CCS Exam Study Questions.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Exam%20Stu
CCS Exam Study Questions & Answers
1. malicious software
ANS backdoor
2. A female patient is diagnosed with congestive heart failure. Which of thefollowing
will increase the MS-DRG weight if present on admission?
Atrial fibrillation
Stage III pressure ulcer
Blood loss anemia
Coronary artery disease
ANS Stage III pressure ulcer
MS-DRG 291 (weight = 01.5010) for congestive heart failure with stage III pressureulcer would
optimize the MS-DRG. MS-DRG 293 (weight = 0. 6756) is assigned forcongestive heart failure
alone, with atrial fibrillation, with blood loss anemia, and withcoronary artery disease all remain
1 of 103 8/8/2024, 2:40
,CCS Exam Study Questions.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Exam%20Stu
the same (Medicare Grouper Version 29-10/11)
3. A 70-year-old patient was admitted with pneumonia.The history and physi-cal
documented that the patient has a history of diabetes, hypertension, andmigraine
headache about 10 years ago without recurrence. The patient was administered IV
antibiotics, metformin, and Altace during the hospitalization.Which conditions would be
reported at the time of discharge?
ANS Pneumonia, diabetes, and hypertension
4. A patient is admitted for chest pain. The patient was stabilized and dis- charged. In a
subsequent admission, the patient was admitted as an outpatientfor a left heart
catheterization, coronary arteriography using two catheters andleft ventricular
angiography. The patient was found to have arteriosclerotic heart disease. The patient has
no history of cardiac surgery. The appropriatesequencing of ICD-9 and CPT codes for the
outpatient catheterization wouldbe
411.1-Intermediate coronary syndrome (unstable angina)413.9-
Other and unspecified angina pectoris
2 of 103 8/8/2024, 2:40
,CCS Exam Study Questions.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Exam%20Stu
414.00-Coronary atherosclerosis of unspecified type of vessel, native or graft414.01-
Coronary atherosclerosis of native coronary artery
786.50-Chest pain, unspecified
3 of 103 8/8/2024, 2:40
,CCS Exam Study Questions.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Exam%20Stu
93452-Left heart catheterization including intraprocedural injection(s) for left
ventriculography, imaging supervision and interpretation, when performed
93453-Combined right and left heart catheterization including intraproceduralinjection(s)
for left ventriculography, imaging supervision and interpretation,when performed
93454-Catheter placement in coronary artery(s) for coronary angiography, including
intraprocedural injection(s) for coronary angiography, imaging su-pervision and
interpretation;
93458-with left heart catheterization including intraprocedural injection(s) forleft
ventriculography, when performed
ANS 414.01, 93458
Code 414.01 is assigned to show coronary artery disease in a native coronaryartery and is used
when a patient has coronary artery disease and no history
of coronary bypass graft (CABG) surgery (Schraffenberger 2012, 190-192). Code 93458 includes
intraprocedural injection(s) for left ventricular/left atrial angiography,imaging supervision, and
4 of 103 8/8/2024, 2:40
CCS Exam Study Questions & Answers
1. malicious software
ANS backdoor
2. A female patient is diagnosed with congestive heart failure. Which of thefollowing
will increase the MS-DRG weight if present on admission?
Atrial fibrillation
Stage III pressure ulcer
Blood loss anemia
Coronary artery disease
ANS Stage III pressure ulcer
MS-DRG 291 (weight = 01.5010) for congestive heart failure with stage III pressureulcer would
optimize the MS-DRG. MS-DRG 293 (weight = 0. 6756) is assigned forcongestive heart failure
alone, with atrial fibrillation, with blood loss anemia, and withcoronary artery disease all remain
1 of 103 8/8/2024, 2:40
,CCS Exam Study Questions.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Exam%20Stu
the same (Medicare Grouper Version 29-10/11)
3. A 70-year-old patient was admitted with pneumonia.The history and physi-cal
documented that the patient has a history of diabetes, hypertension, andmigraine
headache about 10 years ago without recurrence. The patient was administered IV
antibiotics, metformin, and Altace during the hospitalization.Which conditions would be
reported at the time of discharge?
ANS Pneumonia, diabetes, and hypertension
4. A patient is admitted for chest pain. The patient was stabilized and dis- charged. In a
subsequent admission, the patient was admitted as an outpatientfor a left heart
catheterization, coronary arteriography using two catheters andleft ventricular
angiography. The patient was found to have arteriosclerotic heart disease. The patient has
no history of cardiac surgery. The appropriatesequencing of ICD-9 and CPT codes for the
outpatient catheterization wouldbe
411.1-Intermediate coronary syndrome (unstable angina)413.9-
Other and unspecified angina pectoris
2 of 103 8/8/2024, 2:40
,CCS Exam Study Questions.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Exam%20Stu
414.00-Coronary atherosclerosis of unspecified type of vessel, native or graft414.01-
Coronary atherosclerosis of native coronary artery
786.50-Chest pain, unspecified
3 of 103 8/8/2024, 2:40
,CCS Exam Study Questions.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Exam%20Stu
93452-Left heart catheterization including intraprocedural injection(s) for left
ventriculography, imaging supervision and interpretation, when performed
93453-Combined right and left heart catheterization including intraproceduralinjection(s)
for left ventriculography, imaging supervision and interpretation,when performed
93454-Catheter placement in coronary artery(s) for coronary angiography, including
intraprocedural injection(s) for coronary angiography, imaging su-pervision and
interpretation;
93458-with left heart catheterization including intraprocedural injection(s) forleft
ventriculography, when performed
ANS 414.01, 93458
Code 414.01 is assigned to show coronary artery disease in a native coronaryartery and is used
when a patient has coronary artery disease and no history
of coronary bypass graft (CABG) surgery (Schraffenberger 2012, 190-192). Code 93458 includes
intraprocedural injection(s) for left ventricular/left atrial angiography,imaging supervision, and
4 of 103 8/8/2024, 2:40
