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Exam (elaborations)

CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION QUESTIONS WITH CORRECT ANSWERS

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CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION QUESTIONS WITH CORRECT ANSWERS M81.8:Other osteoporosis without current pathological fracture. T38.0X5A: Adverse effects of glucocorticoids and synthetic analogues, initial encounter. Z79.52:Long term (current) use of systemic steroids **The ulcerative colitis and osteoporosis should be coded as well as the adverse effect and long term use of the steroid (HHS 2017, Section I.C.19.e, 74). ** In order to determine the correct procedure code, the lengths of the wounds repaired with the same type of closure are added together (AMA CPT Professional Edition 2017, 75, Surgery/ Integumentary Section directions). [Note: Since this is an emergency department visit, CPT codes are assigned, rather than ICD-10-PCS codes.] A patient was treated in the emergency department with lacerations of the neck and underwent a repair of two (2) wounds of the neck (2.0 cm and 1.4 cm) with layered closure. What are the diagnosis (excluding external cause codes) and procedure codes assigned? S11.91XA Laceration without foreign body of unspecified part of neck, initial encounter S11.92XA Laceration with foreign body of unspecified part of neck, initial encounter 0HQ4XZZ Repair neck skin, external approach 12041 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2. 5 cm or less 12042 Repair, intermediate, wounds of neck, hands, feet, and/or external genitalia; 2.6 cm to 7.5 cm a. S11.91XA, 0HQ4XZZ b. S11.92XA, 0HQ4XZZ c. S11.92XA, 12041 d. S11.91XA, 12042 - Answer-d. S11.91XA :Laceration without foreign body of unspecified part of neck, initial encounter. 12042: Repair, intermediate, wounds of neck, hands, feet, and/or external genitalia; 2.6 cm to 7.5 cm Assign the code(s) for diagnostic left and right cardiac catheterization, left and right coronary arteriogram with low osmolar contrast and fluoroscopic guidance

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