CCS Exam | Questions and Verified Answers| 2023/ 2024 Update

CCS Exam | Questions and Verified Answers| 2023/ 2024 Update Q: Under HIPAA Standards for Code Sets, the sets of codes used to encode the diagnoses and procedures, data elements, and medical concepts must be used in: Answer: electronic claims only Q: A patient is admitted to undergo a laparoscopic cholecystectomy. Following the insertion of the laparoscope into the abdominal cavity, the patient experienced a cardiac arrhythmia and the procedure was terminated. The patient experienced a potentially compensable event resulting in an incident report. Which department may request to see the patient's record? Pediatrics Risk Management Surgical Supply Dietary Services Answer: Risk Management he role of the risk manager is to collect and analyze information on actual losses and potential risks and to design systems that lessen potential losses in the future. An incident report is a structured tool used to collect data and information about any event not consistent with routine operational procedures Q: If a patient is admitted with pneumococcal pneumonia and pneumococcal sepsis, the coder should Answer: Assign a code for the sepsis, pneumonia, and SIRS Q: According to the UHDDS, in order to assign a code for another diagnosis, documentation must be present that: Answer: The condition was clinically evaluated or therapeutically treated, extended the length of hospital stay or increased nursing care and monitoring or care For reporting purposes the definition for other diagnoses is interpreted as additional conditions that affect patient care in terms of requiring: clinical evaluation; or therapeutic treatment; or diagnostic procedures; or extended length of hospital stay; or increased nursing care or monitoring Q: 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. Three aortocoronary grafts Two aortocoronary grafts and one mammary-coronary graft Two aortocoronary grafts and two saphenous bypass graft Three aortocoronary grafts and one mammary-coronary graft Answer: Two aortocoronary grafts and one mammary-coronary graft It is rare for only one coronary artery to be bypassed, and it is also fairly common to perform both an internal mammary-coronary artery bypass and an aortocoronary bypass at the same operative episode Q: EM example Answer: Calculate the evaluation and management code for the outpatient visit. *According to the mapping scenario; meds given are = 2 = 5 points, the history is problem focused = 10 points, the exam is extended problem focused = 15 points, the number of tests = 5 = 15 points, supplies = 1 fracture tray = 5 points. Total is 50 points Q: History of radiation therapy Answer: V15.3 Q: . A patient has an inpatient discharge with principal diagnosis of shoulder pain due to peptic ulcer vs. cholecystitis documented on the history and physical. Both are equally treated and well documented. A coder should: Code whichever diagnosis pays more, if both are equally treated Use a code from the Findings Abnormal category Code to the most severe symptom Code shoulder pain, peptic ulcer, cholecystitis Answer: Code shoulder pain, peptic ulcer, cholecystitis When a symptom is followed by contrasting or comparative diagnoses, the symptom is sequenced first. All the contrasting or comparative diagnosis should be coded as additional diagnoses Q: 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: Answer: Excisional debridement can be performed in the operating room, the emergency department, or at the bedside. Coders are encouraged to work with the physician and other healthcare providers to ensure that the documentation in the health record is very specific regarding the type of debridement performed. If there is any question as to whether the debridement is excisional or nonexcisional, the provider should be queried for clarification Q: Assign the correct codes for a laparoscopic cholecystectomy with percutaneous removal of common bile duct stones Answer: 51.23, Laparoscopic cholecystectomy 51.96, Percutaneous extraction of common duct stones Q: Health information exchanges facilitate Answer: Seamless transfer of patient care data Q: A 23-year-old female is admitted for shock following treatment of a miscarriage. The pathology report from the previous admission reveals that the patient had no decidua or products of conception in the tissue removed. This encounter would be coded as: Answer: 639, Complication following abortion and ectopic and molar pregnancies When a patient is readmitted because a complication has developed following discharge for a treated miscarriage, a code from category 639 is assigned as the principal diagnosis. The 639