CCS Practice Exam Question and
Answers (Verified Answers)
2025.
A 12-year-old boy was seen in an ambulatory surgical center for pain in his
right arm. The x-ray showed a fracture of ulna. Patient underwent closed
reduction of fracture right proximal ulna, and an elbow-to-finger cast was
applied. What diagnostic and procedure codes should be assigned?
S52.101AUnspecified fracture of upper end of right radius, initial encounter
for closed fracture
S52.101BUnspecified fracture of upper end of right radius, initial encounter
for open fracture
S52.001AUnspecified fracture of upper end of right ulna, initial encounter
for closed fracture
S52.001BUnspecified fracture of upper end of right ulna, initial encounter for
open fracture
0PSH0ZZReposition right radius, open approach
0PSK0ZZReposition right ulna, open approach
24670Closed treatment of ulnar fracture, proximal end (eg, olecranon or
coronoid process(es) ); without manipulation
,24675Closed treatment of ulnar fracture, proximal end (eg, olecranon or
coronoid process(es) ); with manipulation
25560Closed treatment of radial and ulnar shaft fractures; without
manipulation
29075Application, cast; elbow to finger (short arm)
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
The patient has a fracture of the right proximal ulna and closed reduction is
necessary. In the ICD-10-CM Code Book, under Fracture, ulna, proximal, the
coder is referred to Fracture, ulna, upper end. The term "manipulation" is
used to indicate reduction in CPT. According to CPT guidelines, cast
application or strapping (including removal) is only reported as a
replacement procedure or when the cast application or strapping is an initial
service performed without a restorative treatment or procedure (AMA CPT
Professional Edition 2020, 182). (Note: Since this is an ambulatory surgery
center case, CPT codes are assigned rather than ICD-10-PCS codes.)
,A laparoscopic tubal ligation is completed. What is the correct CPT code
assignment?
49320Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with
or without collection of specimen(s) by brushing or washing (separate
procedure)
58662Laparoscopy, surgical; with fulguration or excision of lesions of the
ovary, pelvic viscera, or peritoneal surface by any method
58670Laparoscopy, surgical; with fulguration of oviducts (with or without
transection)
58671Laparoscopy, surgical; with occlusion of oviducts by device (eg, band,
clip, or Falope ring)
a. 49320, 58662
b. 58670
c. 58671
d. 49320 - Correct answer: B
The code that best reports the tubal ligation is 58670 Laparoscopy, surgical;
with fulguration of oviducts because there are no clips or excision of lesion
completed during the procedure (CPT Assistant Nov. 1999, 29; March 2000,
10).
, Normal twin delivery at 30 weeks. Both babies were delivered vaginally and
were liveborn. What conditions should have codes assigned?
O30.003Twin pregnancy, unspecified number of placenta and unspecified
number of amniotic sacs, third trimester
O30.009Twin pregnancy, unspecified number of placenta and unspecified
number of amniotic sacs, unspecified trimester
O60.14X0Preterm labor third trimester with preterm delivery third trimester,
not applicable or unspecified
O60.14X1 Preterm labor third trimester with preterm delivery third
trimester, fetus 1
O60.14X2Preterm labor third trimester with preterm delivery third trimester,
fetus
2O80Encounter for full-term uncomplicated delivery
Z3A.3030 weeks gestation of pregnancy
Z37.0Single live birth
Z37.2Twins, both liveborn
a. O80, Z3A.30, Z37.0
b. O30.003, O60.14X0, Z3A.30, Z37.2
Answers (Verified Answers)
2025.
A 12-year-old boy was seen in an ambulatory surgical center for pain in his
right arm. The x-ray showed a fracture of ulna. Patient underwent closed
reduction of fracture right proximal ulna, and an elbow-to-finger cast was
applied. What diagnostic and procedure codes should be assigned?
S52.101AUnspecified fracture of upper end of right radius, initial encounter
for closed fracture
S52.101BUnspecified fracture of upper end of right radius, initial encounter
for open fracture
S52.001AUnspecified fracture of upper end of right ulna, initial encounter
for closed fracture
S52.001BUnspecified fracture of upper end of right ulna, initial encounter for
open fracture
0PSH0ZZReposition right radius, open approach
0PSK0ZZReposition right ulna, open approach
24670Closed treatment of ulnar fracture, proximal end (eg, olecranon or
coronoid process(es) ); without manipulation
,24675Closed treatment of ulnar fracture, proximal end (eg, olecranon or
coronoid process(es) ); with manipulation
25560Closed treatment of radial and ulnar shaft fractures; without
manipulation
29075Application, cast; elbow to finger (short arm)
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
The patient has a fracture of the right proximal ulna and closed reduction is
necessary. In the ICD-10-CM Code Book, under Fracture, ulna, proximal, the
coder is referred to Fracture, ulna, upper end. The term "manipulation" is
used to indicate reduction in CPT. According to CPT guidelines, cast
application or strapping (including removal) is only reported as a
replacement procedure or when the cast application or strapping is an initial
service performed without a restorative treatment or procedure (AMA CPT
Professional Edition 2020, 182). (Note: Since this is an ambulatory surgery
center case, CPT codes are assigned rather than ICD-10-PCS codes.)
,A laparoscopic tubal ligation is completed. What is the correct CPT code
assignment?
49320Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with
or without collection of specimen(s) by brushing or washing (separate
procedure)
58662Laparoscopy, surgical; with fulguration or excision of lesions of the
ovary, pelvic viscera, or peritoneal surface by any method
58670Laparoscopy, surgical; with fulguration of oviducts (with or without
transection)
58671Laparoscopy, surgical; with occlusion of oviducts by device (eg, band,
clip, or Falope ring)
a. 49320, 58662
b. 58670
c. 58671
d. 49320 - Correct answer: B
The code that best reports the tubal ligation is 58670 Laparoscopy, surgical;
with fulguration of oviducts because there are no clips or excision of lesion
completed during the procedure (CPT Assistant Nov. 1999, 29; March 2000,
10).
, Normal twin delivery at 30 weeks. Both babies were delivered vaginally and
were liveborn. What conditions should have codes assigned?
O30.003Twin pregnancy, unspecified number of placenta and unspecified
number of amniotic sacs, third trimester
O30.009Twin pregnancy, unspecified number of placenta and unspecified
number of amniotic sacs, unspecified trimester
O60.14X0Preterm labor third trimester with preterm delivery third trimester,
not applicable or unspecified
O60.14X1 Preterm labor third trimester with preterm delivery third
trimester, fetus 1
O60.14X2Preterm labor third trimester with preterm delivery third trimester,
fetus
2O80Encounter for full-term uncomplicated delivery
Z3A.3030 weeks gestation of pregnancy
Z37.0Single live birth
Z37.2Twins, both liveborn
a. O80, Z3A.30, Z37.0
b. O30.003, O60.14X0, Z3A.30, Z37.2
