CCS Exam Prep Complete Q&A 2025 LATEST UPDATED
aplastic anemia - (answers)The type of anemia caused by a failure of the bone marrow to
produce red blood cells is
CPT/HCPCS codes - (answers)The APC payment system is based on what coding system(s)?
the third-degree burn only - (answers)In the diagnosis "first-, second-, and third-degree burns of
the chest wall," a code is required for
K80.10, I66.9, Z53.09 - (answers)6) Patient is admitted for elective cholecystectomy for
treatment of chronic cholecystitis with cholelithiasis. Prior to administration of general
anesthesia, patient suffers cerebral thrombosis. Surgery is subsequently canceled. Code and
sequence the coding using the following codes.
J96.00, I50.1, 5A1935Z - (answers)Patient was admitted from the nursing home in acute
respiratory failure due to congestive heart failure. Chest X-ray also showed acute pulmonary
edema. Patient was intubated and placed on mechanical ventilation for less than 24 hours and
expired the day after admission. (Code diagnoses using ICD-10-CM and procedures using ICD-
PCS.)
laboratory information system - (answers)You have been asked to give an example of a clinical
information system. Which one of the following would you cite?
whether the patient is obese - (answers)In order to correctly code a hernia repair, the coder needs
to know all of the following EXCEPT
natural language processing - (answers)You have been hired to work with a computer-assisted
coding initiative. The technology you will be working with is
the sympathetic system and the parasympathetic system - (answers)The autonomic nervous
system has two divisions.
,- 24 - (answers)A patient has major surgery and sees the surgeon 10 days later for an unrelated
E/M service. Indicate the modifier that should be attached to the E/M code for the service
provided.
Holter monitor - (answers)Which diagnostic technique records the patient's heart rates and
rhythms over a 24-hour period?
67108 - (answers)Repair of retinal detachment with vitrectomy.
Chromosomal - (answers)Down's syndrome, Edwards' syndrome, and Patau syndrome are all
examples of _________ defects.
L97.219, L98.429, 0HBKXZZ, 0HB6XZZ, 0HR6X74 - (answers)John has chronic ulcers of the
right calf and back. Both ulcers are excisionally debrided, and the ulcer of the back has a split-
thickness skin graft, autologous. (Code the diagnoses using ICD-10-CM and procedures using
ICD-10-PCS.)
the Medicare administrative contractor (MAC) - (answers)CMS delegates its daily operations of
the Medicare and Medicaid programs to
revenue code - (answers)A four-digit code that describes a classification of a product or service
provided to a patient is a
reattachment - (answers)What is the root operation main term? Reattachment fourth finger
National Provider Identifier (NPI) - (answers)This is a 10-digit, intelligence-free, numeric
identifier designed to replace all previous provider legacy numbers. This number identifies the
physician universally to all payers. This number is issued to all HIPAA-covered entities. It is
mandatory on the CMS-1500 and UB-04 claim forms.
cancer hospital - (answers)This type of hospital is considered excluded when it applies for, and
receives, a waiver from CMS. This means that the hospital does not participate in the inpatient
prospective payment system (IPPS).
,an initial inpatient consult and a subsequent hospital visit - (answers)The attending physician
requests a consultation from a cardiologist. The cardiologist takes a detailed history, performs a
detailed examination, and utilizes moderate medical decision making. The cardiologist orders
diagnostic tests and prescribes medication. He documents his findings in the patient's medical
record and communicates in writing with the attending physician. The following day the
consultant visits the patient to evaluate the patient's response to the medication, to review results
from the diagnostic tests, and to discuss treatment options. What codes should the consultant
report for the two visits?
24 hours after admission or prior to surgery - (answers)You have been asked to recommend time-
limited documentation standards for inclusion in the Medical Staff Bylaws, Rules, and
Regulations. The committee documentation standards must meet the standards of both the Joint
Commission and the Medicare Conditions of Participation. The standards for the history and
physical exam documentation are discussed first. You advise them that the time period for
completion of this report should be set at
Digoxin - (answers)The patient is diagnosed with congestive heart failure. A drug of choice is
use of prohibited or "dangerous" abbreviations - (answers)In the past, Joint Commission
standards have focused on promoting the use of a facility-approved abbreviation list to be used
by hospital care providers. With the advent of the Commission's national patient safety goals, the
focus has shifted to the
significant procedure - (answers)According to the UHDDS, a procedure that is surgical in nature,
carries a procedural or anesthetic risk, or requires special training is defined as a
fiscal year beginning October 1 - (answers)CMS adjusts the Medicare Severity DRGs and the
reimbursement rates every
replacement - (answers)What is the root operation main term?
Total left knee replacement
restriction - (answers)What is the root operation main term?
, Gastric lap band for treatment of morbid obesity
dilation - (answers)What main term would be used?
Percutaneous angioplasty right coronary artery using a balloon-tipped catheter to expand the
vessel
$200.00 - (answers)A patient with Medicare is seen in the physician's office.
The total charge for this office visit is $250.00.
The patient has previously paid his deductible under Medicare Part B.
The PAR Medicare fee schedule amount for this service is $200.00.
The non-PAR Medicare fee schedule amount for this service is $190.00.
If this physician is a participating physician who accepts assignment for this claim, the total
amount the physician will receive is
O80, Z37.0, Z30.2, 10E0XZZ, 0W8NXZZ, 0UL74ZZ - (answers)Vaginal delivery with
episiotomy of full-term liveborn infant. Patient undergoes repair of delivery episiotomy and
postdelivery elective vaginal endoscopic ligation of fallopian tubes bilaterally. (Code the
diagnoses using ICD-10-CM and procedures using ICD-10-PCS.)
be assigned when they affect the management of the mother - (answers)Codes from category
O36, known or suspected fetal abnormality affecting the mother, should
aplastic anemia - (answers)The type of anemia caused by a failure of the bone marrow to
produce red blood cells is
CPT/HCPCS codes - (answers)The APC payment system is based on what coding system(s)?
the third-degree burn only - (answers)In the diagnosis "first-, second-, and third-degree burns of
the chest wall," a code is required for
K80.10, I66.9, Z53.09 - (answers)6) Patient is admitted for elective cholecystectomy for
treatment of chronic cholecystitis with cholelithiasis. Prior to administration of general
anesthesia, patient suffers cerebral thrombosis. Surgery is subsequently canceled. Code and
sequence the coding using the following codes.
J96.00, I50.1, 5A1935Z - (answers)Patient was admitted from the nursing home in acute
respiratory failure due to congestive heart failure. Chest X-ray also showed acute pulmonary
edema. Patient was intubated and placed on mechanical ventilation for less than 24 hours and
expired the day after admission. (Code diagnoses using ICD-10-CM and procedures using ICD-
PCS.)
laboratory information system - (answers)You have been asked to give an example of a clinical
information system. Which one of the following would you cite?
whether the patient is obese - (answers)In order to correctly code a hernia repair, the coder needs
to know all of the following EXCEPT
natural language processing - (answers)You have been hired to work with a computer-assisted
coding initiative. The technology you will be working with is
the sympathetic system and the parasympathetic system - (answers)The autonomic nervous
system has two divisions.
,- 24 - (answers)A patient has major surgery and sees the surgeon 10 days later for an unrelated
E/M service. Indicate the modifier that should be attached to the E/M code for the service
provided.
Holter monitor - (answers)Which diagnostic technique records the patient's heart rates and
rhythms over a 24-hour period?
67108 - (answers)Repair of retinal detachment with vitrectomy.
Chromosomal - (answers)Down's syndrome, Edwards' syndrome, and Patau syndrome are all
examples of _________ defects.
L97.219, L98.429, 0HBKXZZ, 0HB6XZZ, 0HR6X74 - (answers)John has chronic ulcers of the
right calf and back. Both ulcers are excisionally debrided, and the ulcer of the back has a split-
thickness skin graft, autologous. (Code the diagnoses using ICD-10-CM and procedures using
ICD-10-PCS.)
the Medicare administrative contractor (MAC) - (answers)CMS delegates its daily operations of
the Medicare and Medicaid programs to
revenue code - (answers)A four-digit code that describes a classification of a product or service
provided to a patient is a
reattachment - (answers)What is the root operation main term? Reattachment fourth finger
National Provider Identifier (NPI) - (answers)This is a 10-digit, intelligence-free, numeric
identifier designed to replace all previous provider legacy numbers. This number identifies the
physician universally to all payers. This number is issued to all HIPAA-covered entities. It is
mandatory on the CMS-1500 and UB-04 claim forms.
cancer hospital - (answers)This type of hospital is considered excluded when it applies for, and
receives, a waiver from CMS. This means that the hospital does not participate in the inpatient
prospective payment system (IPPS).
,an initial inpatient consult and a subsequent hospital visit - (answers)The attending physician
requests a consultation from a cardiologist. The cardiologist takes a detailed history, performs a
detailed examination, and utilizes moderate medical decision making. The cardiologist orders
diagnostic tests and prescribes medication. He documents his findings in the patient's medical
record and communicates in writing with the attending physician. The following day the
consultant visits the patient to evaluate the patient's response to the medication, to review results
from the diagnostic tests, and to discuss treatment options. What codes should the consultant
report for the two visits?
24 hours after admission or prior to surgery - (answers)You have been asked to recommend time-
limited documentation standards for inclusion in the Medical Staff Bylaws, Rules, and
Regulations. The committee documentation standards must meet the standards of both the Joint
Commission and the Medicare Conditions of Participation. The standards for the history and
physical exam documentation are discussed first. You advise them that the time period for
completion of this report should be set at
Digoxin - (answers)The patient is diagnosed with congestive heart failure. A drug of choice is
use of prohibited or "dangerous" abbreviations - (answers)In the past, Joint Commission
standards have focused on promoting the use of a facility-approved abbreviation list to be used
by hospital care providers. With the advent of the Commission's national patient safety goals, the
focus has shifted to the
significant procedure - (answers)According to the UHDDS, a procedure that is surgical in nature,
carries a procedural or anesthetic risk, or requires special training is defined as a
fiscal year beginning October 1 - (answers)CMS adjusts the Medicare Severity DRGs and the
reimbursement rates every
replacement - (answers)What is the root operation main term?
Total left knee replacement
restriction - (answers)What is the root operation main term?
, Gastric lap band for treatment of morbid obesity
dilation - (answers)What main term would be used?
Percutaneous angioplasty right coronary artery using a balloon-tipped catheter to expand the
vessel
$200.00 - (answers)A patient with Medicare is seen in the physician's office.
The total charge for this office visit is $250.00.
The patient has previously paid his deductible under Medicare Part B.
The PAR Medicare fee schedule amount for this service is $200.00.
The non-PAR Medicare fee schedule amount for this service is $190.00.
If this physician is a participating physician who accepts assignment for this claim, the total
amount the physician will receive is
O80, Z37.0, Z30.2, 10E0XZZ, 0W8NXZZ, 0UL74ZZ - (answers)Vaginal delivery with
episiotomy of full-term liveborn infant. Patient undergoes repair of delivery episiotomy and
postdelivery elective vaginal endoscopic ligation of fallopian tubes bilaterally. (Code the
diagnoses using ICD-10-CM and procedures using ICD-10-PCS.)
be assigned when they affect the management of the mother - (answers)Codes from category
O36, known or suspected fetal abnormality affecting the mother, should
