CCS Exam Prep - Questions With Accurate Answers
A 12-year-old boy was seen in an ambulatory surgical center for pain in his
right arm. The x-ray showed fracture of ulna. Patient underwent closed
reduction of fracture right proximal ulna and an elbow-to-finger case was
applied. What diagnostic and procedure codes should be assigned?
A. S52.101A, S52.001A, 0PSK0ZZ
B. S52.101B, S52.001B, 0PSH0ZZ
C. S52.101B, S52.001B, 25560, 29075
D. S52.001A, 24675 Correct Answer - D
Sepsis due to the presence of an indwelling urinary catheter with a positive
blood culture reflected in the progress notes as Staphylococcus aureus sepsis.
What codes should be assigned?
A. T83.511A, A41.01
B. T83.511A, A41.9
C. T83.510A, R78.81
D. T81.44XA, A41.01 Correct Answer - A
A patient is admitted to an acute-care facility with chest pain. The patient was
awakened from sleep by the pain. This was the patient's first experience with
chest pain. The patient was given two nitroglycerin tablets in the emergency
department. The chest pain was not relieved, resulting in the diagnosis of new
onset unstable angina. Serial creatine phosphokinase was normal. Following a
left cardiac catheterization with fluoroscopic angiogram of multiple coronary
arteries with low osmolar contrast, the patient is found to have
arteriosclerotic coronary arty disease. What ICD-10-CM and PCS codes should
be assigned?
A. I25.10, 4A023N7, B2111ZZ
B. I25.110, 4A023N7, B211Y10
C. I25.110, 4A023N7, B2111ZZ
D. I25.110, 4A023N6, B2111ZZ Correct Answer - C
Normal twin delivery at 30 weeks. Both babies were delivered vaginally and
were liveborn. What codes should be assigned?
A. O80, Z3A.30, Z37.0
,B. O30.003, O60,14X0, Z3A.30, Z37.2
C. O60.14X1, O60.14X2, O30.003, Z3A.30, Z37.2
D. O80, O30.009, Z3A.30, Z37.2 Correct Answer - C
A patient is admitted with metastatic carcinoma from breast to liver with
previous bilateral mastectomy and no recurrence at the primary site. In the
progress note of day three, the physician indicates that patient now has
pneumonia and begins treatment with an antibiotic that will be continued on
discharge. What is the proper coding and sequencing of this admission?
A. C78.6, Z85.3, Z90.13
B. C78.7, J18.9, Z85.3, Z90.13
C. J18.9, C78.7, Z90.13
D. C78.7, Z85.3, Z90.10 Correct Answer - B
Patient admitted with syncope due to taking diazepam in combination with an
over-the-counter antihistamine, taken as directed on the package but without
consulting a healthcare provider. What are the correct codes and sequencing
for this admission?
A. R55, T42.4X1A, T45.0X1A
B. T42.4X1A, T45.0X1A, R55
C. T45.0X1A, T42.4X1A
D. R55, T42.4X6A, T45.0X5A Correct Answer - B
A 50-year-old woman with a diagnosis of metastatic ovarian cancer to the
right pleura has an outpatient thoracoscopic pleurodesis performed. What is
the correct coding and modifier to be assigned?
A. C56.9, C78.2, 32650-50
B. C78.2, C56.9, 32650-RT
C. C78.2, C56.9, 32661-50
D. C56.9, C78.2, 32609-LT Correct Answer - B
A patient with acute respiratory failure, hypertension, congestive heart failure
is admitted for intubation and ventilation. The patient's heart failure is stable
on current medications. What are the correct diagnosis codes and sequencing?
A. J96.00, I11.0, I50.9
B. I50.9, J96.00, I10
C. J96.20, I10, I50.9
D. I50.9, J96.20, I11.0 Correct Answer - A
,A 34-year-old woman delivered a live-born, term baby boy (39 weeks) with
macrosomia. She had a hemorrhage following a low forceps delivery with
episiotomy but prior to expulsion of the placenta. What are the principal
diagnosis and procedure codes for this encounter?
A. O67.8, 0W8NXZZ
B. Z37.0, 10D0723
C. O36.80X0, 0W8NXXZZ
D. O36.63X0, 10D07Z3 Correct Answer - D
A patient was discharged from observation following an outpatient surgery
with the following diagnoses: posterior subcapsular, mature, incipient, senile
cataract right eye, diabetes mellitus, hypertension, with treatment for mild
acute renal failure. Which codes are correct?
A. H25.21, E11.29, I12.9, N17.9
B. E11.36, H25.041, I10, N17.9
C. H25.9, E11.29, I12.9, N17.9
D. H24.041, E11.9, I12.9 Correct Answer - B
Current Procedural Terminology (CPT) defines a separate procedure as which
of the following?
A. Procedure considered an integral part of a more major service
B. Procedure that requires provision of anesthesia
C. Procedure that requires an add-on code
D. A surgical procedure performed in conjunction with an E/M visit
Correct Answer - A
A laparoscopic cholecystectomy was performed. What is the correct ICD-10-
PCS code?
A. 0FB40ZZ
B. 0FT40ZZ
C. 0FT44ZZ
D. 0FB44ZZ Correct Answer - C
A 59-year-old man is diagnosed with basal cell carcinoma of the eyelid An
excision of basal cell carcinoma of the left upper eyelid was performed with an
excised diameter of 1.9 cm and single layer closure. What codes and modifiers
should be assigned?
A. C44.121, 11622-E2
B. C44.1191, 11642.E1
, C. C44.1191, 11640-E1
D. C44.121, 11642.E2 Correct Answer - B
Carcinoma of multiple overlapping sites of the bladder. Diagnostic cystoscopy
and transurethral fulguration of bladder lesions over the dome and posterior
wall (1.9 cm) were completed. A biopsy was taken of a lesion in the lateral
wall. What modifier should be added to the biopsy procedure code?
A. 50, Bilateral procedure
B. 51, Multiple procedures
C. 59, Distinct procedural service
D. 99, Multiple modifiers Correct Answer - C
A bronchoscopy with multiple biopsies of the left bronchus was completed
and revealed adenocarcinoma. What, if any, modifier should be added to the
procedure code billed by the facility?
A. 59, Distinct procedural service
B. 51, Multiple procedures
C. 76, Repeat procedure or service by same physician
D. No modifiers should be reported Correct Answer - D
A patient is admitted with fever and urinary burning. Urosepsis is suspected.
The discharge diagnosis is Escherichia coli, urinary tract infection; sepsis
ruled out. Which of the following represents the diagnoses to report for this
encounter and the appropriate sequencing of the codes for those conditions?
A. Fever, urinary burning, urosepsis
B. Fever, urinary burning, sepsis
C. Escherichia coli sepsis
D. Urinary tract infection, Escherichia coli Correct Answer - D
A 30-year-old patient with acquired immunodeficiency syndrome (AIDS) is
admitted for repair of inguinal hernia. The procedure performed was a right
indirect inguinal herniorrhaphy via open approach. What is the principal
diagnosis code for this scenario?
A. B20
B. K40.90
C. Z21
D. K40.91 Correct Answer - B
A 12-year-old boy was seen in an ambulatory surgical center for pain in his
right arm. The x-ray showed fracture of ulna. Patient underwent closed
reduction of fracture right proximal ulna and an elbow-to-finger case was
applied. What diagnostic and procedure codes should be assigned?
A. S52.101A, S52.001A, 0PSK0ZZ
B. S52.101B, S52.001B, 0PSH0ZZ
C. S52.101B, S52.001B, 25560, 29075
D. S52.001A, 24675 Correct Answer - D
Sepsis due to the presence of an indwelling urinary catheter with a positive
blood culture reflected in the progress notes as Staphylococcus aureus sepsis.
What codes should be assigned?
A. T83.511A, A41.01
B. T83.511A, A41.9
C. T83.510A, R78.81
D. T81.44XA, A41.01 Correct Answer - A
A patient is admitted to an acute-care facility with chest pain. The patient was
awakened from sleep by the pain. This was the patient's first experience with
chest pain. The patient was given two nitroglycerin tablets in the emergency
department. The chest pain was not relieved, resulting in the diagnosis of new
onset unstable angina. Serial creatine phosphokinase was normal. Following a
left cardiac catheterization with fluoroscopic angiogram of multiple coronary
arteries with low osmolar contrast, the patient is found to have
arteriosclerotic coronary arty disease. What ICD-10-CM and PCS codes should
be assigned?
A. I25.10, 4A023N7, B2111ZZ
B. I25.110, 4A023N7, B211Y10
C. I25.110, 4A023N7, B2111ZZ
D. I25.110, 4A023N6, B2111ZZ Correct Answer - C
Normal twin delivery at 30 weeks. Both babies were delivered vaginally and
were liveborn. What codes should be assigned?
A. O80, Z3A.30, Z37.0
,B. O30.003, O60,14X0, Z3A.30, Z37.2
C. O60.14X1, O60.14X2, O30.003, Z3A.30, Z37.2
D. O80, O30.009, Z3A.30, Z37.2 Correct Answer - C
A patient is admitted with metastatic carcinoma from breast to liver with
previous bilateral mastectomy and no recurrence at the primary site. In the
progress note of day three, the physician indicates that patient now has
pneumonia and begins treatment with an antibiotic that will be continued on
discharge. What is the proper coding and sequencing of this admission?
A. C78.6, Z85.3, Z90.13
B. C78.7, J18.9, Z85.3, Z90.13
C. J18.9, C78.7, Z90.13
D. C78.7, Z85.3, Z90.10 Correct Answer - B
Patient admitted with syncope due to taking diazepam in combination with an
over-the-counter antihistamine, taken as directed on the package but without
consulting a healthcare provider. What are the correct codes and sequencing
for this admission?
A. R55, T42.4X1A, T45.0X1A
B. T42.4X1A, T45.0X1A, R55
C. T45.0X1A, T42.4X1A
D. R55, T42.4X6A, T45.0X5A Correct Answer - B
A 50-year-old woman with a diagnosis of metastatic ovarian cancer to the
right pleura has an outpatient thoracoscopic pleurodesis performed. What is
the correct coding and modifier to be assigned?
A. C56.9, C78.2, 32650-50
B. C78.2, C56.9, 32650-RT
C. C78.2, C56.9, 32661-50
D. C56.9, C78.2, 32609-LT Correct Answer - B
A patient with acute respiratory failure, hypertension, congestive heart failure
is admitted for intubation and ventilation. The patient's heart failure is stable
on current medications. What are the correct diagnosis codes and sequencing?
A. J96.00, I11.0, I50.9
B. I50.9, J96.00, I10
C. J96.20, I10, I50.9
D. I50.9, J96.20, I11.0 Correct Answer - A
,A 34-year-old woman delivered a live-born, term baby boy (39 weeks) with
macrosomia. She had a hemorrhage following a low forceps delivery with
episiotomy but prior to expulsion of the placenta. What are the principal
diagnosis and procedure codes for this encounter?
A. O67.8, 0W8NXZZ
B. Z37.0, 10D0723
C. O36.80X0, 0W8NXXZZ
D. O36.63X0, 10D07Z3 Correct Answer - D
A patient was discharged from observation following an outpatient surgery
with the following diagnoses: posterior subcapsular, mature, incipient, senile
cataract right eye, diabetes mellitus, hypertension, with treatment for mild
acute renal failure. Which codes are correct?
A. H25.21, E11.29, I12.9, N17.9
B. E11.36, H25.041, I10, N17.9
C. H25.9, E11.29, I12.9, N17.9
D. H24.041, E11.9, I12.9 Correct Answer - B
Current Procedural Terminology (CPT) defines a separate procedure as which
of the following?
A. Procedure considered an integral part of a more major service
B. Procedure that requires provision of anesthesia
C. Procedure that requires an add-on code
D. A surgical procedure performed in conjunction with an E/M visit
Correct Answer - A
A laparoscopic cholecystectomy was performed. What is the correct ICD-10-
PCS code?
A. 0FB40ZZ
B. 0FT40ZZ
C. 0FT44ZZ
D. 0FB44ZZ Correct Answer - C
A 59-year-old man is diagnosed with basal cell carcinoma of the eyelid An
excision of basal cell carcinoma of the left upper eyelid was performed with an
excised diameter of 1.9 cm and single layer closure. What codes and modifiers
should be assigned?
A. C44.121, 11622-E2
B. C44.1191, 11642.E1
, C. C44.1191, 11640-E1
D. C44.121, 11642.E2 Correct Answer - B
Carcinoma of multiple overlapping sites of the bladder. Diagnostic cystoscopy
and transurethral fulguration of bladder lesions over the dome and posterior
wall (1.9 cm) were completed. A biopsy was taken of a lesion in the lateral
wall. What modifier should be added to the biopsy procedure code?
A. 50, Bilateral procedure
B. 51, Multiple procedures
C. 59, Distinct procedural service
D. 99, Multiple modifiers Correct Answer - C
A bronchoscopy with multiple biopsies of the left bronchus was completed
and revealed adenocarcinoma. What, if any, modifier should be added to the
procedure code billed by the facility?
A. 59, Distinct procedural service
B. 51, Multiple procedures
C. 76, Repeat procedure or service by same physician
D. No modifiers should be reported Correct Answer - D
A patient is admitted with fever and urinary burning. Urosepsis is suspected.
The discharge diagnosis is Escherichia coli, urinary tract infection; sepsis
ruled out. Which of the following represents the diagnoses to report for this
encounter and the appropriate sequencing of the codes for those conditions?
A. Fever, urinary burning, urosepsis
B. Fever, urinary burning, sepsis
C. Escherichia coli sepsis
D. Urinary tract infection, Escherichia coli Correct Answer - D
A 30-year-old patient with acquired immunodeficiency syndrome (AIDS) is
admitted for repair of inguinal hernia. The procedure performed was a right
indirect inguinal herniorrhaphy via open approach. What is the principal
diagnosis code for this scenario?
A. B20
B. K40.90
C. Z21
D. K40.91 Correct Answer - B
