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Exam (elaborations)

CERTIFIED CODING SPECIALIST PREP EXAM Questions with 100- verified Answers Latest Versions

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CERTIFIED CODING SPECIALIST PREP EXAM Questions with 100- verified Answers Latest Versions

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CERTIFIED CODING SPECIALIST PREP EXAM
Questions with 100% verified Answers
Latest Versions 2025 TOP RATED A+

Ambulatory/Outpatient



Cryosurgical destruction of simple papilloma of the penis. - correct answer
✅ICD-10-CM: D29.0;

CPT: 54056



(Schraffenberger 2013, 103; Smith 2015, 134).



Ambulatory/Outpatient



Dysfunctional uterine bleeding for which hysteroscopy with endometrial
ablation was undertaken. - correct answer ✅CD-10-CM: N93.8;

CPT: 58563

,(Schraffenberger 2013, 296; CPT Assistant Nov. 1999,2 : March 2000, 10;
March 2002, 11; CPT Changes: An Insider's View 2000, 2002).



Ambulatory/Outpatient



Incompetent cervix in second trimester with removal of cervical cerclage
under spinal anesthesia in a pregnant woman. - correct answer ✅ICD-10-
CM: 034.32;

CPT: 59871



(Leon-Chisen 2013, 343; CPT Assistant Nov. 1997, 2 CPT Assistant Nov. 2006,
21; CPT Assistant Feb. 2007, 10)



A patient is admitted to the hospital complaining of abdominal pain.
Following evaluation, it was determined that the patient had an intestinal
obstruction of the left colon due to adhesions from a prior abdominal
surgery. The patient underwent an exploratory laparotomy with lysis of
adhesions.



What conditions should be coded?

,a. Abdominal pain, abdominal adhesions, abdominal obstruction,
laparotomy, lysis of adhesions



b. Abdominal adhesions, abdominal obstruction, postoperative
complications of the digestive system, laparotomy, lysis of adhesions



c. Abdominal adhesions with obstruction, lysis of adhesions



d. Abdominal adhesions and abdominal obstruction, postoperative
complications of the digestive system, lysis of adhesions - correct answer
✅c



The patient has abdominal adhesions with obstruction, and lysis of
adhesions was performed. The abdominal pain is not coded as it is a
symptom (HHS 2014, Section I.B.4, 13; Leon-Chisen 2013,140)



A patient has a principal diagnosis of pneumonia (118.9) (MS-DRG 195).

, Which of the following may legitimately change the coding of the
pneumonia in accordance with the UHDDS and relevant clinical
documentation?



a. Sputum culture reflects growth of normal flora.

b. Patient has a positive gram stain.

c. Patient is found to have dysphagia with aspiration.

d. Patient has nonproductive sputum. - correct answer ✅c



Patient is found to have dysphagia with aspiration is the correct answer
because it changes the coding to aspiration pneumonia and would result in
MS-DRG 179 RESPIRATORY INFECTIONS & INFLAMMATIONS W/0 CC/MCC,
which has a weight of 0.9718 (Medicare Grouper Version Used: 31). This is in
comparison to MS-DRG 0195, SIMPLE PNEUMONIA & PLEURISY W/0
CC/MCC MDC: 04 which has a DRG weight of 0.6978 (Medicare Grouper
Version Used: 31).



A patient is diagnosed with infertility due to endometriosis and undergoes
an outpatient laparoscopic laser destruction of pelvic endometriosis.

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