CCS EXAM 2 QUESTIONS AND CORRECT VERIFIED ANSWERS

CCS EXAM 2 QUESTIONS AND CORRECT
VERIFIED ANSWERS
AssignA2code(s)A2forA2theA2followingA2diagnosis:A2CongestiveA2heartA2failureA2dueA2toA2hy
pertension.
I10EssentialA2(primary)A2hypertension
I11.0HypertensiveA2heartA2diseaseA2withA2heartA2failure
I50.9HeartA2failure,A2unspecified
I50.23AcuteA2onA2chronicA2systolicA2(congestive)A2heartA2failure

a.A2I10,A2I50.9
b.A2I11.0
c.A2I50.23,A2I10
d.A2I11.0,A2I50.9A2-A2Ans--A2CorrectA2Answer:A2D
HeartA2failureA2isA2assignedA2aA2combinationA2codeA2whenA2aA2causalA2relationshipA2isA2s
tatedA2(dueA2toA2hypertension)A2orA2impliedA2(hypertensive).A2UseA2anA2additionalA2codeA2
toA2identifyA2theA2typeA2ofA2heartA2failureA2inA2thoseA2patientsA2withA2heartA2failureA2(CMSA
22020a,A2SectionA2I.C.9.a.1,A246-47).


AA2patientA2isA2seenA2forA2evaluationA2ofA2aA2rightA2orbitalA2roofA2fracture.A2HowA2shouldA2t
hisA2beA2coded?
S02.121AFractureA2ofA2orbitalA2roof,A2rightA2side,A2initialA2encounterA2forA2closedA2fractur
e
S02.31XAFractureA2ofA2orbitalA2floor,A2rightA2side,A2initialA2encounterA2forA2closedA2fractur
e
S02.92XAUnspecifiedA2fractureA2ofA2facialA2bones,A2initialA2encounterA2forA2closedA2fractu
re
S02.91XAUnspecifiedA2fractureA2ofA2skull,A2initialA2encounterA2forA2closedA2fracture

a.A2S02.121A
b.A2S02.31XA
c.A2S02.92XA
d.A2S02.91XAA2-A2Ans--A2CorrectA2Answer:A2A
AlphabeticA2IndexA2forA2fracture,A2traumatic;A2orbit,A2orbital;A2roofA2guidesA2theA2coderA2to
A2S02.12.A2EvaluationA2ofA2aA2fractureA2isA2anA2exampleA2ofA2activeA2treatmentA2whichA2is
A2reportedA2withA27thA2characterA2"A"A2(SchraffenbergerA2andA2PalkieA22020,A2580-584).


PatientA2presentsA2inA2theA2ERA2withA2thrombosisA2ofA2aA2loopA2PTFEA2hemodialysisA2fist
ulaA2withoutA2mechanicalA2complications.A2TheA2physicianA2performedA2aA2percutaneous
A2thrombectomyA2ofA2theA2leftA2brachialA2vein.A2AssignA2aA2facilityA2codeA2forA2thisA2outpat
ientA2procedure.
05CA3ZZExtirpationA2ofA2matterA2fromA2leftA2brachialA2vein,A2percutaneousA2approach
36904PercutaneousA2transluminalA2mechanicalA2thrombectomyA2and/
orA2infusionA2forA2thrombolysis,A2dialysisA2circuit,A2anyA2method,A2includingA2allA2imagingA
2andA2radiologicalA2supervisionA2andA2interpretation,A2diagnosticA2angiography,A2fluorosc

,opicA2guidance,A2catheterA2placement(s),A2andA2intraproceduralA2pharmacologicalA2thro
mbolyticA2injection(s)
36832Revision,A2open,A2arteriovenousA2fistula;A2withoutA2thrombectomy,A2autogenousA2o
rA2nonautogenousA2dialysisA2graftA2(separateA2procedure)
37184PrimaryA2percutaneousA2transluminalA2mechanicalA2thrombectomy,A2noncoronary,
A2arterialA2orA2arterialA2bypassA2graft,A2includingA2fluoroscopicA2guidanceA2andA2intraproA2
-A2Ans--A2CorrectA2Answer:A2B
ThisA2episodeA2ofA2careA2occursA2inA2theA2ERA2whichA2isA2anA2outpatientA2setting,A2theref
ore,A2aA2CPTA2codeA2shouldA2beA2used.A2CPTA2codeA236904A2correctlyA2identifiesA2theA2t
hrombectomyA2procedureA2becauseA2itA2specifiesA2theA2siteA2ofA2theA2thrombectomyA2asA
2"dialysisA2circuit."A236904A2includesA2imagingA2guidance,A2diagnosticA2angiography,A2cat
heterA2placement,A2andA2intraproceduralA2pharmacologicalA2thrombolyticA2injections"A2(Ki
rchoffA22009,A2203).

PatientA2admittedA2forA2laparoscopicA2repairA2ofA2rightA2diaphragmaticA2hernia.A2AssignA2t
heA2ICD-10-PCSA2procedureA2codeA2forA2thisA2surgery.
0BQT4ZZRepairA2diaphragm,A2percutaneousA2endoscopicA2approach
0BQT3ZZRepairA2diaphragm,A2percutaneousA2approach
0WQF4ZZRepairA2abdominalA2wall,A2percutaneousA2endoscopicA2approach
0BQT0ZZRepairA2diaphragm,A2openA2approach

a.A20BQT4ZZ
b.A20BQT3ZZ
c.A20WQF4ZZ
d.A20BQT0ZZA2-A2Ans--A2CorrectA2Answer:A2A
ICD-10-
PCSA2codeA20BQT4ZZA2isA2theA2correctA2codeA2basedA2onA2theA2valuesA2forA2theA2bodyA2
partA2andA2approach.A2TheA2correctA2bodyA2partA2isA2diaphragmA2andA2laparoscopyA2isA2r
eportedA2asA2aA2percutaneousA2endoscopicA2methodA2ofA2approachA2(Leon-
ChisenA22020,A2250-251).

AA223-year-
oldA2femaleA2isA2admittedA2forA2vaginalA2bleedingA2followingA2aA2miscarriageA2twoA2weeks
A2priorA2toA2thisA2admission.A2SheA2isA2afebrileA2atA2thisA2timeA2andA2isA2treatedA2withA2anA
2aspirationA2dilationA2andA2curettage.A2ProductsA2ofA2conceptionA2areA2found.A2WhichA2ofA
2theA2followingA2shouldA2beA2theA2principalA2diagnosis?
a.A2O03.1,A2DelayedA2orA2excessiveA2hemorrhageA2followingA2incompleteA2spontaneousA
2abortion
b.A2O08.1,A2DelayedA2orA2excessiveA2hemorrhageA2followingA2ectopicA2andA2molarA2preg
nancy
c.A2O03.6,A2DelayedA2orA2excessiveA2hemorrhageA2followingA2completeA2orA2unspecifiedA
2spontaneousA2abortion
d.A2O07.1,A2DelayedA2orA2excessiveA2hemorrhageA2followingA2failedA2attemptedA2terminat
ionA2ofA2pregnancyA2-A2Ans--A2CorrectA2Answer:A2A
AA2miscarriageA2isA2aA2spontaneousA2abortion.A2IfA2theA2readmissionA2isA2forA2theA2purpos
eA2ofA2dealingA2withA2retainedA2productsA2ofA2conception,A2theA2spontaneousA2abortionA2i

, sA2incomplete;A2useA2aA2codeA2fromA2theA2O03A2categoryA2(CMSA22020a,A2SectionA2I.C.1
5.q.,A268).

AA2patientA2presentsA2toA2theA2emergencyA2departmentA2withA2aA2fracturedA2armA2second
aryA2toA2aA2fallA2precipitatedA2byA2syncopeA2andA2ataxia.A2TheA2patientA2undergoesA2aA2cl
osedA2reductionA2ofA2theA2fractureA2inA2theA2emergencyA2departmentA2andA2isA2thenA2adm
ittedA2forA2workA2upA2forA2metastaticA2carcinomaA2secondaryA2toA2ataxiaA2andA2syncopeA2i
nA2aA2patientA2withA2recentA2historyA2ofA2lungA2cancer.A2TheA2patient'sA2work-
upA2confirmsA2recurrentA2lungA2carcinomaA2metastaticA2toA2theA2brain.TheA2principalA2dia
gnosisA2shouldA2be:
a.A2FracturedA2arm
b.A2Syncope
c.A2MetastaticA2carcinomaA2ofA2theA2brain
d.A2CarcinomaA2ofA2theA2lungA2-A2Ans--A2CorrectA2Answer:A2C
AccordingA2toA2theA2UHDDSA2definition,A2theA2principalA2diagnosisA2isA2"thatA2conditionA2e
stablishedA2afterA2studyA2toA2beA2chieflyA2responsibleA2forA2occasioningA2theA2admissionA2
ofA2theA2patientA2toA2theA2hospitalA2forA2care."A2InA2thisA2case,A2metastaticA2carcinomaA2of
A2theA2brainA2isA2responsibleA2forA2theA2patient'sA2ataxiaA2andA2syncope,A2whichA2ledA2toA2
theA2fallA2(CMSA22020a,A2SectionA2II,A2107).

AA2femaleA2patientA2withA2hematocheziaA2presentsA2toA2theA2hospitalA2outpatientA2surger
yA2departmentA2forA2aA2colonoscopyA2butA2theA2procedureA2wasA2notA2performedA2dueA2to
A2elevatedA2bloodA2pressure.A2WhatA2isA2theA2firstlistedA2diagnosisA2forA2thisA2encounter?
a.A2ElevatedA2bloodA2pressure
b.A2Hematochezia
c.A2ProcedureA2notA2performedA2dueA2toA2contraindication
d.A2ProcedureA2notA2performedA2forA2otherA2reasonA2-A2Ans--A2CorrectA2Answer:A2B
WhenA2aA2patientA2presentsA2forA2outpatientA2surgery,A2codeA2theA2reasonA2forA2theA2surg
eryA2asA2theA2firstlistedA2diagnosisA2(reasonA2forA2theA2encounter)A2evenA2ifA2theA2surgery
A2isA2notA2performedA2dueA2toA2aA2contraindicationA2(CMSA22020a,A2SectionA2IV.A.1.,A211
3).

AA255-year-
oldA2patientA2withA2AIDSA2admittedA2afterA2beingA2struckA2byA2carA2whileA2walkingA2inA2aA2
parkingA2lot.A2SheA2hasA2aA2comminuted,A2rightA2femoralA2shaftA2fractureA2andA2aA2contus
ionA2ofA2bothA2handsA2andA2rightA2elbowA2abrasion.A2TheA2principalA2diagnosisA2shouldA2b
eA2the:
a.A2AIDS
b.A2FracturedA2femur
c.A2AbrasionA2elbow
d.A2ContusionA2handA2-A2Ans--A2CorrectA2Answer:A2B
IfA2aA2patientA2withA2HIVA2diseaseA2isA2admittedA2forA2anA2unrelatedA2conditionA2(suchA2as
A2aA2traumaticA2injury),A2theA2codeA2forA2theA2unrelatedA2conditionA2(forA2example,A2theA2n
atureA2ofA2injuryA2code)A2shouldA2beA2theA2principalA2diagnosis.A2TheA2mostA2severeA2inju
ryA2shouldA2beA2sequencedA2first.A2OtherA2diagnosesA2wouldA2beA2B20A2followedA2byA2ad