CCS Practice Exam Questions And
Answers With Correct Solution
A g12-year-old gboy gwas gseen gin gan gambulatory gsurgical gcenter gfor gpain gin ghis gright garm. gThe gx-
ray gshowed gfracture gof gulna. gPatient gunderwent gclosed greduction gof gfracture gright gproximal gulna
gand gan gelbow-to-finger gcast gwas gapplied. gWhat gdiagnostic gand gprocedure gcodes gshould gbe
gassigned?
S52.101AUnspecified gfracture gof gupper gend gof gright gradius, ginitial gencounter gfor gclosed gfracture
S52.101BUnspecified gfracture gof gupper gend gof gright gradius, ginitial gencounter gfor gopen gfracture
S52.001AUnspecified gfracture gof gupper gend gof gright gulna, ginitial gencounter gfor gclosed gfracture
S52.001BUnspecified gfracture gof gupper gend gof gright gulna, ginitial gencounter gfor gopen gfracture
0PSH0ZZReposition gright gradius, gopen gapproach
0PSK0ZZReposition gright gulna, gopen gapproach
24670Closed gtreatment gof gulnar gfracture, gproximal gend g(eg, golecranon gor gcoronoid gprocess(es) g);
gwithout gmanipulation
24675Closed gtreatment gof gulnar gfracture, gproximal gend g(eg g- gAnswer g- gCorrect gAnswer: gD
The gpatient ghas ga gfracture gof gthe gright gproximal gulna gand gclosed greduction gis gnecessary. gIn gthe
gICD-10-CM gCode gBook, gunder gFracture, gulna, gproximal, gthe gcoder gis greferred gto gFracture, gulna,
gupper gend. gThe gterm g"manipulation" gis gused gto gindicate greduction gin gCPT. gAccording gto gCPT
gguidelines, gcast gapplication gor gstrapping g(including gremoval) gis gonly greported gas ga greplacement
gprocedure gor gwhen gthe gcast gapplication gor gstrapping gis gan ginitial gservice gperformed gwithout ga
grestorative gtreatment gor gprocedure g(AMA gCPT gProfessional gEdition g2020, g182). g(Note: gSince gthis
gis gan gambulatory gsurgery gcenter gcase, gCPT gcodes gare gassigned grather gthan gICD-10-PCS gcodes.)
A glaparoscopic gtubal gligation gis gcompleted. gWhat gis gthe gcorrect gCPT gcode gassignment?
49320Laparoscopy, gabdomen, gperitoneum, gand gomentum, gdiagnostic, gwith gor gwithout gcollection
gof gspecimen(s) gby gbrushing gor gwashing g(separate gprocedure)
58662Laparoscopy, gsurgical; gwith gfulguration gor gexcision gof glesions gof gthe govary, gpelvic gviscera,
gor gperitoneal gsurface gby gany gmethod
58670Laparoscopy, gsurgical; gwith gfulguration gof goviducts g(with gor gwithout gtransection)
,58671Laparoscopy, gsurgical; gwith gocclusion gof goviducts gby gdevice g(eg, gband, gclip, gor gFalope gring)
a. g49320, g58662
b. g58670
c. g58671
d. g49320 g- gAnswer g- gCorrect gAnswer: gB
The gcode gthat gbest greports gthe gtubal gligation gis g58670 gLaparoscopy, gsurgical; gwith gfulguration gof
goviducts gbecause gthere gare gno gclips gor gexcision gof glesion gcompleted gduring gthe gprocedure g(CPT
gAssistant gNov. g1999, g29; gMarch g2000, g10).
Normal gtwin gdelivery gat g30 gweeks. gBoth gbabies gwere gdelivered gvaginally gand gwere gliveborn.
gWhat gconditions gshould ghave gcodes gassigned?
O30.003Twin gpregnancy, gunspecified gnumber gof gplacenta gand gunspecified gnumber gof gamniotic
gsacs, gthird gtrimester
O30.009Twin gpregnancy, gunspecified gnumber gof gplacenta gand gunspecified gnumber gof gamniotic
gsacs, gunspecified gtrimester
O60.14X0Preterm glabor gthird gtrimester gwith gpreterm gdelivery gthird gtrimester, gnot gapplicable gor
gunspecified
O60.14X1 gPreterm glabor gthird gtrimester gwith gpreterm gdelivery gthird gtrimester, gfetus g1
O60.14X2Preterm glabor gthird gtrimester gwith gpreterm gdelivery gthird gtrimester, gfetus g
2O80Encounter gfor gfull-term guncomplicated gdelivery
Z3A.3030 gweeks ggestation gof gpregnancy
Z37.0Single glive gbirth
Z37.2Twins, gboth gliveborn
a. gO80, gZ3A.30, gZ37.0
b. gO30.003, gO60.14X0, gZ3A.30, gZ37.2
c. gO60.14X1, gO60.14X2 gO30.003, gZ3A.30, gZ37.2
d. gO80, gO30.009, gZ3A.30, gZ37.2 g- gAnswer g- gCorrect gAnswer: gC
A gcode gfor gpreterm glabor gand gdelivery gis gassigned gfor geach gfetus gsince gboth gbabies gwere gborn
gpreterm gas gnoted gin gCoding gClinic. gAdditionally, ga gcode gfrom gcategory gO30, gMultiple ggestations,
gmust gbe gassigned g(Leon-Chisen g2020, g325; gAHA gCoding gClinic g2016 g2nd gQuarter, g10-11).
,A gpatient gwith gacute grespiratory gfailure, ghypertension, gand gcongestive gheart gfailure gis gadmitted
gfor gintubation gand gventilation. gThe gpatient's gheart gfailure gis gstable gon gcurrent gmedications.
gWhat gare gthe gcorrect gdiagnosis gcodes gand gsequencing?
I10Essential ghypertension
I11.0Hypertensive gheart gwith gheart gfailure
I50.9Heart gfailure, gunspecified
J96.00Acute grespiratory gfailure, gunspecified gwhether gwith ghypoxia gor ghypercapnia
J96.20Acute gand gchronic grespiratory gfailure, gunspecified gwhether gwith ghypoxia gor ghypercapnia
a. gJ96.00, gI11.0, gI50.9
b. gI50.9, gJ96.00, gI10
c. gJ96.20, gI10, gI50.9
d. gI50.9, gJ96.20, gI11.0 g- gAnswer g- gCorrect gAnswer: gA
The gpatient gwas gadmitted gand gtreated gfor grespiratory gfailure. gThe gother gconditions gpresent gare
galso gcoded. gThe gclassification gpresumes ga gcausal grelationship gbetween ghypertension gand
gcongestive gheart gfailure gunless gthe gphysician gdocuments gotherwise g(Leon-Chisen g2020, g228-231;
gCMS g2020a, gSection gI.C.10.b., g53, gSection gI.C.9.a, g46; gAHA gCoding gClinic g2017 g1st gQuarter, g47).
A g64-year-old gfemale gwas gdischarged gwith gthe gfinal gdiagnosis gof gacute grenal gfailure gand
ghypertension. gWhat gcoding gguideline gapplies?
a. gUse gcombination gcode gof ghypertension gand gchronic grenal gfailure.
b. gUse gseparate gcodes gfor ghypertension gand gchronic grenal gfailure.
c. gUse gseparate gcodes gfor ghypertension gand gacute grenal gfailure.
d. gUse gcombination gcode gfor ghypertension gand gacute grenal gfailure. g- gAnswer g- gCorrect gAnswer:
gC
There gis gnot ga gcombination gcode gfor gacute grenal gfailure gand ghypertension. gAcute gkidney gfailure
gis gnot gthe gsame gas gchronic gkidney gdisease g(CMS g2020a, gSection gI.C.9. g2-3, g46-47; gLeon-Chisen
g2020, g262).
, A gpatient gwas gdischarged gfrom gthe gsame-day-surgery gunit gwith gthe gfollowing gdiagnoses:
gposterior gsubcapsular, gmature, gincipient, gsenile gcataract gright geye, gdiabetes gmellitus,
ghypertension, gand gwas gtreated gfor gmild gacute grenal gfailure. gWhich gcodes gare gcorrect?
E11.36Type g2 gdiabetes gmellitus gwith gdiabetic gcataract
E11.29Type g2 gdiabetes gmellitus gwith gother gdiabetic gkidney gcomplication
E11.9Type g2 gdiabetes gmellitus gwithout gcomplications
H25.9Unspecified gage-related gcataract
H25.21Age-related gcataract, gmorgagnian gtype, gright geye
H25.041Posterior gsubcapsular gpolar gage-related gcataract, gright geyeI10Essential ghypertension
I12.9Hypertensive gchronic gkidney gdisease gwith gstage g1 gthrough gstage g4, gor gunspecified gchronic
gkidney gdisease
N17.9Acute gkidney gfailure, gunspecified
a. gH25.21, gE11.29, gI12.9, gN17.9
b. gE11.36, gH25.041, gI10, gN17.9
c. gH25.9, gE11.29, gI12.9, gN17.9
d. gH25.041, gE11.9, gI12.9 g- gAnswer g- gCorrect gAnswer: gB
The gpatient ghas gposterior gsubcapsular, gmature, gincipient, gsenile gcataract gright geye, gdiabetes
gmellitus, ghypertension, gacute grenal gfailure. gThe ghypertension gand gdiabetes gare gnot grelated gto
gthe grenal gfailure gas git gis gacute gand gnot gchronic. gBecause gof gthis, gno gcombination gcode gis
gassigned gfor ghypertension, gdiabetes gand gchronic grenal gfailure. gHowever, gthe gdiabetes gand
gcataract gare grelated gconditions gwhich gare gcoded gusing ga gcombination gcode. gThe gclassification
gpresumes ga grelationship gbetween gdiabetes gand gcataracts g(CMS g2020a, gSections gI.A.15, g12-13
gand gI.B.9., g15; gAHA gCoding gClinic g2016 g2nd gQuarter, g36-37; gAHA gCoding gClinic g2019 g2nd
gQuarter, g30).
145
Correct0
Wrong1
Unanswered45
Current gProcedural gTerminology g(CPT) gdefines ga gseparate gprocedure gas gwhich gof gthe gfollowing?
a. gProcedure gconsidered gan gintegral gpart gof ga gmore gmajor gservice
Answers With Correct Solution
A g12-year-old gboy gwas gseen gin gan gambulatory gsurgical gcenter gfor gpain gin ghis gright garm. gThe gx-
ray gshowed gfracture gof gulna. gPatient gunderwent gclosed greduction gof gfracture gright gproximal gulna
gand gan gelbow-to-finger gcast gwas gapplied. gWhat gdiagnostic gand gprocedure gcodes gshould gbe
gassigned?
S52.101AUnspecified gfracture gof gupper gend gof gright gradius, ginitial gencounter gfor gclosed gfracture
S52.101BUnspecified gfracture gof gupper gend gof gright gradius, ginitial gencounter gfor gopen gfracture
S52.001AUnspecified gfracture gof gupper gend gof gright gulna, ginitial gencounter gfor gclosed gfracture
S52.001BUnspecified gfracture gof gupper gend gof gright gulna, ginitial gencounter gfor gopen gfracture
0PSH0ZZReposition gright gradius, gopen gapproach
0PSK0ZZReposition gright gulna, gopen gapproach
24670Closed gtreatment gof gulnar gfracture, gproximal gend g(eg, golecranon gor gcoronoid gprocess(es) g);
gwithout gmanipulation
24675Closed gtreatment gof gulnar gfracture, gproximal gend g(eg g- gAnswer g- gCorrect gAnswer: gD
The gpatient ghas ga gfracture gof gthe gright gproximal gulna gand gclosed greduction gis gnecessary. gIn gthe
gICD-10-CM gCode gBook, gunder gFracture, gulna, gproximal, gthe gcoder gis greferred gto gFracture, gulna,
gupper gend. gThe gterm g"manipulation" gis gused gto gindicate greduction gin gCPT. gAccording gto gCPT
gguidelines, gcast gapplication gor gstrapping g(including gremoval) gis gonly greported gas ga greplacement
gprocedure gor gwhen gthe gcast gapplication gor gstrapping gis gan ginitial gservice gperformed gwithout ga
grestorative gtreatment gor gprocedure g(AMA gCPT gProfessional gEdition g2020, g182). g(Note: gSince gthis
gis gan gambulatory gsurgery gcenter gcase, gCPT gcodes gare gassigned grather gthan gICD-10-PCS gcodes.)
A glaparoscopic gtubal gligation gis gcompleted. gWhat gis gthe gcorrect gCPT gcode gassignment?
49320Laparoscopy, gabdomen, gperitoneum, gand gomentum, gdiagnostic, gwith gor gwithout gcollection
gof gspecimen(s) gby gbrushing gor gwashing g(separate gprocedure)
58662Laparoscopy, gsurgical; gwith gfulguration gor gexcision gof glesions gof gthe govary, gpelvic gviscera,
gor gperitoneal gsurface gby gany gmethod
58670Laparoscopy, gsurgical; gwith gfulguration gof goviducts g(with gor gwithout gtransection)
,58671Laparoscopy, gsurgical; gwith gocclusion gof goviducts gby gdevice g(eg, gband, gclip, gor gFalope gring)
a. g49320, g58662
b. g58670
c. g58671
d. g49320 g- gAnswer g- gCorrect gAnswer: gB
The gcode gthat gbest greports gthe gtubal gligation gis g58670 gLaparoscopy, gsurgical; gwith gfulguration gof
goviducts gbecause gthere gare gno gclips gor gexcision gof glesion gcompleted gduring gthe gprocedure g(CPT
gAssistant gNov. g1999, g29; gMarch g2000, g10).
Normal gtwin gdelivery gat g30 gweeks. gBoth gbabies gwere gdelivered gvaginally gand gwere gliveborn.
gWhat gconditions gshould ghave gcodes gassigned?
O30.003Twin gpregnancy, gunspecified gnumber gof gplacenta gand gunspecified gnumber gof gamniotic
gsacs, gthird gtrimester
O30.009Twin gpregnancy, gunspecified gnumber gof gplacenta gand gunspecified gnumber gof gamniotic
gsacs, gunspecified gtrimester
O60.14X0Preterm glabor gthird gtrimester gwith gpreterm gdelivery gthird gtrimester, gnot gapplicable gor
gunspecified
O60.14X1 gPreterm glabor gthird gtrimester gwith gpreterm gdelivery gthird gtrimester, gfetus g1
O60.14X2Preterm glabor gthird gtrimester gwith gpreterm gdelivery gthird gtrimester, gfetus g
2O80Encounter gfor gfull-term guncomplicated gdelivery
Z3A.3030 gweeks ggestation gof gpregnancy
Z37.0Single glive gbirth
Z37.2Twins, gboth gliveborn
a. gO80, gZ3A.30, gZ37.0
b. gO30.003, gO60.14X0, gZ3A.30, gZ37.2
c. gO60.14X1, gO60.14X2 gO30.003, gZ3A.30, gZ37.2
d. gO80, gO30.009, gZ3A.30, gZ37.2 g- gAnswer g- gCorrect gAnswer: gC
A gcode gfor gpreterm glabor gand gdelivery gis gassigned gfor geach gfetus gsince gboth gbabies gwere gborn
gpreterm gas gnoted gin gCoding gClinic. gAdditionally, ga gcode gfrom gcategory gO30, gMultiple ggestations,
gmust gbe gassigned g(Leon-Chisen g2020, g325; gAHA gCoding gClinic g2016 g2nd gQuarter, g10-11).
,A gpatient gwith gacute grespiratory gfailure, ghypertension, gand gcongestive gheart gfailure gis gadmitted
gfor gintubation gand gventilation. gThe gpatient's gheart gfailure gis gstable gon gcurrent gmedications.
gWhat gare gthe gcorrect gdiagnosis gcodes gand gsequencing?
I10Essential ghypertension
I11.0Hypertensive gheart gwith gheart gfailure
I50.9Heart gfailure, gunspecified
J96.00Acute grespiratory gfailure, gunspecified gwhether gwith ghypoxia gor ghypercapnia
J96.20Acute gand gchronic grespiratory gfailure, gunspecified gwhether gwith ghypoxia gor ghypercapnia
a. gJ96.00, gI11.0, gI50.9
b. gI50.9, gJ96.00, gI10
c. gJ96.20, gI10, gI50.9
d. gI50.9, gJ96.20, gI11.0 g- gAnswer g- gCorrect gAnswer: gA
The gpatient gwas gadmitted gand gtreated gfor grespiratory gfailure. gThe gother gconditions gpresent gare
galso gcoded. gThe gclassification gpresumes ga gcausal grelationship gbetween ghypertension gand
gcongestive gheart gfailure gunless gthe gphysician gdocuments gotherwise g(Leon-Chisen g2020, g228-231;
gCMS g2020a, gSection gI.C.10.b., g53, gSection gI.C.9.a, g46; gAHA gCoding gClinic g2017 g1st gQuarter, g47).
A g64-year-old gfemale gwas gdischarged gwith gthe gfinal gdiagnosis gof gacute grenal gfailure gand
ghypertension. gWhat gcoding gguideline gapplies?
a. gUse gcombination gcode gof ghypertension gand gchronic grenal gfailure.
b. gUse gseparate gcodes gfor ghypertension gand gchronic grenal gfailure.
c. gUse gseparate gcodes gfor ghypertension gand gacute grenal gfailure.
d. gUse gcombination gcode gfor ghypertension gand gacute grenal gfailure. g- gAnswer g- gCorrect gAnswer:
gC
There gis gnot ga gcombination gcode gfor gacute grenal gfailure gand ghypertension. gAcute gkidney gfailure
gis gnot gthe gsame gas gchronic gkidney gdisease g(CMS g2020a, gSection gI.C.9. g2-3, g46-47; gLeon-Chisen
g2020, g262).
, A gpatient gwas gdischarged gfrom gthe gsame-day-surgery gunit gwith gthe gfollowing gdiagnoses:
gposterior gsubcapsular, gmature, gincipient, gsenile gcataract gright geye, gdiabetes gmellitus,
ghypertension, gand gwas gtreated gfor gmild gacute grenal gfailure. gWhich gcodes gare gcorrect?
E11.36Type g2 gdiabetes gmellitus gwith gdiabetic gcataract
E11.29Type g2 gdiabetes gmellitus gwith gother gdiabetic gkidney gcomplication
E11.9Type g2 gdiabetes gmellitus gwithout gcomplications
H25.9Unspecified gage-related gcataract
H25.21Age-related gcataract, gmorgagnian gtype, gright geye
H25.041Posterior gsubcapsular gpolar gage-related gcataract, gright geyeI10Essential ghypertension
I12.9Hypertensive gchronic gkidney gdisease gwith gstage g1 gthrough gstage g4, gor gunspecified gchronic
gkidney gdisease
N17.9Acute gkidney gfailure, gunspecified
a. gH25.21, gE11.29, gI12.9, gN17.9
b. gE11.36, gH25.041, gI10, gN17.9
c. gH25.9, gE11.29, gI12.9, gN17.9
d. gH25.041, gE11.9, gI12.9 g- gAnswer g- gCorrect gAnswer: gB
The gpatient ghas gposterior gsubcapsular, gmature, gincipient, gsenile gcataract gright geye, gdiabetes
gmellitus, ghypertension, gacute grenal gfailure. gThe ghypertension gand gdiabetes gare gnot grelated gto
gthe grenal gfailure gas git gis gacute gand gnot gchronic. gBecause gof gthis, gno gcombination gcode gis
gassigned gfor ghypertension, gdiabetes gand gchronic grenal gfailure. gHowever, gthe gdiabetes gand
gcataract gare grelated gconditions gwhich gare gcoded gusing ga gcombination gcode. gThe gclassification
gpresumes ga grelationship gbetween gdiabetes gand gcataracts g(CMS g2020a, gSections gI.A.15, g12-13
gand gI.B.9., g15; gAHA gCoding gClinic g2016 g2nd gQuarter, g36-37; gAHA gCoding gClinic g2019 g2nd
gQuarter, g30).
145
Correct0
Wrong1
Unanswered45
Current gProcedural gTerminology g(CPT) gdefines ga gseparate gprocedure gas gwhich gof gthe gfollowing?
a. gProcedure gconsidered gan gintegral gpart gof ga gmore gmajor gservice
