CERTIFIED CODING SPECIALIST (CCS) EXAM LATEST VERSION 2024 ACTUAL EXAM| COMPLETE 100 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

CERTIFIED CODING SPECIALIST (CCS) EXAM
LATEST VERSION 2024 ACTUAL EXAM|
COMPLETE 100 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+


Diagnostic-related groups (DRGs) and ambulatory patient classifications (APCs) are similar in that they are
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both:
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a. Determined by HCPCS codes
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b. Focused on hospital outpatients
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c. Focused on hospital inpatients
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d. Prospective payment systems - d. Prospective payment systems
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** Both are types of prospective payment systems (Casto and Forrestal 2015, 6).
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A patient is treated for esophageal varices with hemorrhage due to cirrhosis. The diagnostic codes that
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would be assigned are:
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I85.01 Esophageal varices with bleeding
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I85.11 Secondary esophageal varices with bleeding
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K74.60 Unspecified cirrhosis of liver - d. K74.60, I85.11
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K74.60: Unspecified cirrhosis of liver
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I85.11:Secondary esophageal varices with bleeding k k k k

,**The patient has cirrhosis of the liver with resulting bleeding esophageal varices. Cirrhosis of liver is
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sequenced first followed by the code for the bleeding esophageal varices (HHS 2017, Section I.A.13, 11).
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Assign the code(s) for bronchoscopy with bilateral transbronchial biopsy for each lobe of each lung.
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31628 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with
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transbronchial lung biopsy(s), single lobe
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31629 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with
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transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i)
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31632 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with
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transbronchial lung biopsy(s), each additional lobe
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−50 Bilateral procedure -
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Assign the code(s) for endoscopic sinusotomy with bilateral anterior ethmoidectomy.
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31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)
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31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior)
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−50 Bilateral procedurea.
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a. 31254
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b. 31254-50
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c. 31254, 31254
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d. 31231 - b. 31254-50
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31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior)
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−50 Bilateral procedurea.
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** A code for the anterior ethmoidectomy is assigned and to denote the bilateral procedure, a modifier of -
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50 is added (CPT Assistant Winter 1993, 23; Jan. 1997, 4; Sept. 1997, 10; Oct. 1997, 5; Dec. 2001, 6; May 2003,
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5). The sinusotomy is not coded separately, as it is a diagnostic procedure.
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,The most common language used for both data definition language and data manipulation language is:
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a. Unified modeling language
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b. JAVA k




c. Perl k




d. Structured query language - d. Structured query language
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** Structured query language (SQL) is used commonly for data language and data definitions (Sharp 2016,
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184).
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An ethmoidectomy removes infected tissue and bone in the ethmoid sinuses that blocks natural drainage.
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The surgeon views your ethmoid sinuses with an endoscope, a thin flexible tube with a very small camera
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and light at the end of it. -
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Documentation from the nursing or other allied health professionals' notes can be used to establish which of
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the following diagnoses:
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a. Body mass index (BMI)
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b. Malnutrition
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c. Aspiration pneumonia
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d. Fatigue - a. Body mass index (BMI)
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** The physician must establish the diagnosis—obesity or morbid obesity—and the additional information
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can be pulled from ancillary documentation to establish the correct code assignment for body mass index
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(BMI) (Leon-Chisen 2017, 168).
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A 55-year-old patient has hypertensive heart disease with congestive heart failure. What code would be
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assigned?
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, a. I15.8, Other secondary hypertension
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b. I11.0, Hypertensive heart disease with heart failure and I50.9, Heart failure, unspecified
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c. I50.9, Heart failure, unspecified and I15.0, Renovascular hypertension
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d. N18.6, End stage renal disease - b. I11.0, Hypertensive heart disease with heart failure and I50.9, Heart
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failure, unspecified
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** There is a cause and effect relationship established between the hypertension and the congestive heart
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failure. A separate code for the congestive heart failure is assigned based on the "code also" note (HHS 2017,
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Section I.C.9.a., 40).
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A surgeon would like to undertake a research study on his patients with stage II malignant melanoma of the
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back, who have undergone wide excision of the melanoma. What work processes and associated software
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could be used to provide this information?
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a. Obtain a summary of the cases from the cancer registry, import them into a spreadsheet, and provide to
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the surgeon.
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b. Obtain a summary of the cases from the chart completion software, import them into a spreadsheet, and
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provide to the surgeon.
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c. Obtain a summary of the cases from the master patient index, import them into a spreadsheet, and
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provide to the surgeon.
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d. Obtain a summary of the cases from the transcription tracking software, import them into a spreadsheet,
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and provide to the surgeon. - a. Obtain a summary of the cases from the cancer registry, import them into a
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spreadsheet, and provide to the surgeon.
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**The cancer registry can be used to undertake studies in addition to reporting cases to a central registry
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(Sharp and Madlock-Brown 2016, 173).
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A facility located near a national park has a significant number of snake bites, and patients receive treatment
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with antivenom in urgent-care settings. Sometimes a patient is admitted to the hospital after several days.
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Can the urgent-care setting provide the hospital with a list of names of patients treated with snake
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antivenom?
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