1|Page
CCS EXAM PREP LATEST 2025 TEST BANK|
2 VERSIONS (VERSION A AND B) WITH
COMPLETE 400 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| CERTIFIED
CODING SPECIALIST EXAM 2025 (NEW!!)
What does NCHS stand for? - ANSWER - National Center for Health
Statistics
75yo female was Adm for AMI and underwent a diagnostic cardiac cath.
Following the Cath, pt dev a thrombophlebitis documented as due to the
catheter in the common femoral artery. The thrombophlebitis would be
coded as: - ANSWER - T81.718A, complication of other artery
following a procedure, NEC, initial enc
Pt Adm to ED w/chest pain, and dx w/abort MI w/acute myocardial
ischemia with no prior cardiac surgery, and normal cardiac enzymes.
What is coding for this case? - ANSWER - I24.0 (acute coronary
thrombosis not resulting in MI) Pts w/acute ischemic heart disease or
acute myocardial ischemia do not always indicate an infarction and it is
often possible to prevent infarction by means of surgery or use of
thrombolytic agents if Tx promptly
Pt has nausea, vomiting, abdominal pain due to acute cholecystitis. Phys
doc the following on DS: Acute cholecystitis, nausea, vomiting, and
pg. 1
,2|Page
abdominal pain. What is correct coding? - ANSWER - Acute
cholecystitis
Pt Adm bc of CHF, and also found to have elevated liver function tests.
Phys worked up ELF test but able to determine dx, so the following dx is
assigned: - ANSWER - CHF and abnormal liver function tests
Pt Adm with hypotension due to dobutamine taken and prescribed
correctly. How is this coded? - ANSWER - I95.2, Hypotension due to
drugs
T44.5X5A, adverse effects of dobutamine
Pt Adm 2 wks. after laminectomy for spinal stenosis w/headache
(headache due to tear in dura accidentally occurred during prior
laminectomy surgery). Pt taken to OR for repair of dura. How is this
case coded? - ANSWER - G97.41, Accidental puncture or laceration of
dura during procedure
Pt Adm w/SOB, CHF, and subsequently dev resp fail. Pt undergoes
intubation w/ventilator mgmt. Correct seq of dx would be: - ANSWER -
CHF and resp failure
Pt Adm w/pneumococcal pneumonia and pneumococcal sepsis, so the
coder should: - ANSWER - Assign code for sepsis, pneumonia, and
severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia
also has severe sepsis and Guidelines provide info related to coding, seq
of sepsis, severe sepsis, and localized infection, such as pneumonia
pg. 2
,3|Page
Pt Adm w/ESRD following kidney transplant, who also had angina and
COPD, so dx would be seq as: - ANSWER - ESRD; status post kidney
transplant; COPD; angina
Pt Adm to hosp due to fracture of rt hip and scheduled for open
reduction with int fix, but pt dev cardiac arrhythmia which results in an
inability to do planned surgery. Assign code for PD: - ANSWER - Rt hip
fracture (cond after study that occasioned Adm should be seq first even
if the plan of Tx was not carried out due to unforeseen circumstances)
What is not part of a facility coding compliance plan? - ANSWER -
Coding audits performed by payers (while this has value, payers are
considered external reviewing)
What are various parts of a facility coding compliance plan? - ANSWER
- Regular internal audits, audits performed by objective external
reviewers, sharing/discussing results with coding staff
In CPT, unlisted codes are reported only if: - ANSWER - There is a not a
HCPCS level II or a current CPT level III code available
A virtual screening colonoscopy would be coded as: - ANSWER -
74263: Computed tomographic (CT) colonography, screening including
image postprocessing
Pt underwent excision of malignant lesion of chest measuring 1.0cm
with 0.2cm margin, and based on 2015 CPT codes, which code is used
pg. 3
, 4|Page
for this procedure? - ANSWER - 11602, Excision malignant lesion of
trunk; excised diameter 1.1-2.0cm
Pt dx w/L4-5 lumbar neuropathy and discogenic pain. Pt underwent
percutaneous intradiscal electrothermal annuloplasty (IDET) in
radiology suite. What ICD-10-PCS code should be used? - ANSWER -
0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is
done w/thermal energy, or heat, directed into the outer disc wall, or
annulus, and inner disc contents, or nucleus, via a heating coil,
decreasing pressure inside the disc
Laparoscopic tubal ligation with Falope ring is completed, so what is
correct CPT code assignment? - ANSWER - 58671, Laparoscopy,
surgical; with occlusion of oviducts by device (band, clip, or Falope
ring)
Carcinoma of multiple overlapping sites of the bladder, so dx cystoscopy
and transurethral fulguration of bladder lesions (1.9cm, 6.0 cm) are
undertaken. The appropriate CPT code(s) would be: - ANSWER -
52240, Cystourethroscopy, with fulguration (including cryosurgery or
laser surgery) and/or resection of lg bladder tumor(s)
Pt presents to facility for upper endoscopy implant of material into
muscle of lower esophageal sphincter, so what is correct coding, seq of
pt's record? - ANSWER - 43236, Upper gastrointestinal endoscopy
including esophagus, stomach, and either the duodenum and/or jejunum
as appropriate; diagnostic, with or without collection of specimens(s) by
brushing or washing (separate procedure) with directed submucosal
injection(s), any substance
pg. 4
CCS EXAM PREP LATEST 2025 TEST BANK|
2 VERSIONS (VERSION A AND B) WITH
COMPLETE 400 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| CERTIFIED
CODING SPECIALIST EXAM 2025 (NEW!!)
What does NCHS stand for? - ANSWER - National Center for Health
Statistics
75yo female was Adm for AMI and underwent a diagnostic cardiac cath.
Following the Cath, pt dev a thrombophlebitis documented as due to the
catheter in the common femoral artery. The thrombophlebitis would be
coded as: - ANSWER - T81.718A, complication of other artery
following a procedure, NEC, initial enc
Pt Adm to ED w/chest pain, and dx w/abort MI w/acute myocardial
ischemia with no prior cardiac surgery, and normal cardiac enzymes.
What is coding for this case? - ANSWER - I24.0 (acute coronary
thrombosis not resulting in MI) Pts w/acute ischemic heart disease or
acute myocardial ischemia do not always indicate an infarction and it is
often possible to prevent infarction by means of surgery or use of
thrombolytic agents if Tx promptly
Pt has nausea, vomiting, abdominal pain due to acute cholecystitis. Phys
doc the following on DS: Acute cholecystitis, nausea, vomiting, and
pg. 1
,2|Page
abdominal pain. What is correct coding? - ANSWER - Acute
cholecystitis
Pt Adm bc of CHF, and also found to have elevated liver function tests.
Phys worked up ELF test but able to determine dx, so the following dx is
assigned: - ANSWER - CHF and abnormal liver function tests
Pt Adm with hypotension due to dobutamine taken and prescribed
correctly. How is this coded? - ANSWER - I95.2, Hypotension due to
drugs
T44.5X5A, adverse effects of dobutamine
Pt Adm 2 wks. after laminectomy for spinal stenosis w/headache
(headache due to tear in dura accidentally occurred during prior
laminectomy surgery). Pt taken to OR for repair of dura. How is this
case coded? - ANSWER - G97.41, Accidental puncture or laceration of
dura during procedure
Pt Adm w/SOB, CHF, and subsequently dev resp fail. Pt undergoes
intubation w/ventilator mgmt. Correct seq of dx would be: - ANSWER -
CHF and resp failure
Pt Adm w/pneumococcal pneumonia and pneumococcal sepsis, so the
coder should: - ANSWER - Assign code for sepsis, pneumonia, and
severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia
also has severe sepsis and Guidelines provide info related to coding, seq
of sepsis, severe sepsis, and localized infection, such as pneumonia
pg. 2
,3|Page
Pt Adm w/ESRD following kidney transplant, who also had angina and
COPD, so dx would be seq as: - ANSWER - ESRD; status post kidney
transplant; COPD; angina
Pt Adm to hosp due to fracture of rt hip and scheduled for open
reduction with int fix, but pt dev cardiac arrhythmia which results in an
inability to do planned surgery. Assign code for PD: - ANSWER - Rt hip
fracture (cond after study that occasioned Adm should be seq first even
if the plan of Tx was not carried out due to unforeseen circumstances)
What is not part of a facility coding compliance plan? - ANSWER -
Coding audits performed by payers (while this has value, payers are
considered external reviewing)
What are various parts of a facility coding compliance plan? - ANSWER
- Regular internal audits, audits performed by objective external
reviewers, sharing/discussing results with coding staff
In CPT, unlisted codes are reported only if: - ANSWER - There is a not a
HCPCS level II or a current CPT level III code available
A virtual screening colonoscopy would be coded as: - ANSWER -
74263: Computed tomographic (CT) colonography, screening including
image postprocessing
Pt underwent excision of malignant lesion of chest measuring 1.0cm
with 0.2cm margin, and based on 2015 CPT codes, which code is used
pg. 3
, 4|Page
for this procedure? - ANSWER - 11602, Excision malignant lesion of
trunk; excised diameter 1.1-2.0cm
Pt dx w/L4-5 lumbar neuropathy and discogenic pain. Pt underwent
percutaneous intradiscal electrothermal annuloplasty (IDET) in
radiology suite. What ICD-10-PCS code should be used? - ANSWER -
0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is
done w/thermal energy, or heat, directed into the outer disc wall, or
annulus, and inner disc contents, or nucleus, via a heating coil,
decreasing pressure inside the disc
Laparoscopic tubal ligation with Falope ring is completed, so what is
correct CPT code assignment? - ANSWER - 58671, Laparoscopy,
surgical; with occlusion of oviducts by device (band, clip, or Falope
ring)
Carcinoma of multiple overlapping sites of the bladder, so dx cystoscopy
and transurethral fulguration of bladder lesions (1.9cm, 6.0 cm) are
undertaken. The appropriate CPT code(s) would be: - ANSWER -
52240, Cystourethroscopy, with fulguration (including cryosurgery or
laser surgery) and/or resection of lg bladder tumor(s)
Pt presents to facility for upper endoscopy implant of material into
muscle of lower esophageal sphincter, so what is correct coding, seq of
pt's record? - ANSWER - 43236, Upper gastrointestinal endoscopy
including esophagus, stomach, and either the duodenum and/or jejunum
as appropriate; diagnostic, with or without collection of specimens(s) by
brushing or washing (separate procedure) with directed submucosal
injection(s), any substance
pg. 4
