2024/25 EXAM 2 CCS |2024 ACTUAL EXAM QUESTIONS AND VERIFIED ANSWERS /GET IT 100% ACCURATE|ALREADY GRADED A+

2024/25 EXAM 2 CCS |2024 ACTUAL
EXAM QUESTIONS AND VERIFIED
ANSWERS /GET IT 100%
ACCURATE|ALREADY GRADED A+

Assign code(s) for the following diagnosis: Congestive heart failure due to

hypertension.

I10Essential (primary) hypertension

I11.0Hypertensive heart disease with heart failure

I50.9Heart failure, unspecified

I50.23Acute on chronic systolic (congestive) heart failure




a. I10, I50.9

b. I11.0

c. I50.23, I10


d. I11.0, I50.9 - 🧠ANSWER ✔✔Correct Answer: D




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,Heart failure is assigned a combination code when a causal relationship is

stated (due to hypertension) or implied (hypertensive). Use an additional

code to identify the type of heart failure in those patients with heart failure

(CMS 2020a, Section I.C.9.a.1, 46-47).

A patient is seen for evaluation of a right orbital roof fracture. How should

this be coded?

S02.121AFracture of orbital roof, right side, initial encounter for closed

fracture

S02.31XAFracture of orbital floor, right side, initial encounter for closed

fracture

S02.92XAUnspecified fracture of facial bones, initial encounter for closed

fracture

S02.91XAUnspecified fracture of skull, initial encounter for closed fracture




a. S02.121A

b. S02.31XA

c. S02.92XA


d. S02.91XA - 🧠ANSWER ✔✔Correct Answer: A

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,Alphabetic Index for fracture, traumatic; orbit, orbital; roof guides the coder

to S02.12. Evaluation of a fracture is an example of active treatment which

is reported with 7th character "A" (Schraffenberger and Palkie 2020, 580-

584).

Patient presents in the ER with thrombosis of a loop PTFE hemodialysis

fistula without mechanical complications. The physician performed a

percutaneous thrombectomy of the left brachial vein. Assign a facility code

for this outpatient procedure.

05CA3ZZExtirpation of matter from left brachial vein, percutaneous

approach

36904Percutaneous transluminal mechanical thrombectomy and/or infusion

for thrombolysis, dialysis circuit, any method, including all imaging and

radiological supervision and interpretation, diagnostic angiography,

fluoroscopic guidance, catheter placement(s), and intraprocedural

pharmacological thrombolytic injection(s)

36832Revision, open, arteriovenous fistula; without thrombectomy,

autogenous or nonautogenous dialysis graft (separate procedure)




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, 37184Primary percutaneous transluminal mechanical thrombectomy,

noncoronary, arterial or arterial bypass graft, including fluoroscopic

guidance and intrapro - 🧠ANSWER ✔✔Correct Answer: B


This episode of care occurs in the ER which is an outpatient setting,

therefore, a CPT code should be used. CPT code 36904 correctly identifies

the thrombectomy procedure because it specifies the site of the

thrombectomy as "dialysis circuit." 36904 includes imaging guidance,

diagnostic angiography, catheter placement, and intraprocedural

pharmacological thrombolytic injections" (Kirchoff 2009, 203).

Patient admitted for laparoscopic repair of right diaphragmatic hernia.

Assign the ICD-10-PCS procedure code for this surgery.

0BQT4ZZRepair diaphragm, percutaneous endoscopic approach

0BQT3ZZRepair diaphragm, percutaneous approach

0WQF4ZZRepair abdominal wall, percutaneous endoscopic approach

0BQT0ZZRepair diaphragm, open approach




a. 0BQT4ZZ

b. 0BQT3ZZ

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