted
b. The approach, the side of the heart (chambers) into which the
catheter was inserted, as well as any additional procedures
performed
c. The duration of the procedure
d. If there is documentation of the procedure in the medical
record that stents are considered - correct answer- b.
The approach, the side of the heart (chambers) into which the
catheter was inserted, as well as any additional procedures
performed
(OPPS)
outpatient prospective payment system - correct answer-
outpatient prospective payment system (OPPS).
,1. Assign the code(s) for bronchoscopy with bilateral
transbronchial biopsy for each lobe of each lung.
31628 Bronchoscopy, rigid or flexible, including fluoroscopic
guidance, when performed; with transbronchial lung biopsy(s),
single lobe
31629 Bronchoscopy, rigid or flexible, including fluoroscopic
guidance, when performed; with transbronchial needle
aspiration biopsy(s), trachea, main stem and/or lobar
bronchus(i)
31632 Bronchoscopy, rigid or flexible, including fluoroscopic
guidance, when performed; with transbronchial lung biopsy(s),
each additional lobe
−50 Bilateral procedure
a. 31628
b. 31628-50
c. 31628, 31632
d. 31629 - correct answer- c. 31628, 31632
31628: Bronchoscopy, rigid or flexible, including fluoroscopic
guidance, when performed; with transbronchial lung biopsy(s),
single lobe
,31632: Bronchoscopy, rigid or flexible, including fluoroscopic
guidance, when performed; with transbronchial lung biopsy(s),
each additional lobe
In contrast to question 28, the code description for the
transbronchial biopsy includes the specification that the biopsy
is in a single lobe. An additional CPT code is needed (as opposed
to a modifier) to denote the bilateral aspect of the biopsy. CPT
code 31632 is an "add-on" code, which means it is coded in
addition to the primary procedure code (CPT Assistant 2005;
May 2008, 15; Feb. 2010, 6; April 2010, 5; AMA CPT Professional
Edition 2017, 181).
A 12-year-old boy was seen in an ambulatory surgical center for
pain in his right arm. The x-ray showed fracture of ulna. Patient
underwent closed reduction of fracture right proximal ulna.
What diagnostic and procedure codes should be assigned?
S52.101A Unspecified fracture of upper end of right radius,
initial encounter for closed fracture
S52.101B Unspecified fracture of upper end of right radius,
initial encounter for open fracture
, S52.001A Unspecified fracture of upper end of right ulna, initial
encounter for closed fracture
S52.001B Unspecified fracture of upper end of right ulna, initial
encounter for open fracture
0PSH0ZZ Reposition right radius, open approach
0PSK0ZZ Reposition right ulna, open approach
24670 Closed treatment of ulnar fracture, proximal end (eg,
olecranon or coronoid process(es) ); without manipulation
24675 Closed treatment of ulnar fracture, proximal end (eg,
olecranon or coronoid process - correct answer- d.
S52.001A, 24675
S52.001A: Unspecified fracture of upper end of right ulna, initial
encounter for closed fracture.
24675: Closed treatment of ulnar fracture, proximal end (eg,
olecranon or coronoid process(es) ); with manipulation
**The patient has a fracture of the right proximal ulna and
closed reduction is necessary. In the ICD-10-CM codebook,
under Fracture, ulna, proximal, the coder is referred to Fracture,
ulna, upper end. The term "manipulation" is used to indicate
reduction in CPT (AMA CPT Professional Edition 2017, 104).
