CCS Exam 2| 86 QUESTIONS| WITH COMPLETE SOLUTIONS

Assign code(s) for the following diagnosis: Congestive heart failure due to hypertension. I10Essential (primary) hypertension I11.0Hypertensive heart disease with heart failure I50.9Heart failure, unspecified I50.23Acute on chronic systolic (congestive) heart failure a. I10, I50.9 b. I11.0 c. I50.23, I10 d. I11.0, I50.9 Correct Answer: Correct Answer: D Heart failure is assigned a combination code when a causal relationship is stated (due to hypertension) or implied (hypertensive). Use an additional code to identify the type of heart failure in those patients with heart failure (CMS 2020a, Section I.C.9.a.1, 46-47). A patient is seen for evaluation of a right orbital roof fracture. How should this be coded? S02.121AFracture of orbital roof, right side, initial encounter for closed fracture S02.31XAFracture of orbital floor, right side, initial encounter for closed fracture S02.92XAUnspecified fracture of facial bones, initial encounter for closed fracture S02.91XAUnspecified fracture of skull, initial encounter for closed fracture a. S02.121A b. S02.31XA c. S02.92XA d. S02.91XA Correct Answer: Correct Answer: A Alphabetic Index for fracture, traumatic; orbit, orbital; roof guides the coder to S02.12. Evaluation of a fracture is an example of active treatment which is reported with 7th character "A" (Schraffenberger and Palkie 2020, 580-584). Patient presents in the ER with thrombosis of a loop PTFE hemodialysis fistula without mechanical complications. The physician performed a percutaneous thrombectomy of the left brachial vein. Assign a facility code for this outpatient procedure. 05CA3ZZExtirpation of matter from left brachial vein, percutaneous approach 36904Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s) 36832Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) 37184Primary percutaneous transluminal mechanical thrombectomy, noncoronary, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel