1|Page
CCS EXAM 2 LATEST VERSIONS 2025 (VERSION A
AND B) COMPLETE 400 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ BRAND NEW!!
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
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).
,2|Page
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
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
,3|Page
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)
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).
, 4|Page
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
c. 0WQF4ZZ
d. 0BQT0ZZ - Answer-Correct Answer: A
ICD-10-PCS code 0BQT4ZZ is the correct code based on
the values for the body part and approach. The correct
body part is diaphragm and laparoscopy is reported as a
percutaneous endoscopic method of approach (Leon-
Chisen 2020, 250-251).
CCS EXAM 2 LATEST VERSIONS 2025 (VERSION A
AND B) COMPLETE 400 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ BRAND NEW!!
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
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).
,2|Page
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
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
,3|Page
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)
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).
, 4|Page
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
c. 0WQF4ZZ
d. 0BQT0ZZ - Answer-Correct Answer: A
ICD-10-PCS code 0BQT4ZZ is the correct code based on
the values for the body part and approach. The correct
body part is diaphragm and laparoscopy is reported as a
percutaneous endoscopic method of approach (Leon-
Chisen 2020, 250-251).
