CCS EXAM MARKING TIP 2025/2026 QUESTIONS WITH
SOLUTIONS GRADED A+
✔✔Which of the following is not part of a facility coding compliance plan?
A. Regular internal audits
B. Audits performed by objective external reviewers
C. Coding audits performed by payers.
D. Sharing and discussing results with coding staff. - ✔✔C. Coding audits performed by
payers.
✔✔In CPT, unlisted codes are reported only if: - ✔✔There is not a current CPT category
I or II code available.
✔✔How many times should CPT codes from (52234-52240) be reported? - ✔✔Codes
from section (52234-52240) should be reported only once.
✔✔If a patient has an excision of malignant lesion of the skin, the CPT code is
determined by the body area from which the excision occurs and the: - ✔✔Diameter of
lesion as well as the margins excised as described in the operative report .
✔✔When coding "arthrocentesis," the code assignment is determined by: - ✔✔The size
of the joint is a key determination because arthrocentesis codes are based on whether
the joint is small, intermediate, or major
✔✔Status indicator X: - ✔✔Ancillary
✔✔Status indicator V: - ✔✔Clinical or emergency department visit
✔✔Status indicator T: - ✔✔Significant procedure that is discounted when other T
procedure are provided. (The first procedure is paid at rate of 100% whereas the 2nd
and those thereafter are paid at 50%)
✔✔Status indicator S: - ✔✔Significant procedure that is paid at 100% and is not
discounted.
✔✔Status indicator P: - ✔✔Partial hospitalization
✔✔Status indicator H: - ✔✔Pass-through device categories.
✔✔Status indicator G: - ✔✔Drugs
✔✔Status indicator J: - ✔✔Biologicals
, ✔✔Status indicator K: - ✔✔Non-passing-through drugs and nonimplantable biological
including the therapeutic radiopharmaceuticals. Example: chemotherapy
✔✔Status indicator N: - ✔✔No additional payment
✔✔According to the UHDDS, section III, the definition of other diagnoses is all
conditions that: - ✔✔Coexist at the time of admission, that develop subsequently, or that
affect the treatment received and/or the length of stay.
✔✔A nurse inadvertently recorded an incorrect vital sign in a patient electronic health
record. The next day, a correction was made in the electronic health record. This
resulted in the corrected vital sign being recorded at the time the correction was made
due to the software. What would be the best result of this correction?
A. The vital signs would be listed in the correct sequence.
B. When a correction is made in an electronic health record, the incorrect data is
deleted.
C. The quality of patient care would not be affected.
D. There was a distorted trend line of vital signs data. - ✔✔D. There was a distorted
trend line of vital signs data.
✔✔According to the UHDDS, in order to assign a code for another diagnosis,
documentation must be present that: - ✔✔The condition was clinically evaluated or
therapeutically treated, extended the length of Hosiptal stay or increased nursing care
and monitoring of care
✔✔The quality of data is mostly directly tied to the: - ✔✔Use or application of the data
✔✔Poor-quality data collection and reporting can affect: - ✔✔Patient care,
communication, documentation, revenue generation, outcomes evaluation, research
activities, and public health reporting.
✔✔The most succinct definition of where information comes from is: - ✔✔Processed
data
✔✔The Joint Commission considers what kind of management to be important for safe,
quality care? - ✔✔Information Management
✔✔Data warehousing to form clinical repositories is undertaken by merging insurance
members claims and clinical data. Data mining assists in all of the following except:
A. Cost cutting
B. Suggest more appropriate medical treatments
C. Proving feedback to patient
D. Predict medical outcomes - ✔✔C. Providing feedback to patients
SOLUTIONS GRADED A+
✔✔Which of the following is not part of a facility coding compliance plan?
A. Regular internal audits
B. Audits performed by objective external reviewers
C. Coding audits performed by payers.
D. Sharing and discussing results with coding staff. - ✔✔C. Coding audits performed by
payers.
✔✔In CPT, unlisted codes are reported only if: - ✔✔There is not a current CPT category
I or II code available.
✔✔How many times should CPT codes from (52234-52240) be reported? - ✔✔Codes
from section (52234-52240) should be reported only once.
✔✔If a patient has an excision of malignant lesion of the skin, the CPT code is
determined by the body area from which the excision occurs and the: - ✔✔Diameter of
lesion as well as the margins excised as described in the operative report .
✔✔When coding "arthrocentesis," the code assignment is determined by: - ✔✔The size
of the joint is a key determination because arthrocentesis codes are based on whether
the joint is small, intermediate, or major
✔✔Status indicator X: - ✔✔Ancillary
✔✔Status indicator V: - ✔✔Clinical or emergency department visit
✔✔Status indicator T: - ✔✔Significant procedure that is discounted when other T
procedure are provided. (The first procedure is paid at rate of 100% whereas the 2nd
and those thereafter are paid at 50%)
✔✔Status indicator S: - ✔✔Significant procedure that is paid at 100% and is not
discounted.
✔✔Status indicator P: - ✔✔Partial hospitalization
✔✔Status indicator H: - ✔✔Pass-through device categories.
✔✔Status indicator G: - ✔✔Drugs
✔✔Status indicator J: - ✔✔Biologicals
, ✔✔Status indicator K: - ✔✔Non-passing-through drugs and nonimplantable biological
including the therapeutic radiopharmaceuticals. Example: chemotherapy
✔✔Status indicator N: - ✔✔No additional payment
✔✔According to the UHDDS, section III, the definition of other diagnoses is all
conditions that: - ✔✔Coexist at the time of admission, that develop subsequently, or that
affect the treatment received and/or the length of stay.
✔✔A nurse inadvertently recorded an incorrect vital sign in a patient electronic health
record. The next day, a correction was made in the electronic health record. This
resulted in the corrected vital sign being recorded at the time the correction was made
due to the software. What would be the best result of this correction?
A. The vital signs would be listed in the correct sequence.
B. When a correction is made in an electronic health record, the incorrect data is
deleted.
C. The quality of patient care would not be affected.
D. There was a distorted trend line of vital signs data. - ✔✔D. There was a distorted
trend line of vital signs data.
✔✔According to the UHDDS, in order to assign a code for another diagnosis,
documentation must be present that: - ✔✔The condition was clinically evaluated or
therapeutically treated, extended the length of Hosiptal stay or increased nursing care
and monitoring of care
✔✔The quality of data is mostly directly tied to the: - ✔✔Use or application of the data
✔✔Poor-quality data collection and reporting can affect: - ✔✔Patient care,
communication, documentation, revenue generation, outcomes evaluation, research
activities, and public health reporting.
✔✔The most succinct definition of where information comes from is: - ✔✔Processed
data
✔✔The Joint Commission considers what kind of management to be important for safe,
quality care? - ✔✔Information Management
✔✔Data warehousing to form clinical repositories is undertaken by merging insurance
members claims and clinical data. Data mining assists in all of the following except:
A. Cost cutting
B. Suggest more appropriate medical treatments
C. Proving feedback to patient
D. Predict medical outcomes - ✔✔C. Providing feedback to patients
